A nurse is caring for a 58-year-old client who has a low oxygen saturation. The nurse is reviewing the client's data to create a plan of care. Complete the diagram by drawing arrows to connect the condition and two parameters the nurse should monitor to assess the client's progress.

Low oxygen saturation -> Respiratory rate and heart rate

Low oxygen saturation -> Blood pressure and temperature

Low oxygen saturation -> Lung sounds and chest expansion

Low oxygen saturation -> Hemoglobin and hematocrit

Answer and Explanation

The Correct Answer is C

Choice A reason: Respiratory rate and heart rate are not specific indicators of oxygen saturation. They can be affected by many other factors, such as pain, anxiety, or dehydration.

Choice B reason: Blood pressure and temperature are not directly related to oxygen saturation. They can be influenced by other conditions, such as infection, inflammation, or shock.

Choice C reason: Lung sounds and chest expansion are relevant parameters to monitor for a client with low oxygen saturation. They can indicate the presence of respiratory problems, such as pneumonia, asthma, or atelectasis, that can impair gas exchange and oxygen delivery.

Choice D reason: Hemoglobin and hematocrit are measures of red blood cell count and volume. They can affect the oxygen-carrying capacity of the blood, but they are not directly affected by oxygen saturation. They can be altered by other factors, such as bleeding, dehydration, or anemia.

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Correct Answer is B

Explanation

Choice A reason: Constipation is not an adverse effect of tamoxifen. Tamoxifen does not affect the gastrointestinal motility or function. Constipation may be caused by other factors such as dehydration, low-fiber diet, or lack of exercise.

Choice B reason: Clotting is an adverse effect of tamoxifen. Tamoxifen can increase the risk of thromboembolic events such as deep vein thrombosis, pulmonary embolism, or stroke. Clotting can cause serious complications such as pain, swelling, shortness of breath, chest pain, or neurological deficits.

Choice C reason: Tinnitus is not an adverse effect of tamoxifen. Tamoxifen does not affect the auditory system or cause hearing loss. Tinnitus may be caused by other factors such as noise exposure, ear infection, or medication toxicity.

Choice D reason: Urinary retention is not an adverse effect of tamoxifen. Tamoxifen does not affect the urinary system or cause bladder dysfunction. Urinary retention may be caused by other factors such as prostate enlargement, nerve damage, or medication side effects.

A. "I should take my flu vaccine within one week of starting this medication." B. "I should eat more bananas while taking this medication." C. "I should take aspirin for minor aches and pains while taking this medication." D. "I can expect a sore throat for the first week after starting this medication."

Correct Answer is B

Explanation

Choice A reason: This is incorrect because the client should avoid live vaccines while taking prednisone, as it can suppress the immune system and increase the risk of infection.

Choice B reason: This is correct because prednisone can cause hypokalemia (low potassium levels) and bananas are a good source of potassium. The client should monitor their potassium levels and eat foods rich in potassium while taking prednisone.

Choice C reason: This is incorrect because the client should avoid nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin while taking prednisone, as they can increase the risk of gastrointestinal bleeding and ulceration.

Choice D reason: This is incorrect because a sore throat is not a common side effect of prednisone. However, the client should report any signs of infection, such as fever, sore throat, or cough, to the provider, as prednisone can mask the symptoms of infection.

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A nurse is caring for a 58-year-old client who has a low oxygen saturation. The nurse is reviewing the client's data to create a plan of care. Complete the diagram by drawing arrows to connect the condition and two parameters the nurse should monitor to assess the client's progress.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

Correct Answer is B

Explanation

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

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