A nurse on a medical-surgical unit has just received the shift report. Which patient should the nurse assess first?
A 50-year-old diabetic patient with a blood sugar level of 150 mg/dL.
A 45-year-old patient recovering from an appendectomy with a pain level of 4 out of 10.
A 70-year-old patient scheduled for a routine hip replacement surgery tomorrow.
A 65-year-old patient with a history of chronic obstructive pulmonary disease (COPD) reporting mild shortness of breath.
The Correct Answer is D
A: Blood glucose of 150 mg/dL in a diabetic patient is stable.
B: A post-op pain level of 4/10 is manageable.
C: A client scheduled for surgery tomorrow is stable and non-urgent.
D: Mild shortness of breath in a COPD client can rapidly worsen. This is a potential airway/breathing issue, which is a top priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A: Protein intake should be limited in CKD to prevent further kidney strain and protein waste buildup in the blood.
B: Calcium may need to be regulated based on the client's specific kidney function and other lab values, but it is not always restricted in CKD unless there are specific complications like hypercalcemia.
C: Phosphorus is usually restricted in CKD because impaired kidney function makes it difficult to excrete phosphorus, leading to harmful buildup.
D: Sodium intake should be limited to reduce the risk of fluid retention and hypertension, both common in CKD.
E: Calories are generally not restricted unless the client is overweight, but maintaining a balanced diet is more important in CKD.
Correct Answer is ["1.7"]
Explanation
To find the volume (mL) needed:
Volume(mL) = Desireddose(mg)/Concentration(mg/mL)
= 500/300
= 1.666
= 1.7 mL (Rounded off to the nearest tenth)
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