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 D

Explanation

A. Dishwashing gloves can contain latex, which may trigger an allergic reaction in individuals with latex allergies.
B. Elastic bandages may contain latex, posing a risk for individuals with latex allergies.
C. Latex balloons are a common source of latex exposure and can trigger an allergic reaction.
D. Using ink pens instead of latex-containing products for writing helps avoid exposure to latex.

A. Allow the client to choose free-time activities B. Post a written schedule of daily activities. C. Provide a consistent daily routine. D. Use an overhead loudspeaker to announce events

Correct Answer is C

Explanation

Individuals with dementia often benefit from routine, but too many choices can be overwhelming.
B: While a written schedule can be helpful, a consistent routine is generally more beneficial for clients with dementia.
C: Providing a consistent daily routine helps decrease anxiety and confusion for clients with dementia.
D: Overhead loudspeakers may cause agitation and confusion in clients with dementia.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of a latex allergy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

A nurse is caring for a client receiving chemotherapy. The nurse should identify that a client who has myelosuppression is at risk for which of the following conditions?

A nurse is assisting with the care of a client who has lung cancer and is scheduled for a lobectomy. The nurse should instruct the client to expect the use of which of the following equipment postoperatively?

A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain assessment scales should the nurse use to determine the infant’s pain level?

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

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