A nurse is caring for a client in a provider’s office.

Exhibits
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Most Likely Condition:
Herpes zoster (Shingles): The client presents with a painful, burning, unilateral rash in a dermatomal distribution with grouped vesicles on an erythematous base — classic for herpes zoster (shingles). The shoulder x-ray is normal, ruling out musculoskeletal causes.

Actions to Take:
Anticipate administering an antiviral medication: Antiviral medications like acyclovir, valacyclovir, or famciclovir reduce the severity and duration of shingles if started early.

Request a prescription analgesic medication: Shingles is often extremely painful. Ibuprofen was ineffective, so stronger analgesics are likely needed.

Parameters to Monitor:
Pain: Pain monitoring assesses the effectiveness of analgesic and antiviral treatment.

Post-herpetic neuralgia (nerves): Monitoring for lingering nerve pain is crucial, as shingles can lead to long-term nerve damage.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Change the IV fluid to dextrose and water:
Hypotonic solutions like D5W are not used in early burn resuscitation. They worsen edema and are not effective for volume expansion.

B. Discontinue the IV fluid infusion:
The patient shows signs of hypovolemic shock and urgently needs more fluid, not less.

C. Increase the amount of IV fluid administered per hour:
The patient has hypotension, tachycardia, and oliguria, indicating inadequate perfusion and fluid resuscitation. The appropriate response is to increase IV fluids per burn resuscitation protocols (e.g., Parkland formula).

D. Decrease the amount of IV fluid administered per hour:
Would worsen hypoperfusion and is contraindicated based on the client's vital signs.

Correct Answer is ["0.6"]

Explanation

Calculation:
(6,000 units ÷ 10,000 units/mL) = 0.6 mL

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A patient is to receive heparin 6,000 units subcutaneously every 12 hours for DVT. The pharmacy dispenses a vial containing 10,000 units/1 mL. How many milliliters of heparin should the nurse administer? Express to the tenth.

Correct Answer is ["0.6"]

Explanation

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