A nurse in a health clinic is caring for a client.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing
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due to
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Rationale for Correct Answers:

Infection: HIV targets and depletes CD4+ T cells, impairing immune function. A consistently low WBC count (below the normal range) indicates reduced immune defense, increasing susceptibility to infections.
WBC count: The client’s WBC count decreased from 4,500 to 4,100/mm³, both below the normal lower limit. This progressive leukopenia in the context of HIV suggests worsening immunosuppression, which elevates the risk of opportunistic infections.

Rationale for Incorrect Choices:

Dysrhythmias: The client’s potassium level is 3.8 mEq/L, within the normal range. Since potassium directly affects cardiac conduction, a normal level does not indicate an increased risk of dysrhythmia.
Renal failure: The client’s BUN increased slightly from 16 to 18 mg/dL but remains within the normal range. There are no other signs of renal impairment such as elevated creatinine or abnormal electrolyte levels.
Seizures: Sodium is stable at 139 mEq/L, which is within the normal range. Electrolyte imbalance, particularly hyponatremia, is a common trigger for seizures, which is not evident here.
Bleeding: The platelet count is slightly decreased but still within the normal range (162,000/mm³). There is no evidence of thrombocytopenia or coagulopathy that would suggest a bleeding risk.

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Correct Answer is D

Explanation

A. Hospice care services: Hospice care is designed for clients with terminal illnesses who are nearing the end of life. A client with Crohn's disease and a new ileostomy is not terminal and instead requires support for adaptation and recovery, making hospice services inappropriate in this context.
B. Long-term care facility: Long-term care facilities are intended for individuals who cannot live independently due to chronic conditions requiring constant assistance. Most clients with an ileostomy can manage their care at home with support, so this option is not suitable.
C. Rehabilitation center: Rehabilitation centers focus on intensive physical or occupational therapy for clients recovering from major surgeries or injuries. While helpful in some postoperative cases, a client with an ileostomy typically does not require rehab center care for ostomy management alone.
D. Visiting nurse services: Visiting nurses provide essential care such as wound and ostomy care, medication management, and education at home. They support clients in adjusting to new conditions like an ileostomy, making this the most appropriate and beneficial community resource.

A. Take the medication on an empty stomach. B. Increase sources of fiber in the diet. C. Take the medication with a source of vitamin C. D. Take an antacid within 30 min after medication administration. E. Increase intake of milk and dairy products.

Correct Answer is ["A","B","C"]

Explanation

A. Take the medication on an empty stomach: Iron is best absorbed in an acidic environment, so taking it 1 hour before or 2 hours after meals optimizes absorption. Although some clients may experience GI upset, the empty stomach approach remains ideal for absorption.
B. Increase sources of fiber in the diet: Iron supplements commonly cause constipation. Increasing dietary fiber through fruits, vegetables, and whole grains helps counteract this effect and promotes regular bowel function.
C. Take the medication with a source of vitamin C: Vitamin C enhances iron absorption by converting it into its more absorbable ferrous form. Pairing the supplement with orange juice or other vitamin C-rich foods improves treatment effectiveness.
D. Take an antacid within 30 min after medication administration: Antacids increase gastric pH, which reduces iron solubility and absorption. They should be avoided within 2 hours before or after iron intake to maintain optimal efficacy of the supplement.
E. Increase intake of milk and dairy products: Dairy products are rich in calcium, which competes with iron for absorption in the small intestine. Consuming them close to iron administration diminishes the supplement’s effectiveness and should be avoided.

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A nurse in a health clinic is caring for a client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing dropdowndue todropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge teaching for a client who has Crohn's disease and a new ileostomy. Which of the following community resources should the nurse include in the teaching?

Correct Answer is D

Explanation

The nurse is caring for the client who has iron deficiency anemia. Exhibits Which of the following instructions should the nurse include? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)

A nurse is assessing a client who is receiving radiation therapy to the head and neck. Which of the following findings should the nurse expect?

A nurse is caring for a client who is experiencing diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?

A nurse is caring for a client who is receiving potassium chloride 40 mEq IV every 4 hr. Which of the following findings indicate the client is becoming hyperkalemic?

A charge nurse is called to a client's room after a staff nurse reports a client has had a wound evisceration. Which of the following actions should the charge nurse take?

A nurse is caring for a client who has diabetes insipidus and has had a urinary output of 3,000 mL in the past 12 hr. Which of the following medications should the nurse expect to administer to the client?

A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?

A nurse is admitting a client who has tuberculosis. Which of the following findings should the nurse expect?

A nurse in a health clinic is caring for a client.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing
dropdown
due to
dropdown
.