A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

Oral medications, including analgesics, are tolerated without vomiting.

Vital signs within normal limits and blood pressure of 142/94 mm Hg.

Pain rating of 5 on a 0 to 10 scale and taking oral analgesics every 4 hours.

Client is able to ambulate to the bathroom safely to void.

Bowel sounds are present in all four quadrants and abdomen is soft.

Answer and Explanation

Correct Answer : A,D

Choice A reason: Tolerating oral medications without vomiting is essential for discharge to ensure the client can manage pain and take necessary medications at home.

Choice B reason: While vital signs are important, the slightly elevated blood pressure alone may not prevent discharge if other criteria are met.

Choice C reason: A pain rating of 5 managed with oral analgesics is acceptable for discharge if the client can manage pain at home.

Choice D reason: Being able to ambulate to the bathroom safely is crucial for discharge to ensure the client can independently manage basic needs.

Choice E reason: Bowel sounds and a soft abdomen are important but are not the primary criteria for discharge in this context.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: EMR tracking systems monitor and alert for unauthorized access attempts, ensuring compliance with privacy regulations.

Choice B reason: While encouraging the friend to discuss concerns is good advice, it is not directly related to the legal and ethical aspects of accessing the EMR.

Choice C reason: EMR safeguards ensure that only authorized personnel involved in direct care can access a client's medical records.

Choice D reason: Obtaining the client's permission is a prerequisite for sharing medical information, ensuring respect for client privacy and autonomy.

Choice E reason: Reviewing the EMR without proper authorization violates client confidentiality and is both legally and ethically prohibited.

A. Nausea and headache. B. Increased fatigue. C. Yellow-tinged sputum. D. Watery diarrhea.

Correct Answer is D

Explanation

Choice A reason: Nausea and headache are common side effects of many medications, including linezolid, but they are not the most critical findings that need immediate reporting to the healthcare provider.

Choice B reason: Increased fatigue is a concerning symptom but may be related to the underlying infection or other factors. It is important to monitor but is not the most urgent finding in this context.

Choice C reason: Yellow-tinged sputum may indicate an ongoing infection, but it is not uncommon in cases of pneumonia. It should be monitored but does not require immediate reporting unless there are other concerning symptoms.

Choice D reason: Watery diarrhea is the most important finding to report because linezolid can cause Clostridioides difficile-associated diarrhea (CDAD), a potentially serious condition. Early detection and treatment are crucial to prevent complications.

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A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is D

Explanation

A client is admitted to the intensive care unit (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is most important for the nurse to take?

A client presents to the emergency department (ED) reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

The nurse is providing a nutrition class to a group of postmenopausal clients. Which food should the nurse emphasize to this group?

A client with Parkinson's disease (PD) is admitted to the medical surgical unit and the nurse assesses the client's mobility needs. Which finding(s) indicate the need to plan interventions related to the client's mobility? Select all that apply.

A client is being treated for syndrome of inappropriate antidiuretic hormone (SIADH). On examination, the client has a weight gain of 4.4 lbs (2 kg) in 24 hours and an elevated blood pressure. Which intervention should the nurse implement first?