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A nurse is caring for a client in the clinic.

Exhibits

The nurse anticipates which of the following orders from the provider based on the suspected diagnosis? (Select all that apply)

IV antibiotics

Urinalysis

Chest x-ray

Chest tube placement

Admit to inpatient

Airborne precautions

Draw an STI lab panel

Complete blood count

Answer and Explanation

Correct Answer : A,C,E,H

The nurse anticipates the following orders from the provider based on the suspected diagnosis:

A. IV antibiotics: To treat the suspected infection.
C. Chest x-ray: To assess the lungs for signs of infection, such as pneumonia.
E. Admit to inpatient: The client's worsening condition and need for aggressive treatment warrant hospitalization.
H. Complete blood count: To assess the client's overall health status and identify any abnormalities, such as anemia or infection.

Rationale:

B. Urinalysis: While a urinalysis can be helpful in assessing for urinary tract infections, it is not a priority in this case.
D. Chest tube placement: This is not indicated unless the client develops a pleural effusion or pneumothorax.
F. Airborne precautions: This is not necessary for the client's current condition.
G. Draw an STI lab panel: While this may be relevant for the client's overall health, it is not a priority at this time, especially given the client's acute presentation.

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Correct Answer is B

Explanation

A. Metabolic alkalosis is characterized by an increased pH and increased HCO3 levels, which does not fit the provided values.
B. The low HCO3 of 18 mEq indicates a metabolic acidosis, as the body is unable to retain enough bicarbonate to balance the acid levels, and the pH is also low at 7.30, confirming acidosis.
C. Respiratory alkalosis would show a high pH and low PaCO2, which is not the case here.
D. Respiratory acidosis would be indicated by a high PaCO2 and a low pH, but the HCO3 level is low, indicating a metabolic issue rather than a respiratory one.

A. Oliguria B. Hypertension C. Bradycardia D. Peripheral edema

Correct Answer is A

Explanation

A. Oliguria, or decreased urine output, is a common finding in hypovolemia due to reduced renal perfusion and decreased blood flow to the kidneys.
B. Hypertension is unlikely in hypovolemia; instead, clients typically exhibit hypotension due to decreased circulating blood volume.
C. Bradycardia is not a typical finding in hypovolemia; instead, tachycardia is more commonly observed as the body compensates for reduced blood volume.
D. Peripheral edema is associated with fluid overload rather than hypovolemia, as a decrease in blood volume usually leads to less fluid accumulation in the tissues.

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A nurse is caring for a client in the clinic. Exhibits The nurse anticipates which of the following orders from the provider based on the suspected diagnosis? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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A nurse is caring for a client in the clinic.

Exhibits

The nurse anticipates which of the following orders from the provider based on the suspected diagnosis? (Select all that apply)