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

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

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

Answer and Explanation

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

Condition Choices

Dysrhythmias: Dysrhythmias are often linked to electrolyte imbalances, particularly potassium abnormalities, rather than WBC count changes. The client’s potassium level remains within normal limits, making dysrhythmias unlikely.
Infection: A decreasing WBC count below the normal range weakens the immune response, increasing susceptibility to infections. The client’s WBC count has declined from 4,500/mm³ to 4,100/mm³, placing them at higher risk for opportunistic infections, a major concern in HIV.
Renal failure: Renal failure is typically assessed through elevated BUN and creatinine levels, along with signs of fluid imbalance. The client’s BUN is slightly elevated but not significantly high, and there are no other indicators of renal failure.
Bleeding: Bleeding risk is associated with low platelet levels, which impair clotting ability. The client’s platelet count remains within normal limits, reducing the likelihood of bleeding complications.
Seizures: Seizures can result from severe electrolyte imbalances, neurological conditions, or uncontrolled infections. The client does not exhibit signs of neurological dysfunction, and electrolyte levels are stable, making seizures unlikely.

Finding Choices

WBC count: A declining WBC count below the normal range weakens the immune response, making the client more susceptible to infections. This is particularly concerning for individuals with HIV, as they are already at an increased risk for opportunistic infections.
Potassium level: Potassium levels are crucial for cardiac function and neuromuscular stability. The client’s potassium level remains within normal limits, making it an unlikely contributor to any immediate risk.
Platelets: Platelets play a key role in clot formation. The client’s platelet count is within the normal range, so they are not currently at increased risk for bleeding.
Sodium level: Sodium is essential for fluid balance and neurological function. The client’s sodium level remains within the normal range, meaning it is not contributing to any immediate concerns.
BUN level: Elevated BUN levels can indicate impaired kidney function, dehydration, or increased protein metabolism. The client’s BUN level has increased slightly but is still within the normal range, making renal failure unlikely at this time.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Assess the client's bilateral hand grasp strength: Slurred speech in a client with sickle cell crisis raises concern for stroke due to vaso-occlusion in cerebral vessels. Assessing hand grasp strength helps evaluate for unilateral weakness, a key indicator of stroke, necessitating immediate intervention.

B. Place a padded tongue blade at the client's bedside: There is no indication the client is experiencing a seizure. Seizure precautions are not a priority unless additional neurological symptoms suggest seizure activity.

C. Check the client's bedside glucose level: Hypoglycemia can cause slurred speech, but in a client with sickle cell disease, stroke is a more likely cause. Assessing neurological function should take precedence over checking glucose unless the client has a history of diabetes or other risk factors.

D. Administer flumazenil IV per facility policy to the client: Flumazenil is used to reverse benzodiazepine overdose. There is no indication that the client has received benzodiazepines or is experiencing medication toxicity.

A. Pain level B. Urinary output C. Echocardiogram results D. Heart rate E. Blood pressure F. Respiratory rate G. Oxygenation saturation

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

Explanation

Pain level: The client's reported pain level decreased from 7 to 5 after receiving nitroglycerin and oxygen therapy. A reduction in pain indicates that the treatment is effective and the client's condition is improving.
Heart rate: The heart rate decreased from 120/min to 100/min between assessments, suggesting improved cardiac function and stability. A lower heart rate can indicate a better response to treatment and improved hemodynamic status.
Blood pressure: The blood pressure improved from 176/82 mm Hg to 110/62 mm Hg, indicating a more stable hemodynamic status. However, it is important to ensure that the blood pressure does not drop too low; overall, the trend suggests an improvement in circulation.
Oxygenation saturation: The oxygen saturation improved from 89% on room air to 93% after oxygen therapy was initiated. An increase in oxygen saturation indicates improved respiratory function and effective oxygenation, which is critical for recovery in clients with cardiac issues.

Urinary output: There is no documented information regarding the client's urinary output in the provided data, making it difficult to assess improvement in this area. Monitoring urinary output is essential for evaluating kidney function and fluid balance, but it cannot be determined from the available information.
Echocardiogram results: The echocardiogram results indicated a myocardial infarction, which does not show improvement but rather confirms the severity of the client's condition. While treatment may address the effects of the infarction, the diagnosis itself indicates ongoing concern.
Respiratory rate: The respiratory rate remained at 22/min, which is still elevated. While it is unchanged, an improvement would typically be reflected by a decrease in the respiratory rate, indicating better respiratory status. The persistent elevated rate suggests that further monitoring and interventions may still be needed.

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 nurse in a health clinic is caring for a client. Select 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing ........ due to ...........

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a sickle cell crisis. During morning care, the assistive personnel alerts the nurse that the client is slurring their speech. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

The nurse is reviewing the client's medical record. The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

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

Explanation

A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)

A nurse is teaching about measures to prevent recurring urinary tract infections with a female client. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who has developed a paralytic ileus related to acute pancreatitis and reports pain as 8 on a scale of 0 to 10. The client has prescriptions for multiple PRN pain medications. Which of the following medications should the nurse administer?

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

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 is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)

A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?

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 in a health clinic is caring for a client.

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

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