A nurse is assisting in the care of a client whoThe first action the nurse should take is to followed by. is postoperative following an open reduction internal fixation of the right tibia.

Exhibits

Complete the following sentence by using the lists of options.

The first action the nurse should take is to
dropdown
followed by
dropdown
.

Answer and Explanation

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

The first action the nurse should take is to assess neurovascular status followed by notify the provider.

Assess neurovascular status first: The diminished pulses and coolness of the right foot indicate compromised circulation, requiring immediate evaluation to confirm the severity.
Notify the provider: Once the critical assessment findings are confirmed, notifying the provider for prompt intervention is essential to prevent further complications.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. The client should wear a mask during transport. In droplet precautions, the primary goal is to prevent the spread of respiratory secretions. The client wearing a mask during transport helps contain droplets and protect others.
B. The nurse should wear a mask during transport: While the nurse can wear a mask when in close contact with the client, it is more effective for the client to wear a mask to contain respiratory droplets.
C. The nurse should wear a gown during transport: Gowns are not required for droplet precautions unless there is a risk of contact with bodily fluids.
D. The client should wear a gown during transport: Gowns are unnecessary for droplet precautions unless the client’s clothing is contaminated.

A. Start the prescribed antibiotic B. Discontinue nasogastric tube C. Reinforce preoperative teaching D. Provide the client with ice chips

Correct Answer is C

Explanation

A. Start the prescribed antibiotic: There is no indication of infection in the current clinical findings; antibiotics are typically used to treat bacterial infections, which are not yet evident.
B. Discontinue nasogastric tube: The nasogastric tube should remain in place as it helps relieve the symptoms of small bowel obstruction (e.g., vomiting and bloating).
C. Reinforce preoperative teaching: The client is on NPO status, which may suggest preparation for a surgical intervention to address the obstruction. Reinforcing preoperative teaching would be beneficial to ensure the client understands the procedure.
D. Provide the client with ice chips: The client is on NPO status, and consuming food or fluids is contraindicated due to the potential for aspiration or worsening of the condition (e.g., bowel obstruction or pancreatitis).

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Naxlex Comprehensive Predictor Exams

A nurse is transporting a client who has pneumonia and is on droplet precautions to radiology. Which of the following safety measures should the nurse take while transporting the client?

Correct Answer is A

Explanation

Exhibits Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)

Correct Answer is C

Explanation

A nurse is preparing to administer warfarin to a client who has chronic atrial fibrillation. Which of the following laboratory values should the nurse monitor prior to administering the medication?

A nurse is assisting with the care of an 18-year-old client who is at their provider's office for an annual physical. The client inquires about cancer examinations that they should have. Which of the following examinations should the nurse recommend?

A nurse is checking the abdominal incision of a client who is 24 hr postoperative. The nurse finds wound evisceration with protruding abdominal contents. The nurse should place the client into which of the following positions?

A nurse is reinforcing dietary teaching with a client who is postoperative and adheres to a vegetarian diet. Which of the following foods should the nurse recommend to the client as containing the highest amount of protein?

A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure?

A nurse is reinforcing teaching with a client who has gastroesophageal reflux (GERD). Which of the following statements by the client indicates an understanding of the teaching?

A nurse is contributing to the plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)