A nurse is collecting admission history data from a client who is in a semi-private room. Which of the following data is the priority for the nurse to address?

Recent exposure to tuberculosis

History of generalized anxiety disorder

Reports periodic migraine headaches

Experiences nocturia

Answer and Explanation

The Correct Answer is A

Recent exposure to tuberculosis. This is the priority data that the nurse should address as it puts other clients and hospital staff at risk of contracting tuberculosis. Options B, C, and D are not urgent and can be addressed after addressing option A.

Reasons why the other options are not answers:

Option B: A history of generalized anxiety disorder is not an urgent issue that requires the nurse's immediate attention.

Option C: Reports periodic migraine headaches are not an urgent issue that requires the nurse's immediate attention.

Option D: Experiencing nocturia is not an urgent issue that requires the nurse's immediate attention.

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Correct Answer is A

Explanation

The correct answer is: Choice A: Maintain direct pressure over the site.

Here's the rationale for each choice:

Choice A: Maintain direct pressure over the site (CORRECT) This is the most important initial step in controlling bleeding for any patient, especially one with hemophilia who has a deficiency in clotting factors. Maintaining pressure directly on the wound helps to form a clot and stop the bleeding.
Choice B: Check whether the bleeding has stopped While checking for bleeding cessation is important, it shouldn't be the immediate next step after applying a dressing. Maintaining pressure ensures the dressing remains effective. Once pressure is released, you can assess for continued bleeding.
Choice C: Obtain a radial pulse Assessing the radial pulse is not directly related to managing the bleeding from the laceration. While it's a vital sign, it's not a priority in this situation.
Choice D: Reinforce the dressing over the site While reinforcing the dressing might be necessary later if it becomes saturated with blood, maintaining direct pressure is the crucial first step.

A. Decreased dysrhythmias B. Absence of nausea C. Decreased incisional pain D. Absence of dizziness

Correct Answer is B

Explanation

The correct answer is choice B. Aprepitant is an antiemetic medication used to prevent nausea and vomiting associated with chemotherapy. Choice A is incorrect because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is incorrect because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is incorrect because absence of dizziness is not a therapeutic effect of aprepitant. Choice A is not correct because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is not correct because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is not correct because absence of dizziness is not a therapeutic effect of aprepitant.

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A nurse is collecting admission history data from a client who is in a semi-private room. Which of the following data is the priority for the nurse to address?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?

Correct Answer is A

Explanation

A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

Correct Answer is B

Explanation

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