After years of struggling with weight management, a middle-aged adult client is evaluated for gastroplasty.
The client has experienced difficulty with managing diabetes mellitus and hypertension, but is approved for surgery.
Which intervention is most important for the nurse to include in this client’s plan of care?

Observe for signs of depression.

Apply sequential compression stockings.

Monitor for urinary incontinence.

Provide a wide variety of meal choices.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Observing for signs of depression is the most important intervention for the nurse to include in the client’s plan of care. This patient has a history of struggling with weight management, diabetes mellitus, and hypertension, and is now approved for gastroplasty. Weight management surgery can have significant psychological implications, and patients may experience depression or other emotional issues. Identifying signs of depression and providing appropriate support and resources is crucial for the client’s overall well-being and successful outcomes.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Choice A rationale

While understanding risk factors for osteoporosis is important, it is not the highest priority for an older adult client diagnosed with osteoporosis. The highest priority is ensuring the client’s safety to prevent falls and fractures.

Choice B rationale

While constipation due to immobility can be a concern for clients with osteoporosis, it is not the highest priority for an older adult client diagnosed with osteoporosis. The highest priority is ensuring the client’s safety to prevent falls and fractures.

Choice C rationale

Identifying home safety hazards to be resolved immediately is the highest priority for an older adult client diagnosed with osteoporosis. Osteoporosis increases the risk of fractures, and falls are a common cause of fractures in older adults. Therefore, ensuring a safe environment is crucial.

Choice D rationale

While adding calcium-rich foods to the daily diet can help manage osteoporosis, it is not the highest priority for an older adult client diagnosed with osteoporosis. The highest priority is ensuring the client’s safety to prevent falls and fractures.

Correct Answer is ["3742"]

Explanation

Step 1 is: Convert the child’s weight from pounds to kilograms. 1 pound is approximately 0.453592 kilograms, so 55 lb × 0.453592 kg/lb = 24.9476 kg.

Step 2 is: Calculate the total daily dosage. 150 mg/kg/day × 24.9476 kg = 3742.14 mg/day. Therefore, the nurse should administer approximately 3742 mg each day when rounded to the nearest whole number.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a teaching plan for an older adult client diagnosed with osteoporosis.Which expected outcome has the highest priority for this client?

Correct Answer is C

Explanation

A child weighing 55 lb has been prescribed cefotaxime at a dosage of 150 mg/kg/day, to be administered in divided doses every 6 hours. How many mg should the nurse administer each day? (Provide a numerical value only.)

Correct Answer is ["3742"]

Explanation

Given the patient’s history and physical assessment findings, what is the most probable condition the patient has, and what could it be related to?

On the first day at 1830, certain medical procedures were initiated for the patient.Which of the following procedures were likely to have been initiated based on the patient’s condition?

Which client statement or behavior is most likely associated with their current condition?

A patient undergoing radiation treatment for laryngeal cancer has developed xerostomia and mucositis, leading to an imbalance in nutritional intake.What is the most likely reason for this issue?

A client admitted with pneumonia and on bedrest has not had the strength to perform self-care.Which assessment finding provides the nurse with the earliest indication that the client is developing a pressure injury?

A patient with septic shock develops Disseminated Intravascular Coagulation (DIC). Which pathophysiological process should the nurse identify as the cause of the coagulation problem?

Which client statements require follow-up teaching by the nurse? Select all that apply.