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A nurse is caring for a patient in the endocrinologist outpatient clinic.

Exhibits

When completing the assessment at 0810, which of the findings listed below would require a follow-up by the nurse?

Click to highlight the statements in the assessment findings that require follow-up by the nurse.

Axillary temperature 100.5° F

Heart rate 105/min

Respiratory rate 18/min

The client is 34 years of age. States she has a bowel movement after every meal, heat intolerance, and nervousness. The client has lost 20 pounds in the last month without dieting or a change in physical activity. She exercises 4-5 times per week for 45 minutes at a time. States at times during exercise, she experiences irregular heartbeat.

Axillary temperature 100.5° F

Heart rate 105/min

States she has a bowel movement after every meal

heat intolerance, and nervousness

nervousness

The client has lost 20 pounds in the last month without dieting or a change in physical activity

she experiences irregular heartbeat

States at times during exercise

Answer and Explanation

The Correct Answer is ["A","B","C","D","E","F","G"]

The increase in axillary temperature to 100.5° F is significant and could indicate an infection or other inflammatory process. The heart rate has increased to 105/min, which, along with the reported symptoms of heat intolerance, nervousness, and irregular heartbeat during exercise, may suggest an endocrine disorder such as hyperthyroidism. The significant weight loss of 20 pounds in a month without changes in diet or physical activity is also concerning and warrants further investigation. The patient's history of having a bowel movement after every meal could be related to the reported diarrhea and should be explored further.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

To prepare a dose of 6 mg of dexamethasone when you have a vial that contains 4 mg/ml, you need to calculate the volume required to achieve the total prescribed dose. The formula to use is: (Desired Dose) / (Concentration of Vial) = Volume to Administer. Plugging in the values: 6 mg / 4 mg/ml = 1.5 ml.

A. Bimanual palpation B. Deep palpation C. Percussion D. Light palpation

Correct Answer is D

Explanation

A. Bimanual palpation is used to assess organs or masses, not pulse.

B. Deep palpation is used to feel internal organs and not appropriate for assessing pulse.

C. Percussion is used to assess the density of body tissues, not for pulse assessment.

D. Light palpation is the correct technique for assessing a client's pulse, allowing the nurse to feel the arterial pulse.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has a prescription for dexamethasone 6 mg IV (intravenous) push STAT. Available is a vial of dexamethasone containing 4 mg/ml. The should draw how many milliliters into the syringe for the dos.

Correct Answer is ["1.5"]

Explanation

What physical assessment technique would the nurse use to obtain a pulse on a client?

Correct Answer is D

Explanation

The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?

A nurse is caring for a client who has a body mass index (BMI) of 18.0. The nurse should place the client in which BMI categories?

During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

A nurse in the urgent care facility is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which objective findings should the nurse expect? (Select three options that apply.)

Upon auscultating a client's lungs, the nurse notes there is a low-pitched, continuous respiratory sound that has a snoring quality. How should the nurse interpret and document the findings?

A client with an inability to read billboards while driving, arrives to the clinic for an eye examination. Which piece of equipment would the nurse use to evaluate the client's distant vision?

A nurse is caring for a 24-year-old client who reports a recent fall, hitting their head and right shoulder. Exhibits Complete the sentence by using the list of options. The nurse should first address the client's followed by the client's .