A nurse on a medical unit is admitting a client.
Select the 5 prescriptions the nurse should anticipate from the provider.
Chest x-ray
Basic metabolic profile (BMP)
12-lead ECG
Doppler studies of lower extremities
Brain natriuretic peptide (BNP) level
Echocardiogram
Correct Answer : A,B,C,E,F
A. Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B. Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C. 12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D. Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.
E. Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F. Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
- Rationale for A: The name and medical record number are unique identifiers that are used to accurately match a newborn with their medical records and ensure that the correct medication is administered. This method of identification minimizes the risk of medical errors, which is crucial in a hospital setting where multiple newborns may be present.
- Rationale for B: While the birth date and mother's name are important, they may not be as effective for identification because multiple newborns could share a birth date, and there could be more than one mother with the same name in the maternity ward.
- Rationale for C: Age and diagnosis are not specific enough for the identification of a newborn when administering medication. Age is not a distinguishing factor in a neonatal unit, and the diagnosis could apply to multiple infants.
- Rationale for D: Footprints and identification number can be used as secondary identifiers. However, footprints may change rapidly as the newborn grows, and the identification number should be cross-referenced with the name and medical record number for accurate identification.
Correct Answer is A
Explanation
A. Correct. Providing the client with a one-week supply of insulin syringes ensures they have the necessary equipment to administer insulin independently at home. This supports the client's independence while managing their diabetes.
B. Incorrect. While home health visits may be appropriate for some clients with diabetes, arranging daily visits may not be necessary for an independent client who is capable of managing their condition on their own.
C. Incorrect. Notifying the family of the client's health status may be appropriate in certain situations, but it is not essential for an independent client who is capable of managing their diabetes independently.
D. Incorrect. While joining a diabetic support group can be beneficial for many individuals with diabetes, it may not be necessary for all clients, especially those who are independent and prefer to manage their condition on their own.
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