A nurse is caring for a patient who has cirrhosis of the liver.
The patient’s vital signs are as follows: Heart rate 101/min, Temperature 36 C (96.9 F), Respiratory rate 24/min, Blood pressure 82/58 mm Hg, Oxygen saturation 92%. Which of the following assessment findings require immediate follow-up? Select all that apply.

Abdominal girth.

Blood pressure.

Heart rate.

Oxygen saturation.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

While monitoring abdominal girth can be important in patients with cirrhosis, especially those with ascites, it is not typically an assessment finding that requires immediate follow-up.

Choice B rationale

A blood pressure of 82/58 mm Hg is low and could indicate hypotension, which requires immediate follow-up.

Choice C rationale

A heart rate of 101/min is elevated and could indicate tachycardia, which requires immediate follow-up.

Choice D rationale

An oxygen saturation of 92% is lower than the normal range of 95% to 100%, indicating potential hypoxia, which requires immediate follow-up.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Celecoxib, like other NSAIDs, can increase the risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Black, tarry stools can be a sign of GI bleeding.

Choice B rationale

Dry mouth is not typically associated with celecoxib use.

Choice C rationale

Polyuria, or excessive urination, is not typically associated with celecoxib use.

Choice D rationale

Bone pain is not typically a side effect of celecoxib. Celecoxib is used to relieve pain from various conditions, including osteoarthritis.

A. The patient with polycystic ovarian syndrome. B. The patient with cancer. C. The patient with Kallmann’s syndrome. D. The patient with Addison’s disease.

Correct Answer is B

Explanation

Choice A rationale

Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.

Choice B rationale

Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.

Choice C rationale

Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.

Choice D rationale

Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is starting celecoxib to treat osteoarthritis.What adverse effects should the nurse instruct the patient to monitor and report?

Correct Answer is A

Explanation

A nurse is providing care to a group of patients with chronic illnesses. Who among the following patients should the nurse identify as being at the highest risk for sepsis?

Correct Answer is B

Explanation

A nurse in the emergency department is caring for a patient who reports severe abdominal pain in the left quadrant. The healthcare provider suspects a ruptured ectopic pregnancy.What sign should the nurse look for that indicates the patient has blood in the peritoneum?

A nurse is providing discharge instructions about clean intermittent self-catheterization to a patient who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

A nurse in a community health clinic is caring for a patient who has a new diagnosis of plantar warts. What should the nurse include in the teaching plan for this patient?

A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX andX. Which of the following interventions should the nurse implement?

A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse’s response be? (Select all that apply)

A nurse is planning a meal for a patient who has diverticulitis. Which menu selection should the nurse include in the plan?