A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options

The client is at risk for developing
_
as evidenced by the client's
_

Answer and Explanation

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

Infection (Option 1): The patient's WBC count has decreased from 8,000/mm³ (normal range) to 4,000/mm³ (below normal), indicating leukopenia. This puts the client at increased risk for infections, especially since they are undergoing chemotherapy, which can further suppress the immune system.

WBC count (Option 2): The decreased WBC count is a direct indicator of the risk for infection, as a low white blood cell count reduces the body’s ability to fight off infections.

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Correct Answer is ["B","E"]

Explanation

A. Squeezing the client’s finger should be avoided as it can cause hemolysis and affect the accuracy of the blood sample.

B. Pricking the side of the client’s finger is recommended as it tends to be less painful and reduces tissue damage.

C. Elevating the hand above the heart level could reduce blood flow, making it more difficult to obtain a sample.

D. An alcohol swab, not iodine, is typically used to cleanse the site for a capillary blood draw, as iodine can interfere with certain lab results.

E. Applying clean gloves is a standard precaution to prevent contamination and protect both the nurse and the client.

A. To a medical interpreter service on behalf of a client B. To a family member when the client is not available C. To an employer for a pre-employment screening D. To an insurance agency in regard to a life insurance policy

Correct Answer is A

Explanation

A. Disclosing information to a medical interpreter is permissible for providing direct care to the client and does not require written consent. This action is part of necessary communication to ensure proper understanding of care.

B. Sharing information with a family member without the client’s consent is a breach of confidentiality, except in specific situations allowed by law.

C. Disclosing information to an employer for pre-employment screening would require explicit client consent due to confidentiality laws.

D. Providing information to an insurance agency for a life insurance policy would also require the client’s consent.

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A nurse is caring for a client. Exhibits Complete the following sentence by using the list of options The client is at risk for developing ___ as evidenced by the client's ___

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

Correct Answer is A

Explanation

A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?

A nurse is reinforcing a teaching plan regarding proper lifting with a client. Which of the following strategies should the nurse include to prevent back injury when lifting an object?

A nurse is caring for a client who has a new colostomy. The client refuses to participate in her ostomy care, saying, "I'm not touching that thing." Which of the following actions should the nurse take?

A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options

The client is at risk for developing
_
as evidenced by the client's
_