A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?

Brain trauma and injury

Bone loss and osteoporosis

Liver and pancreatic disease

Heart disease and stroke

Answer and Explanation

The Correct Answer is D

A.   While methamphetamine use can lead to risky behaviors that may increase the risk of injury, it is not directly associated with brain trauma and injury.
B.   Methamphetamine use is not directly associated with bone loss and osteoporosis.
C.   Methamphetamine use is not directly associated with liver and pancreatic disease.
D.   Methamphetamine use can lead to blood vessel constriction and spasming, which can increase the risk of heart disease and stroke.

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Correct Answer is ["A","B","D"]

Explanation

A. This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B. A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C. While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D. This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.

A. Insert a nasogastric (NG) tube. B. Measure lactate level. C. Obtain a wound culture. D. Administer broad-spectrum antibiotics. E. Obtain blood cultures. F. Type and cross-match for 2 units of packed RBCs. G. Rapidly administer 30 mL/kg of normal saline. H. Obtain a urine specimen.

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

Explanation

A. Inserting a nasogastric (NG) tube is not a priority action in the initial management of sepsis.
B. Measuring lactate levels is a priority action in the initial management of sepsis. Elevated lactate levels indicate tissue hypoxia and are associated with increased mortality in septic patients.
C. Obtaining a wound culture is not a priority action in the initial management of sepsis.
D. Administering broad-spectrum antibiotics is a priority action in the initial management of sepsis. Prompt antibiotic therapy is associated with improved outcomes in septic patients.
E. Obtaining blood cultures is a priority action in the initial management of sepsis. Blood cultures help identify the causative organism and guide antibiotic therapy.
F. Type and cross-matching for packed RBCs is not a priority action in the initial management of sepsis.
G. Rapidly administering 30 mL/kg of normal saline is a priority action in the initial management of sepsis. This bolus of fluid helps restore tissue perfusion and hemodynamic stability.
H. Obtaining a urine specimen is not a priority action in the initial management of sepsis.

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A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?

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Naxlex Comprehensive Predictor Exams

immediate follow-up.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a 73-year-old client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.

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

Explanation

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