A nurse is preparing to care for a client on the medical unit.

Exhibits

Complete the following sentence by using the lists of options. The client is at risk for developing
dropdown
as evidenced by the client's
dropdown
.

Answer and Explanation

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

Correct answers:

1. pulmonary edema

2. shallow rapid breaths

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Using an adhesive remover can help safely and effectively remove the adhesive residue from the skin without causing irritation or damage.
B. Scrubbing the skin around the colostomy can cause skin irritation and increase the risk of skin breakdown. Gentle cleaning with warm water and mild soap is recommended.
C. Most colostomy bags do not require suctioning of stool, as they are designed to collect fecal matter without the need for suctioning.
D. It is generally recommended to empty the colostomy bag when it is about one-third to one- half full to prevent leakage and maintain skin integrity.

A. Platelets 200,000/mm3 B. RBC count 5.4 million/mm2 C. Hgb 14 g/dL D. INR 5.2

Correct Answer is D

Explanation

A. Platelets within the normal range indicate appropriate clotting function and are not concerning in this scenario.
B. Red blood cell (RBC) count within the normal range suggests normal oxygen-carrying capacity and is not directly related to the client's symptoms.
C. Hemoglobin (Hgb) level within the normal range indicates adequate oxygen-carrying capacity and is not directly related to the client's symptoms.
D. An international normalized ratio (INR) of 5.2 is significantly elevated and indicates that the client's blood is not clotting properly. This could be a result of excessive anticoagulation from heparin therapy, which may lead to bleeding complications such as bloody stools. Therefore, the nurse should report this finding to the provider for further evaluation and possible adjustment of the anticoagulant therapy.

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A nurse is preparing to care for a client on the medical unit. Exhibits Complete the following sentence by using the lists of options. The client is at risk for developing dropdown as evidenced by the client's dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is taking heparin to prevent deep-vein thrombosis and has bloody stools. Which of the following laboratory values should the nurse report to the provider?

Correct Answer is D

Explanation

The nurse is preparing the client for discharge. Exhibits For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

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A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy. Which of the following instructions should the nurse include?

A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN?

A nurse is collecting data from a 3-month-old infant who is 6 hr postoperative following a cleft palate repair. Which of the following pain rating tools should the nurse use?

A nurse is reinforcing teaching with a client who is at 35 weeks of gestation and has a prescription for a lecithin/sphingomyelin ratio. Which of the following statements should the nurse make?

A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

A nurse is preparing to care for a client on the medical unit.

Exhibits

Complete the following sentence by using the lists of options. The client is at risk for developing
dropdown
as evidenced by the client's
dropdown
.