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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Correct Answer is C

Explanation

A. Monitor the client for weight: Clonidine does not typically cause significant weight changes.
B. Check the client for increased hypopigmentation under the patch: Hypopigmentation is not a known side effect of clonidine patches.
C. Advise the client about increased dry mouth. Dry mouth is a common side effect of clonidine due to its central action in reducing sympathetic output.
D. Inform the client of the adverse effect of diarrhea: Clonidine more commonly causes constipation, not diarrhea.

A. Aspartate aminotransferase 34 units/L (0 to 34 units/L) B. Ammonia 55 mcg/dL (10 to 80 mcg/dL) C. Platelets 60,000/mm3 (150,000 to 400,000/mm3) D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL)

Correct Answer is C

Explanation

A. Aspartate aminotransferase (AST) 34 units/L (0 to 34 units/L): This is within the normal range and does not contraindicate a biopsy.
B. Ammonia 55 mcg/dL (10 to 80 mcg/dL): This is within the normal range and does not directly impact the safety of a biopsy.
C. Platelets 60,000/mm3 (150,000 to 400,000/mm3): A low platelet count increases the risk of bleeding during a liver biopsy, as platelets are critical for clotting. This value should be reported before the procedure.
D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL): This is at the upper limit of normal and does not necessitate reporting in the context of a liver biopsy.

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?

Correct Answer is C

Explanation

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A nurse is preparing to administer medications to a client. Exhibits The nurse has reviewed the information above. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription for dropdowndue to the client'sdropdown.