A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)

Infections.

Low blood pressure.

Diabetes.

Allostasis.

Cancer.

Answer and Explanation

Correct Answer : A,C,D,E

A. Prolonged stress can weaken the immune system, making patients more susceptible to infections.
B. Prolonged stress typically leads to increased blood pressure due to the body's stress response, rather than low blood pressure.
C. Chronic stress can contribute to the development of diabetes by affecting glucose metabolism and increasing insulin resistance.
D. Allostasis refers to the process of achieving stability through change; prolonged stress can disrupt allostatic balance and lead to health issues.
E. Prolonged stress has been linked to an increased risk of developing certain types of cancer due to its effects on immune function and hormonal balance.

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Correct Answer is B

Explanation

A. Increasing activity level may be unrealistic for a patient on strict bed rest due to a pelvic fracture.
B. Repositioning every 2 hours is a realistic and achievable goal for a patient on bed rest to prevent complications such as pressure ulcers and maintain circulation.
C. Using a walker for ambulation may not be feasible immediately after a pelvic fracture.
D. Transferring with a sliding board may not be safe or appropriate in the early stages post-injury, especially if bed rest is required.

A. Vision B. Heart tones C. Bowel sounds D. Hearing

Correct Answer is D

Explanation

A. Vision is not commonly affected by vancomycin, so it is not a priority to assess.
B. Heart tones are not directly impacted by vancomycin and do not require immediate monitoring unless there are specific cardiovascular concerns.
C. Bowel sounds are not directly influenced by vancomycin and do not need to be prioritized in this case.
D. Vancomycin is known to be ototoxic, especially in high doses or with prolonged use, so monitoring for signs of hearing loss or tinnitus is essential to prevent potential irreversible damage.

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A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a care plan for a patient prescribed bed rest as a result of a pelvic fracture. Which goal statement is realistic for the nurse to assign to this patient?

Correct Answer is B

Explanation

A patient is receiving vancomycin. Which physiological function is the priority for the nurse to assess?

Correct Answer is D

Explanation

The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)

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A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

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A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?

The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing diagnoses. Which step will the nurse take next in the nursing process?

A nurse is helping parents who have a child diagnosed with attention-deficit/hyperactivity disorder. Which strategy will the nurse share with the parents to reduce stress regarding homework assignments?