A patient presents to the emergency department with a high fever, chills, chest pain worsened by deep breathing, and a cough producing rusty-colored sputum. Which of the following diagnostic tests is most likely to confirm the nurse's suspicion of pneumonia?

Pulmonary Function Test (PFT)

Electrocardiogram (ECG)

Complete Blood Count (CBC)

Chest X-ray

Answer and Explanation

The Correct Answer is D

A. Pulmonary Function Test (PFT). PFTs assess lung function but do not provide diagnostic information for infections like pneumonia.

B. Electrocardiogram (ECG). An ECG assesses heart function and would not help in diagnosing a respiratory infection like pneumonia.

C. Complete Blood Count (CBC). A CBC may indicate infection through elevated white blood cells, but it does not confirm pneumonia or identify its location in the lungs.

D. Chest X-ray. A chest X-ray is the most useful diagnostic tool to confirm pneumonia. It can reveal infiltrates or consolidation in the lungs, which are characteristic of pneumonia.

Nursing Test Bank

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Correct Answer is D

Explanation

A. Include high-fat foods to maintain weight. High-fat foods can worsen symptoms in ulcerative colitis by increasing bowel irritation and causing malabsorption. A balanced diet that is low in fat is usually recommended.

B. Eat three large meals a day to ensure adequate nutrition. Large meals can increase digestive workload and exacerbate symptoms. Smaller, more frequent meals are generally better tolerated.

C. Increase intake of dairy products to boost calcium levels. Many patients with ulcerative colitis are lactose intolerant or sensitive to dairy, which can worsen symptoms. Calcium can be obtained from other sources if needed.

D. Consume a low-fiber diet to minimize bowel irritation. A low-fiber diet can reduce mechanical irritation in the bowel, which is beneficial during flare-ups of ulcerative colitis.

A. Ensure that the client's urine output is at least 1ml/kg/hr B. Ensure potassium infusion is prepared with 5% dextrose solution C. Educate client regarding high-potassium food sources D. Repeat blood serum potassium E. Cardiac monitoring during infusion

Correct Answer is ["A","C","D","E"]

Explanation

A. Ensure that the client's urine output is at least 1 ml/kg/hr. Adequate urine output is essential before administering IV potassium to ensure the kidneys are functioning properly and can handle the increased potassium load, preventing hyperkalemia.

B. Ensure potassium infusion is prepared with 5% dextrose solution. While IV potassium can be mixed with normal saline or dextrose solutions, the specific diluent will depend on the clinical scenario. This isn't necessarily a standard requirement, so it may not be appropriate for all situations.

C. Educate the client regarding high-potassium foods. Education on high-potassium foods helps the client maintain potassium levels after treatment, reducing the need for future supplementation.

D. Repeat blood serum potassium levels. Rechecking potassium levels ensures the patient reaches a safe and therapeutic range and helps monitor for signs of overcorrection or continued hypokalemia.

E. Cardiac monitoring during infusion. Cardiac monitoring is critical, as hypokalemia and potassium replacement can affect heart rhythm and lead to arrhythmias.

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A patient presents to the emergency department with a high fever, chills, chest pain worsened by deep breathing, and a cough producing rusty-colored sputum. Which of the following diagnostic tests is most likely to confirm the nurse's suspicion of pneumonia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching to a patient with ulcerative colitis. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select All that Apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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