A nurse is assisting in the care of a client.

Medication Administration Record

Laboratory Results

Hct 47% (379% to 52%)

Hgb 16 g/dL (12 to 18 g/dL)

Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L)

Select the findings that increase the client’s susceptibility to infection. To unselect

Client has a BMI of 16

History of type 2 diabetes mellitus

Client is a nonsmoker

Budesonide 6 mg PO qd

Answer and Explanation

Correct Answer : A,B,D

A.   Low body mass index (BMI) can be associated with malnutrition, which may compromise the immune system and increase susceptibility to infection.
B.   Diabetes can weaken the immune system and increase the risk of infections.
C.   Smoking is a risk factor for various health issues, but it is not a direct factor that increases susceptibility to infection in this context. The client is a non-smoker.
D.   Budesonide is a corticosteroid, and prolonged use of corticosteroids can suppress the immune system, making the individual more susceptible to infections.

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Correct Answer is ["B","C","G","H"]

Explanation

A. Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B. Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C. Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D. Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E. Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F. Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G. Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H. Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

A. Instruct the client to stay in the bathtub no longer than 20 min. B. Fill the bathtub with water at 48 C (118.4° F). C. Use bath oil in the client’s bathtub D. Provide the client with non-slip bath strips in the bathtub.

Correct Answer is D

Explanation

A. The duration of time in the bathtub should be based on the client's tolerance but should not exceed 20 minutes.
B. Water temperature should be warm but not excessively hot to avoid burns or discomfort.
C. Bath oils can make the bathtub slippery and increase the risk of falls. They should be avoided.
D. Providing non-slip bath strips enhances safety and helps prevent the client from slipping in the bathtub.

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A nurse is assisting in the care of a client. Medication Administration Record Laboratory Results Hct 47% (379% to 52%) Hgb 16 g/dL (12 to 18 g/dL) Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L) Select the findings that increase the client’s susceptibility to infection. To unselect

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Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for an adolescent client. Exhibits Which of the following actions should the nurse identify as part of the plan of care? Select all that apply.

Correct Answer is ["B","C","G","H"]

Explanation

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Correct Answer is D

Explanation

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A nurse is assisting in the care of a client.

Medication Administration Record

Laboratory Results

Hct 47% (379% to 52%)

Hgb 16 g/dL (12 to 18 g/dL)

Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L)

Select the findings that increase the client’s susceptibility to infection. To unselect