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 B

Explanation

A. Mouth sores: While mouth sores (mucositis) are common in chemotherapy, they are not a contraindication for acupuncture. The therapy does not typically involve the oral cavity and may even help reduce discomfort indirectly by promoting general well-being.
B. Lymphedema: Acupuncture is contraindicated in areas affected by lymphedema due to the risk of introducing infection or worsening fluid accumulation. Clients with a history of lymph node removal or compromised lymphatic drainage should avoid needle insertion in those areas.
C. Headaches: Acupuncture is often used as a nonpharmacologic treatment for chronic headaches and migraines. There is no contraindication for its use in clients experiencing headaches, and many find it beneficial.
D. Urticaria: Urticaria (hives) may indicate an allergic reaction but is not a direct contraindication to acupuncture unless it involves skin sensitivity at proposed needle sites. However, each case should be assessed individually.

A. "I should increase green leafy vegetables in my diet." B. "The iron supplement might cause my stools to be black." C. "The iron supplement might cause ringing in my ears." D. "I should expect to have swelling in my feet." E. "I will take my iron supplement 1 hour before a meal."

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

Explanation

A. "I should increase green leafy vegetables in my diet." Green leafy vegetables like spinach and kale are good sources of non-heme iron, which support iron replenishment when combined with iron therapy. This aligns well with the client’s vegan diet.
B. "The iron supplement might cause my stools to be black." Dark or black stools are a common and expected side effect of oral iron supplementation due to the unabsorbed iron being excreted. This is not harmful and does not indicate gastrointestinal bleeding.
C. "The iron supplement might cause ringing in my ears." Tinnitus is not a common or expected side effect of oral iron supplements. Its presence could indicate another issue such as ototoxicity or anemia complications and should be reported.
D. "I should expect to have swelling in my feet." Peripheral edema is not associated with iron supplementation. Swelling may suggest fluid retention or cardiovascular problems and is not a normal response to iron therapy.
E. "I will take my iron supplement 1 hour before a meal." Iron is best absorbed on an empty stomach, ideally taken 1 hour before or 2 hours after eating. This timing helps improve absorption by avoiding interference from food components like calcium or phytates.

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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 caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?

Correct Answer is B

Explanation

The nurse is caring for the client who has iron deficiency anemia. Exhibits Which of the following statements indicate the client understands the instructions?Select the 3 statements that apply.

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

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.

A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?

A nurse in a provider's office is caring for a client. Exhibits Complete the following sentence by using the lists of options. The first action the nurse should take is dropdownfollowed bydropdown.

A nurse is monitoring a client who has a head injury and is receiving mannitol 25% IV. The nurse should identify that which of the following is an adverse effect of the medication and should be reported to the provider?

A nurse is assessing a client who is taking lisinopril. Which of the following findings should the nurse document in the client's medical record as an adverse effect?

A nurse is caring for a client who has an evisceration of an abdominal incision. Which of the following actions should the nurse take first?

A nurse is reviewing the laboratory results of a group of clients. Which of the following client conditions requires reporting to the local health department?

A nurse is caring for a client who is 3 hr postoperative. Which of the following findings should the nurse understand is a manifestation of bleeding?

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
.