A nurse is caring for a client.

Exhibits

Complete the following sentence by using the lists of options.

The nurse understands that the patient has likely developed

and will need to be monitored for ___
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}

Lithium toxicity: The client's lithium level is significantly elevated at 2.5 mEq/L (normal range is 0.6 to 1.2 mEq/L), and symptoms such as blurred vision, increased urine output, and clonic jerking of the upper extremities are indicative of lithium toxicity2.
Seizure activity: Lithium toxicity can lead to neurological symptoms, including seizures, which require close monitoring

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Correct Answer is B

Explanation

A. High-pitched stridor suggests airway obstruction, not heart failure.

B. Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure.

C. Intercostal retractions indicate respiratory distress, usually associated with conditions like asthma or pneumonia.

D. Paradoxical chest movement is a sign of flail chest, not heart failure.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

Transient tachypnea of the newborn: The newborn's elevated respiratory rate and mild grunting are indicative of transient tachypnea, a condition where the baby breathes too fast due to retained lung fluid.
Hypoglycemia: Newborns, especially those with higher birth weights, are at risk for hypoglycemia, which can be exacerbated by stress and increased energy expenditure due to rapid breathing.

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Body Systems	Findings
Respiratory	Respiratory rate 26/min
Cardiovascular	Heart rate 112/min Capillary refill 4 seconds
Gastrointestinal	Hyperactive bowel sounds
Integumentary	Diaper area reddened with erythema noted Extremities cool Reports no tears
Neurologic	Lethargic

A nurse is caring for a client. Exhibits Complete the following sentence by using the lists of options. The nurse understands that the patient has likely developed ______ and will need to be monitored for _________.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a newborn. Exhibits SELECT words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ________ and ___________

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

A nurse is teaching a client about a variety of stress management techniques. Which of the following instructions by the nurse is appropriate?

A nurse is caring for a client whose child died from cancer. The client states, "It's hard to go on without him." Which of the following questions should the nurse ask the client first?

A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?

A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the following actions should the nurse include in the plan of care?

A nurse working in the emergency department (ED) is admitting a client. Exhibits The nurse is preparing the client for a thoracentesis. Select the 4 actions that the nurse should take.

A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus to an assistive personnel (AP). Which of the following actions should the nurse take?

A nurse is caring for a client.

Exhibits

Complete the following sentence by using the lists of options.

The nurse understands that the patient has likely developed

and will need to be monitored for ___
.