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.

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Correct Answer is A

Explanation

A. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
B. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
C. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
D. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.

A. Half-life B. Peak C. Trough D. Тохіс

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.

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

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A nurse is assisting with the care of a client

Exhibits

Select the 3 findings that require immediate follow-up.