A nurse is assisting with the care of a client.
The laboratory results indicate abnormalities.
Which of the following actions should the nurse take?

Place the client on NPO status.

Administer a prescribed medication.

Monitor the client for signs of dehydration.

Encourage oral fluid intake.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Placing the client on NPO status is required for some specific conditions, such as prior to surgery or when there is risk of aspiration. However, this should not be the first action unless the abnormalities clearly indicate such a need. Monitoring the client’s overall condition should take precedence.

Choice B rationale

Administering a prescribed medication could be helpful depending on the specific abnormality. However, this action depends on the nature of the abnormality and medical orders. It is not the initial step unless a clear order has been provided for a specific issue.

Choice C rationale

Monitoring for signs of dehydration is critical, as dehydration can exacerbate the abnormalities and negatively impact homeostasis. Ensuring the client’s condition does not worsen is a priority, as hydration status often affects laboratory values and overall well-being.

Choice D rationale

Encouraging oral fluid intake is important to prevent or correct dehydration, particularly if lab abnormalities suggest volume depletion. However, it is not the first step. Initial monitoring is required to guide further interventions like fluid intake recommendations.

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,A,B,D

Explanation

Choice Crationale

Hand hygiene prevents introducing pathogens during the procedure, reducing the risk of infection at the venipuncture site.

Choice Arationale

Removing the dressing and tape exposes the IV site for catheter removal. Proper technique minimizes tissue trauma and discomfort.

Choice Brationale

Withdrawing the catheter removes the IV device. It is performed gently to avoid complications like vein damage or retained fragments.

Choice D rationale

Applying pressure with sterile gauze prevents bleeding by promoting hemostasis at the venipuncture site.

A. "I will use palm oil in my cooking.”. B. "I will increase my consumption of 2% milk.”. C. "I will limit meat portions to 3 ounces per meal.”. D. "I will limit baked goods to those containing trans fats.”. . . .

Correct Answer is C

Explanation

Choice A rationale

Palm oil is high in saturated fats, which increase LDL cholesterol levels and promote atherosclerosis progression, making it unsuitable for lowering fat and cholesterol.

Choice B rationale

Increasing consumption of 2% milk elevates intake of saturated fats, which can raise LDL cholesterol levels, negating dietary goals for atherosclerosis management.

Choice C rationale

Limiting meat portions to 3 ounces per meal controls saturated fat intake, reducing LDL cholesterol levels. It aligns with dietary recommendations for managing atherosclerosis.

Choice D rationale

Baked goods containing trans fats increase LDL cholesterol while decreasing HDL cholesterol levels, worsening atherosclerosis risk and contradicting dietary teaching. .

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.The laboratory results indicate abnormalities.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter.

Correct Answer is C,A,B,D

Explanation

A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis.Which of the following responses by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is collecting data from a client who underwent a thyroidectomy four hours ago.Which of the following client findings indicates a complication of the procedure?

A nurse is collecting data from a client who has Graves' disease.Which of the following signs should the nurse identify as an indication that the client is experiencing exophthalmos?

A nurse in an assisted living facility is collecting data from an older adult client who fell in their room and hit their head on the dresser.Which of the following findings is the nurse's priority?

A nurse is reinforcing teaching with a client who is premenopausal.Which of the following statements by the nurse is appropriate regarding breast self-examinations?

A nurse is contributing to the plan of care for a client who has AIDS and malnutrition.Which of the following actions should the nurse include in the plan of care?

A nurse is assisting a provider with a thoracentesis for a client who is experiencing respiratory distress.Which of the following actions should the nurse take?

A nurse is contributing to the plan of care for a client who has Alzheimer's disease.Which of the following interventions should the nurse include in the plan?

A nurse is assisting a client who has Parkinson's disease with selecting foods that are high in fiber to prevent constipation.Which of the following foods is highest in fiber?

A nurse is assisting with the care of a client.
The laboratory results indicate abnormalities.
Which of the following actions should the nurse take?