A nurse is assisting with the care of a client

Exhibits

Select the 3 findings that require immediate follow-up.

Breath sounds at 1600

Temperature

Urticaria

Blood pressure at 1630

Report of dysphagia

Answer and Explanation

Correct Answer : C,D,E

A.   Bilateral breath sounds clear and present throughout at 1600 are normal findings and do not require immediate follow-up.
B.   The temperature at both 1600 (37.6°C) and 1630 (37.5°C) is slightly elevated but not critically high. It does not require immediate follow-up unless it worsens significantly or is accompanied by other concerning symptoms.
C.   Urticaria (hives) over the chest and trunk, along with itching and difficulty swallowing (dysphagia), are signs of an allergic reaction, which requires immediate follow-up and assessment.
D.   The blood pressure decreased to 78/52 mm Hg at 1630 from 110/58 mm Hg at 1600. This significant drop indicates hypotension and requires immediate follow-up.
E.   Difficulty swallowing (dysphagia) reported by the client suggests a potential airway compromise and requires immediate follow-up to assess the severity and intervene accordingly.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Half-life refers to the time it takes for the concentration of the medication in the bloodstream to decrease by half, not the lowest serum concentration.
B. Peak refers to the highest concentration of the medication in the bloodstream after administration.
C. Trough is the lowest concentration of medication in the bloodstream, typically measured just before the next dose is due to ensure adequate drug levels.
D. Toxic level refers to a concentration at which the medication may cause adverse effects, not the lowest serum concentration.

A. "A comprehensive list of medications is provided for the client at the time of discharge." B. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." C. "A nurse should write a verbal order in the medical record for medications the client was taking at home." D. "Complete the reconciliation process one time when the client is first admitted to the hospital."

Correct Answer is A

Explanation

A. Medication reconciliation involves compiling a comprehensive and accurate list of the patient's current medications, which should be provided to the client at discharge to ensure continuity of care.
B. The list obtained from the client should include all medications the client is taking, including over-the-counter medications and supplements, not just those prescribed by the provider.
C. Verbal orders should be transcribed immediately into the medical record and should not be part of the medication reconciliation process.
D. Medication reconciliation should be an ongoing process throughout the patient's hospital stay to ensure that the most accurate list of medications is maintained.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

Correct Answer is C

Explanation

A nurse is reviewing the components of medication reconciliation with a newly licensed nurse. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

This medication is most commonly used to treat acute angina attacks:

The Joint Commission's stated industry best practice for standard communication is known as:

A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?

A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be given every 12 hours while others have to be taken 4 times per day. What is the nurse's best response?

A nurse is attempting to administer a medication to a client who is currently ambulating with physical therapy. Which of the following actions should the nurse plan to take?

A nurse goes into a patient's room to administer morning medications. The patient states "I don't want that pill. It makes me tired all the time." Which of the following "Patient's Rights" will the nurse be respecting when she does not administer the medication?

A nurse is assisting with the care of a client

Exhibits

Select the 3 findings that require immediate follow-up.