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A nurse in the emergency department (ED) is caring for an older adult client.

Exhibits

Which of the following prescriptions from the provider should the nurse anticipate? Select all that apply.

Obtain a serum WBC count.

Insert indwelling urinary catheter.

Make the client NPO.

Initiate antibiotic therapy.

Obtain a consent for surgery.

Withhold metoprolol.

Administer acetaminophen.

Collect urine for urinalysis and culture and sensitivity.

Obtain chest x-ray.

Answer and Explanation

Correct Answer : A,D,G,H

A. Obtain a serum WBC count: A WBC count will help assess for infection, as the client presents with fever, confusion, and urinary symptoms. Elevated WBC could suggest a urinary tract infection (UTI) or other infection.
B. Insert indwelling urinary catheter: An indwelling catheter is not immediately necessary unless the client is unable to void or requires continuous monitoring. Non-invasive methods like obtaining a urine sample for analysis would be a priority.
C. Make the client NPO: There is no indication that the client requires NPO status at this time. Unless surgery or another procedure is planned, this is not necessary.
D. Initiate antibiotic therapy: Given the client's symptoms (fever, confusion, urinary frequency, urgency, and dark urine), a UTI or other infection is likely. Antibiotics are needed to treat the suspected infection.
E. Obtain a consent for surgery: There is no indication that surgery is needed based on the current clinical information. The primary concern is infection, not surgical intervention.
F. Withhold metoprolol: While metoprolol may lower blood pressure, there is no indication to withhold it at this time. The client’s blood pressure is already low, and withholding this medication could worsen hypotension. Any changes in the medication regimen should be made based on further evaluation by the provider.
G. Administer acetaminophen: Acetaminophen is indicated to help reduce the client's fever (39.3°C/102.7°F). Managing the fever will help improve comfort and prevent complications like delirium.
H. Collect urine for urinalysis and culture and sensitivity: Urine analysis and culture will help confirm the presence of a UTI, identify the causative pathogen, and guide appropriate antibiotic therapy.
I. Obtain chest x-ray: A chest x-ray is not necessary unless there is a suspicion of a respiratory infection, such as pneumonia. The symptoms are more consistent with a UTI or systemic infection, so a chest x-ray is not a priority.

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

Explanation

Sepsis: Preterm neonates are at increased risk for infections, including sepsis. Discontinuation of feedings, along with the other signs observed (such as abdominal distention, blood in stool, lethargy, and hypotonia), may suggest the onset of infection, which requires close monitoring.

Hypotension: Preterm neonates are also at risk for hypotension due to immature circulatory systems. The stress of gastrointestinal disturbances, such as abdominal distention and the potential for necrotizing enterocolitis (NEC), can result in decreased perfusion, contributing to hypotension.

A. "I can use my ultrasound picture as a focal point during contractions." B. "My nurse can teach me biofeedback at the beginning of labor." C. "The nurse will initiate acupuncture when I arrive at the unit." D. "A transcutaneous electrical nerve stimulator will help with pelvic pressure."

Correct Answer is A

Explanation

A. Using an ultrasound picture as a focal point is an effective nonpharmacological distraction technique for managing labor pain.

B. Biofeedback requires prior training and is not typically initiated during labor.

C. Acupuncture requires a specialist and is not commonly initiated by nurses during labor.

D. Transcutaneous electrical nerve stimulation (TENS) is typically used for back pain rather than pelvic pressure.

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not.. I found the title to the car today, signed over to me.
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom. Client reports not wanting to eat anymore. Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

A nurse in the emergency department (ED) is caring for an older adult client. Exhibits Which of the following prescriptions from the provider should the nurse anticipate? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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A nurse in the emergency department (ED) is caring for an older adult client.

Exhibits

Which of the following prescriptions from the provider should the nurse anticipate? Select all that apply.