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

Exhibits

Select 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
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Answer and Explanation

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

The client is at risk for developing bleeding due to platelet count

Rationale:

The client's platelet count at the 3-month visit is 112,000/mm3, which is below the normal range (150,000 to 400,000/mm3). Platelets are crucial for blood clotting, and a low platelet count increases the risk of bleeding.

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Free Nursing Study Resources

Correct Answer is ["100"]

Explanation

IV pump rate= (Volume to be infused (mL) × 60) / Time of infusion (min).

For the given scenario, the nurse has 50 mL to infuse over 30 minutes. Using the formula, Pump rate= (50 mL × 60) / 30 min= 100 mL/hr.

Therefore, the nurse should set the IV pump to deliver 100 mL/hr.

A. Turn off all lights in the client's room at night. B. Assist the client with toileting at least once every 4 hr. C. Place the client's bed at the lowest height. D. Request a prescription for a nightly sedative.

Correct Answer is C

Explanation

C. Lowering the bed height reduces the risk of injury in case the client falls out of bed. It also facilitates easier transfers for clients with mobility issues.

A Individuals with dementia may experience disorientation and confusion, especially in unfamiliar or dark environments. Turning off all lights can increase the risk of falls and accidents.

B. Clients with dementia may have difficulty recognizing the need to toilet or may forget where the bathroom is located. They may also have urinary or fecal incontinence. Scheduled toileting helps prevent accidents and promotes continence.

D. Sedatives or hypnotic medications can increase confusion, risk of falls, and adverse effects in older adults with dementia. They are generally not recommended as first-line treatment for sleep disturbances in dementia.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["100"]

Explanation

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?

Correct Answer is C

Explanation

A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?

A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?

A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?

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A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and S-T segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?

A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium?

A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?

A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?

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

Exhibits

Select 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