A nurse is assisting in the care of a female client.
Complete the following sentence by using the lists of options.
The nurse should first address the client'
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Rationale:
The client’s blood pressure of 80/46 mm Hg indicates hypotension, likely due to dehydration from persistent diarrhea. This is the most critical finding, as it can lead to organ hypoperfusion and shock if not addressed immediately. After stabilizing the client’s blood pressure, the nurse should address the client’s low potassium level (3.1 mEq/L), as hypokalemia can cause serious complications, including cardiac arrhythmias.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sumatriptan is not indicated for mood disorders.
B. This medication treats migraines by constricting cranial blood vessels, relieving headache symptoms.
C. Sumatriptan has no effect on bone density.
D. Relief of chest pain is not a therapeutic use of sumatriptan.
Correct Answer is C
Explanation
A. Offer the client a cold compress: While a cold compress might help with swelling or discomfort, it is more important to assess the client's pain level first to understand the cause of the grimacing.
B. Play music in the client's room as a distraction: This could help later, but pain needs to be addressed first.
C. Check the client's current level of pain: Grimacing could indicate pain, which should be evaluated and addressed first to provide comfort and prevent complications like increased stress or decreased respiratory effort.
D. Assist the client to reposition in bed: Repositioning could help alleviate discomfort, but pain should be assessed first to ensure the client is not in severe pain.
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