A nurse is preparing to administer medications to a client.

The nurse has reviewed the information above. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription for
dropdown
due to the client's
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A"}

• Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastrointestinal tract and increase the risk of bleeding, particularly in clients with peptic ulcer disease. Given the client’s declining hemoglobin and hematocrit levels, administering ibuprofen without clarification could worsen anemia and lead to serious complications.

• Hemoglobin level: The client’s hemoglobin dropped from 11 g/dL to 9 g/dL, and hematocrit decreased from 33% to 30%, indicating active or worsening anemia. Clarifying the prescription before giving potentially harmful medications, such as NSAIDs, is essential to protect the client.

• Valsartan: Valsartan is an angiotensin receptor blocker used to manage hypertension. While it can affect potassium levels, it does not directly impact hemoglobin or cause anemia, so clarifying its prescription for low hemoglobin is not required.

• Lovastatin: Lovastatin is used to manage hyperlipidemia and has no direct effect on hemoglobin levels. There is no indication from the lab values that its administration would worsen anemia, making clarification unnecessary.

• Famotidine: Famotidine reduces gastric acid secretion and helps protect the gastric mucosa. Although it is important in clients with peptic ulcer disease, it does not influence hemoglobin levels, so clarification is not needed for anemia concerns.

• Glyburide: Glyburide is an oral hypoglycemic used to manage type 2 diabetes mellitus. It does not affect hemoglobin or contribute to anemia, so clarification is not required based on the client’s current hemoglobin levels.

• Potassium level: The client’s potassium is 4.6 mEq/L, within the normal range. There is no need to clarify any prescriptions based solely on potassium values.

• Glucose level: The client’s fasting glucose is 100 mg/dL, which is normal. Clarification of medications based on glucose level is unnecessary at this time.

• Diabetes mellitus: While the client has type 2 diabetes, the condition itself does not require immediate clarification of the listed medications in the context of anemia. Monitoring glucose is important but not the priority here.

• Hyperlipidemia: The client’s hyperlipidemia is being treated with lovastatin, which does not impact hemoglobin levels. Clarification is not indicated for hyperlipidemia in this scenario.

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Correct Answer is D

Explanation

A. The client reports a sore throat: Mild sore throat is a common and expected side effect following a bronchoscopy due to airway irritation from the scope. It usually resolves within a day or two and does not require urgent intervention.

B. The client's temperature is 38.6° C (101.4° F): A mild elevation in temperature can occur after bronchoscopy due to airway irritation or minor inflammatory response. While it should be monitored, it is not immediately life-threatening unless it continues to rise or is accompanied by other infection signs.

C. The client's sputum has streaks of blood: Small amounts of blood-tinged sputum are common after bronchoscopy from minor mucosal trauma. It typically resolves quickly and does not indicate severe bleeding unless the volume increases significantly.

D. The client has inspiratory stridor: Inspiratory stridor indicates upper airway obstruction, which can be a life-threatening complication following bronchoscopy. Immediate reporting to the provider is necessary for prompt assessment and intervention to maintain airway patency.

A. Potassium level B. Client verbal report C. Blood pressure D. Prescription for digoxin E. BUN

Correct Answer is ["A","B","D"]

Explanation

A. Potassium level: The potassium level of 3.2 mEq/L is below the normal range and indicates hypokalemia, which furosemide can worsen because it promotes potassium loss. Administering the medication now increases the risk of arrhythmias. Correcting the potassium imbalance is essential before giving a loop diuretic.

B. Client verbal report: The client reports diarrhea, dry mouth, and excessive thirst, which suggest ongoing fluid depletion. Giving furosemide in this state can lead to further intravascular volume loss and increase the risk of hypotension or renal impairment.

C. Blood pressure: The blood pressure of 122/68 mm Hg is stable and does not indicate hypotension or hemodynamic compromise. This value would not independently prevent the administration of furosemide, as diuretics can be safely given when blood pressure is within an acceptable range.

D. Prescription for digoxin: Furosemide-induced potassium loss raises the risk of digoxin toxicity, especially when the potassium level is already low. Hypokalemia sensitizes cardiac tissue to digoxin, increasing the chance of dangerous dysrhythmias. This combination requires correction of electrolytes before administering the diuretic.

E. BUN: The BUN of 19 mg/dL is within normal limits and does not indicate renal dysfunction or dehydration severe enough to contraindicate treatment. It provides no evidence of impaired renal clearance that would complicate furosemide use.

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A nurse is preparing to administer medications to a client. The nurse has reviewed the information above. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription fordropdown due to the client's dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who had a bronchoscopy 12 hr ago. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is assisting in the care of a male client who has a new prescription for furosemide. Which of the following client findings should the nurse identify as a contraindication to the administration of furosemide? Select the 3 findings the nurse should identify as a contraindication.

Correct Answer is ["A","B","D"]

Explanation

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A nurse is preparing to administer medications to a client.

The nurse has reviewed the information above. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription for
dropdown
due to the client's
dropdown