A nurse is caring for a 60-year-old male client in a provider’s clinic.

Exhibits

Click to select all the findings that require immediate follow-up.

Temperature 37.9°C (100.2°F)

Heart rate 97/min

Respiratory rate 24/min

Blood pressure 135/73 mmHg

Oxygen saturation 88% on room air

Pain 6 on a 0 to 10 scale

Answer and Explanation

Correct Answer : A,C,E

Choice A rationale: This temperature indicates a low-grade fever. Although not immediately life-threatening, it may suggest an underlying infection or inflammation that requires attention, especially given the client's other symptoms and elevated WBC count.

Choice B rationale: A heart rate of 97/min is slightly elevated but within the upper range of normal limits (60–100 bpm). This finding alone does not necessarily require immediate follow-up, especially without more severe symptoms.

Choice C rationale: A respiratory rate of 24/min is above the normal range (12–20 breaths/min) and may indicate respiratory distress or an underlying condition. The elevated rate, combined with low oxygen saturation, requires prompt follow-up.

Choice D rationale: The blood pressure reading of 135/73 mmHg is considered prehypertensive (normal range: <120/80 mmHg). While monitoring is essential, it does not immediately require follow-up in the context of other, more urgent issues.

Choice E rationale: An oxygen saturation of 88% on room air is significantly below the normal range (95–100%) and indicates hypoxemia. This requires immediate attention to address potential respiratory failure or other underlying causes.

Choice F rationale: Pain rated at 6 on a 0 to 10 scale is concerning but requires contextual evaluation. While high pain levels warrant attention, they are not immediately life-threatening compared to hypoxemia and respiratory distress.

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Correct Answer is D

Explanation

Choice A rationale

Omeprazole does not have bactericidal activity. It is a proton pump inhibitor (PPI) that blocks the enzyme H+/K+ ATPase in the stomach lining, reducing gastric acid production.

Choice B rationale

Omeprazole does not neutralize stomach acid. It works by inhibiting the final step of acid production in parietal cells, leading to a significant decrease in gastric acid secretion.

Choice C rationale

Omeprazole does not coat the stomach lining. Instead, it reduces stomach acid by inhibiting the proton pump mechanism in gastric parietal cells, leading to decreased acid production and less gastric irritation.

Choice D rationale

Omeprazole is a proton pump inhibitor that effectively reduces stomach acid production by blocking the H+/K+ ATPase enzyme in gastric parietal cells, which decreases acid secretion and relieves GERD symptoms.

A. Albuterol. B. Furosemide. C. Digoxin. D. Atenolol.

Correct Answer is A

Explanation

Choice A rationale

Albuterol is a beta-agonist bronchodilator that can cause cardiovascular side effects, including chest pain, palpitations, and tachycardia, due to its stimulating effect on beta-2 adrenergic receptors in the heart.

Choice B rationale

Furosemide is a loop diuretic that primarily affects fluid and electrolyte balance. Chest pain is not a typical side effect. Common side effects include hypokalemia, dehydration, and hypotension.

Choice C rationale

Digoxin toxicity can cause cardiovascular symptoms like bradycardia, arrhythmias, and heart block, but it does not commonly present with chest pain. Monitoring serum levels is crucial for preventing toxicity.

Choice D rationale

Atenolol is a beta-blocker that typically reduces chest pain in angina patients by decreasing heart rate and myocardial oxygen demand. It can cause bradycardia, but chest pain is not a usual side effect. .

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A nurse is caring for a 60-year-old male client in a provider’s clinic. Exhibits Click to select all the findings that require immediate follow-up.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for the treatment of GERD.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a 60-year-old male client in a provider’s clinic.

Exhibits

Click to select all the findings that require immediate follow-up.