A nurse is collecting data from a client who is taking aspirin.
Which of the following findings should the nurse report to the provider?

Headache.

Rhinitis.

Hct 43%.

BP 120/70 mm Hg.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

While headache can be a side effect of aspirin, it’s usually not severe enough to warrant reporting to the provider unless it’s persistent or severe.

Choice B rationale:

Rhinitis, or inflammation of the mucous membrane of the nose, can be an allergic reaction to aspirin and should be reported to the provider.

Choice C rationale:

Hematocrit (Hct) level of 43% is within the normal range for both men (38.8–50.0 %) and women (34.9–44.5 %), so this finding would not need to be reported.

Choice D rationale:

A blood pressure reading of 120/70 mm Hg is within the normal range and would not need to be reported.

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Correct Answer is B

Explanation

Choice A rationale:

Instructing the client to chew the medication is not recommended for enteric-coated tablets as it could result in stomach upset or damage to the protective coating.

Choice B rationale:

Placing the medication on the client’s tongue allows for easier swallowing without compromising the integrity of the enteric coating.

Choice C rationale:

Dissolving the medication in juice is not recommended as it could damage the enteric coating and result in stomach upset.

Choice D rationale:

Placing the medication between the client’s cheek and gum is not typically recommended for enteric-coated tablets as it could result in discomfort or damage to the protective coating.

A. Two loose stools in the past 24 hr. B. WBC 11,000/mm³. C. Heart rate 104/min. D. Creatinine 3.1 mg/dL.

Correct Answer is D

Explanation

Choice A rationale:

Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.

Choice B rationale:

A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice C rationale:

A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice D rationale:

Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.

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A nurse is collecting data from a client who is taking aspirin.Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

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A nurse is collecting data from a client who is taking aspirin.
Which of the following findings should the nurse report to the provider?