Try Naxlex NCLEX-RN (Free-Trial)

A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient’s finding should the nurse immediately report to the healthcare provider?

Potassium level of 3.7 mEq/L (3.7 mmol/L).

B-type natriuretic peptide (BNP) level of 550 pg/mL (550 ng/L).

Total cholesterol level of 190 mg/dL (4.92 mmol/L).

Glycosylated hemoglobin (A1C) level of 7%.

Answer and Explanation

The Correct Answer is B

Answer and explanation

The correct answer is Choice B.

Choice A rationale

A potassium level of 3.7 mEq/L (3.7 mmol/L) is within the normal range, which is typically between 3.6 and 5 mEq/L12. Therefore, this result does not need to be reported immediately to the healthcare provider.

Choice B rationale

B-type natriuretic peptide (BNP) levels are used to diagnose and monitor heart failure. A BNP level of 550 pg/mL (550 ng/L) is significantly higher than the normal range, which is less than 100 pg/mL34. High BNP levels indicate that the heart is working harder than normal, which is a common occurrence in heart failure. Therefore, this result should be reported immediately to the healthcare provider.

Choice C rationale

A total cholesterol level of 190 mg/dL (4.92 mmol/L) is considered borderline high. While it’s important to manage cholesterol levels in patients with heart failure, this result is not critical and does not need to be reported immediately to the healthcare provider.

Choice D rationale

A glycosylated hemoglobin (A1C) level of 7% is at the threshold for the diagnosis of diabetes. Diabetes can complicate the management of heart failure and increase the risk of cardiovascular events. However, this result is not critical and does not need to be reported immediately to the healthcare provider.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While an annual health fair can provide valuable health screenings and education, it may not be the most critical resource for a rural community.

Choice B rationale

A family planning center can offer important services, but it may not be the most urgent need for the entire community.

Choice C rationale

Access to trauma care is crucial in rural areas where distances to hospitals can be great. Injuries and acute illnesses require immediate attention, and having access to trauma care can significantly improve outcomes.

Choice D rationale

While a plan for weather-related disasters is important, it does not address the everyday healthcare needs of the community.

A. Perceived barriers. B. Perceived susceptibility. C. Perceived severity. D. Perceived benefits.

Correct Answer is B

Explanation

The correct answer is B. Perceived susceptibility.

Explanation:

The Health Belief Model (HBM) explains health-related behaviors based on an individual's perceptions. Perceived susceptibility refers to a person's belief about their risk of developing a disease. In this case, the client believes they are not susceptible to the flu, which influences their decision not to get vaccinated.

Why the other options are incorrect:

A. Perceived barriers – This refers to obstacles preventing someone from taking action, such as cost or fear of side effects. The client did not mention barriers, only their belief that they don’t get the flu.
C. Perceived severity – This relates to how serious a person believes a condition is. The client did not indicate concern about how severe the flu might be, only that they don’t expect to get it.
D. Perceived benefits – This focuses on a person’s belief in the effectiveness of an action. The client’s response does not express doubts about the vaccine’s benefits, just their belief that flu prevention is unnecessary for them.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient’s finding should the nurse immediately report to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The public health nurse is assessing resources in a rural community. Which healthcare resource is of utmost importance to the community?

Correct Answer is C

Explanation

A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don’t get the flu.”. Which aspect of the Health Belief Model is the client demonstrating?

Correct Answer is B

Explanation

Explanation:

Why the other options are incorrect:

After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?

The community health nurse suspects that immunization rates in a lower-socioeconomic section of the city are likely below the state health department’s target.What should be the nurse’s initial action to address this health problem?

The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center.The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters.What should be the nurse’s initial action?

A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient’s finding should the nurse immediately report to the healthcare provider?

While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child.What should be the nurse’s response to this observation?