A nurse is assisting with the care of a client.

Exhibits

Complete the following sentence by using the list of options.

After notifying the provider, the nurse should first
dropdown
and then
dropdown

Answer and Explanation

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

Administer sublingual nitroglycerin. Nitroglycerin is a first-line treatment for angina or suspected myocardial infarction. It dilates coronary arteries, improving blood flow and reducing myocardial oxygen demand.
Apply supplemental oxygen. Routine oxygen administration is no longer recommended unless the client is hypoxic (oxygen saturation below 90%) because excessive oxygen can lead to vasoconstriction and worsen myocardial injury.
Obtain a 12-lead ECG. While an ECG is important for diagnosing myocardial infarction, the priority in an acute chest pain episode is symptom relief and hemodynamic stability. The ECG should already have been obtained at admission.
Administer morphine sulfate IV. Morphine is used to manage severe chest pain that is not relieved by nitroglycerin. It reduces myocardial oxygen demand, preload, and anxiety, which can help relieve symptoms.
Monitor vital signs. Continuous monitoring is essential, but it is not the most immediate intervention in an acute episode of worsening chest pain. The focus should be on relieving ischemia and reducing myocardial workload.
Educate the client about smoking cessation. While smoking cessation is critical for long-term cardiovascular health, education is not a priority when the client is experiencing acute chest pain requiring immediate intervention.

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Correct Answer is D

Explanation

A. Uncapped sharps are put in a puncture-resistant container: Proper disposal of sharps in a puncture-resistant container reduces the risk of needlestick injuries and infection. This is a safe practice and does not pose an infection risk to an immunocompromised client.
B. Dampened cloths are used for dusting the area: Using dampened cloths for dusting helps prevent airborne particles from spreading, reducing the risk of inhaling harmful pathogens. This method is considered appropriate for infection control.
C. Waste containers are lined with single bags: Using single-lined waste containers is a standard infection control practice that helps contain biohazardous waste properly. It does not pose a significant infection risk when handled correctly.
D. Soiled linens are placed on the floor: Placing soiled linens on the floor increases the risk of contaminating the environment with pathogens, which can be dangerous for an immunocompromised client. Linens should be placed in designated hampers immediately to prevent cross-contamination and the spread of infections.

A. Time B. Medication C. Route D. Dosage

Correct Answer is C

Explanation

A. Time. The prescription states that erythromycin should be administered four times per day, which is a standard frequency for this medication. No clarification is needed unless there are specific timing concerns, such as administration with or without food.
B. Medication. Erythromycin is a commonly prescribed macrolide antibiotic used for bacterial infections. Since the medication itself is clearly stated, there is no need to clarify this aspect of the prescription.
C. Route. The prescription does not specify the route of administration (e.g., oral, intravenous, or topical). Since erythromycin is available in multiple forms, including oral tablets, capsules, liquid suspension, and intravenous formulations, it is essential to clarify the intended route with the provider before administration.
D. Dosage. A dose of 500 mg four times per day is a typical dosage for erythromycin in treating infections. Unless there are concerns regarding the client’s renal or hepatic function or potential drug interactions, the dosage does not require clarification.

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A nurse is assisting with the care of a client. Exhibits Complete the following sentence by using the list of options. After notifying the provider, the nurse should first dropdownand thendropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client who is immunocompromised. Which of the following should the nurse identify as a possible source of infection?

Correct Answer is D

Explanation

A nurse is transcribing a client's prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?

A nurse enters a client's room and finds the client experiencing respiratory distress. Place the following interventions in the order in which the nurse should perform them. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse is collecting data from a client who is 2 days postpartum. The client tells the nurse she cannot afford to pay for baby formula. The nurse should refer the client to which of the following members of the interprofessional team?

A nurse is assisting with the care of a client. Exhibits Complete the following sentence by using the list of options. After notifying the provider, the nurse should first dropdownand thendropdown

A nurse is supervising an assistive personnel (AP) who is applying antiembolic stockings for a client. Which of the following actions by the AP requires intervention by the nurse?

A nurse is collecting data from a client who is expressing suicidal ideations. Which of the following questions is the nurse's priority?

A nurse working in a mental health facility is caring for a client who is pacing back and forth in the day room while wringing their hands. Which of the following actions should the nurse take?

Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is likely experiencing, 2 actions the nurse should take to address the condition, and 2 parameters the nurse should monitor to assess the client’s progress.

A nurse is assisting with the care of a client.

Exhibits

Complete the following sentence by using the list of options.

After notifying the provider, the nurse should first
dropdown
and then
dropdown