A nurse is caring for a client with an abdominal aortic aneurysm. Which of the following nursing interventions is anticipated for this client?

Hold administration of analgesics

Keep blood pressure elevated to promote perfusion

Administer antibiotics as prescribed

Keep blood pressure within ordered parameters

Answer and Explanation

The Correct Answer is D

A. Analgesics are important to manage pain and reduce stress, which can help prevent aneurysm rupture.
B. Keeping blood pressure elevated increases the risk of aneurysm rupture and is not appropriate.
C. Antibiotics are not routinely indicated unless there is an infection.
D. Controlling blood pressure reduces stress on the aneurysm wall, minimizing the risk of rupture.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. A PaCO₂ of 29 mmHg indicates respiratory alkalosis, which is not typical in HHS.
B. A pH of 7.30 indicates acidosis, more common in diabetic ketoacidosis (DKA), not HHS.
C. A pH of 7.40 is normal, consistent with HHS where severe acidosis is typically absent.
D. HCO₃⁻ of 17 mEq/L indicates metabolic acidosis, which is more characteristic of DKA rather than HHS.

A. Assess strict urinary output on the foley catheter B. Increase the positive-end expiratory pressure on the ventilator C. Check endotracheal tube placement at the teeth or lip D. Assess for a cuff leak on the endotracheal tube E. Secure all connections from the client to the ventilator

Correct Answer is ["C","D","E"]

Explanation

A. Urinary output assessment is unrelated to ventilator low volume alarms.

B. Increasing PEEP is not a first-line action for low volume alarms and may worsen patient status if cause is not identified.

C. Checking endotracheal tube placement ensures the tube hasn't moved or become dislodged during the x-ray.

D. Assessing for a cuff leak is important because a leak can cause low tidal volumes and trigger alarms.

E. Securing all ventilator connections prevents air leaks and ensures proper ventilation.Top of FormBottom of Form

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client with an abdominal aortic aneurysm. Which of the following nursing interventions is anticipated for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the arterial blood gas (ABG) results of a client being treated for hyperosmolar hyperglycemic state (HHS). Which of the following ABG values is the nurse most likely to observe?

Correct Answer is C

Explanation

The client's low volume alarm on the ventilator begins to alarm after the x-ray technicians completed the routine chest x-ray. The primary nurse walks in and troubleshoots the alarm by doing which of the following? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan to prepare for the procedure? (Select all that apply).

A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse Identify as the purpose of the medication?

A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of the burn injury. What percentage of body surface area should the nurse estimate the client has burned?

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

A nurse is caring for a client who has cirrhosis of the liver. Exhibits Which of the following assessment findings require immediate follow-up? Select all that apply.

A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse Identify as possible organ rejection?

A nurse is caring for a client who returns to the intensive care unit after a mass resection from the gastrointestinal tract. The client experienced bleeding throughout the procedure. Which finding indicates to the nurse that the client may be developing hypovolemic shock?