A nurse is caring for a client in a clinic.

Exhibits
Select the 4 findings that indicate an Improvement in the client's condition.

Temperature

Mood

Weight

Heart rate

Sleep pattern

Respiratory rate 16/min

Answer and Explanation

Correct Answer : A,C,D,E

A. Temperature: Previously 37.8°C (100°F), now 37.2°C (99°F) — back toward normal range, indicating reduced inflammation or illness.

B. Mood: The client still reports irritability, so there's no significant improvement in mood.

C. Weight: The client gained 3 kg (6.6 lb). In a previously underweight or unwell client, weight gain can indicate better nutritional status or recovery.

D. Heart rate: Decreased from 120/min (tachycardia) to 95/min — still slightly elevated but much closer to normal, suggesting recovery or reduced stress/metabolic demand.

E. Sleep pattern: The client now gets 7–8 hours of sleep and no longer reports fatigue, indicating restoration of rest and energy levels.

F. Respiratory rate 16/min: This is within normal range, but it was already normal previously (18/min) — so no change, not a sign of improvement.

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Correct Answer is B

Explanation

A. "Monitor the client for weight gain.": Pramlintide, an amylin analog, is not commonly associated with weight gain. In fact, it may assist with weight loss by promoting satiety. Monitoring for weight gain is not the primary action associated with this medication.

B. "Monitor for hypoglycemia for 3 hr after pramlintide administration.": Pramlintide, when used with insulin, can increase the risk of hypoglycemia, especially after meals. The nurse should monitor for hypoglycemia for up to 3 hours after administration because of its effects on insulin and delayed gastric emptying.

C. "Inject the pramlintide in the client's upper arm.": Pramlintide is typically injected subcutaneously in the abdomen or thigh, not the upper arm. The nurse should administer it in a recommended site to ensure proper absorption.

D. "Administer pramlintide 30 min prior to a meal.": Pramlintide should be administered immediately before a meal, not 30 minutes prior. It is most effective when taken just before eating to control postprandial blood sugar levels.

A. Neutrophil count 650/mm3 (2,500 to 8,000/mm3) B. Platelets 450,000/mm3 (150,000 to 400,000/mm3) C. Hgb 17 g/dL (12 to 16 g/dL) D. Creatinine 1.5 mg/dL (0.5 to 1 mg/dL)

Correct Answer is A

Explanation

A. "Neutrophil count 650/mm3 (2,500 to 8,000/mm3)": Zidovudine can cause bone marrow suppression, which can lead to neutropenia (low neutrophil count). A neutrophil count of 650/mm3 is significantly below the normal range and indicates an increased risk for infection. This is a known adverse effect of zidovudine.

B. "Platelets 450,000/mm3 (150,000 to 400,000/mm3)": This platelet count is slightly elevated but not typically a concern related to zidovudine use. Thrombocytopenia is more commonly associated with zidovudine, rather than an elevated platelet count.

C. "Hgb 17 g/dL (12 to 16 g/dL)": This hemoglobin level is slightly elevated but not significantly concerning in the context of zidovudine use. Zidovudine can cause anemia, but this hemoglobin level is above the normal range for females.

D. "Creatinine 1.5 mg/dL (0.5 to 1 mg/dL)": An elevated creatinine level can indicate kidney dysfunction, but it is not a common adverse effect of zidovudine. Zidovudine primarily affects bone marrow, not kidney function, though renal impairment should still be monitored.

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A nurse is caring for a client in a clinic. Exhibits Select the 4 findings that indicate an Improvement in the client's condition.

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A nurse is caring for a client in a clinic.

Exhibits
Select the 4 findings that indicate an Improvement in the client's condition.