A nurse is admitting a 68-year-old male client in the accident and emergency unit.
For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated.
Initiate IV fluids.
Administer aspirin for abdominal pain.
Insert a nasogastric tube, attach to low suction.
Initiate continuous ECG monitoring.
Test stools for occult blood.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
· Initiate IV fluids – Contraindicated: While IV fluids might be helpful in some cases, excessive fluid administration could exacerbate certain conditions like heart failure or fluid overload. It would depend on the underlying cause of his symptoms.
· Administer aspirin for abdominal pain – Contraindicated: Aspirin can worsen gastrointestinal conditions, especially in someone with GERD. It can increase the risk of gastric irritation or even bleeding.
· Insert a nasogastric tube, attach to low suction – Contraindicated: While NG tube placement can be used for gastric decompression, it is generally not the first step in managing GERD or non-obstructive epigastric pain. This should only be considered if there is suspicion of an obstructive process.
· Initiate continuous ECG monitoring – Anticipated: Given his tachycardia, elevated blood pressure, and history of anxiety, monitoring his cardiac status would be appropriate to rule out cardiac involvement.
· Test stools for occult blood – Anticipated: Considering his long history of smoking and GERD, there is a risk of gastrointestinal bleeding, so checking for occult blood would be a reasonable precaution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Cabbage contains some calcium, but its bioavailability is lower compared to other sources due to the presence of oxalates, which can bind to calcium and inhibit its absorption in the small intestine. While vegetables are important for overall health, cabbage is not a primary food source recommended for significantly increasing calcium levels.
Choice B rationale
Carrots are a good source of beta-carotene and fiber but are not particularly high in calcium content. Their primary nutritional benefits lie in providing vitamin A precursors and supporting digestive health. Therefore, increasing carrot intake would not significantly impact calcium levels.
Choice C rationale
Potatoes contain minimal amounts of calcium. They are primarily a source of carbohydrates, potassium, and vitamin C. While part of a balanced diet, they are not a recommended food for specifically increasing calcium intake to prevent or manage osteoporosis.
Choice D rationale
Broccoli is a good source of non-dairy calcium, and its bioavailability is relatively high. Additionally, broccoli provides other essential nutrients like vitamin K, which plays a role in bone health. Increasing the consumption of cruciferous vegetables like broccoli can contribute to improved calcium intake and support bone density.
Correct Answer is A
Explanation
Choice A rationale
Localized erythema, or redness, around a puncture wound is a classic sign of inflammation, which is an early manifestation of acute osteomyelitis, an infection of the bone. The inflammatory response causes vasodilation and increased blood flow to the infected area.
Choice B rationale
Hypothermia, or low body temperature, is not a typical manifestation of acute osteomyelitis. Fever is more common as the body mounts a systemic response to the infection. Normal body temperature is around 98.6°F (37°C).
Choice C rationale
Numbness of the toes on the affected foot suggests nerve damage or vascular compromise, which are not typical early manifestations of acute osteomyelitis resulting from a puncture wound. Pain and tenderness are more likely localized symptoms.
Choice D rationale
Bradycardia, or a slow heart rate, is not a typical finding in acute osteomyelitis. Tachycardia (rapid heart rate) might occur due to fever and the body's stress response to infection. Normal adult heart rate ranges from 60 to 100 beats per minute. .
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