An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

Rescue inhaler

Diazepam

Ipratropium

Hydromorphone

Oxygen via nasal cannula 2 L/min

Answer and Explanation

Correct Answer : B,D

A.   Rescue inhaler is appropriate for a COPD exacerbation as it helps to dilate the airways and improve breathing.
B.   Diazepam is a benzodiazepine, which is a sedative. Sedating a patient with severe respiratory distress is contraindicated as it can further depress respiratory drive.
C.   Ipratropium is a bronchodilator and is appropriate for COPD exacerbations.
D.   Hydromorphone is an opioid analgesic. Opioids can depress respiratory drive, which is especially dangerous for patients with respiratory compromise such as COPD.
E.   Oxygen is essential for patients with COPD exacerbations.

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Correct Answer is B

Explanation

A. A pre-diabetic A1C range is typically between 5.7 and 6.4%.
B. An A1C level of 5.4% is considered normal. This indicates good blood sugar control.
C. A diabetic A1C level is typically 6.5% or higher.
D. An A1C of 5.4% is clear and indicates normal blood sugar control.

A. Troponin I & T B. Myoglobin C. BNP D. CK-MB isoenzymes

Correct Answer is A

Explanation

A. These are the most specific and sensitive markers for diagnosing a heart attack. They are released into the bloodstream when heart muscle is damaged.
B. Myoglobin is an early marker of heart muscle damage, but it is less specific than troponin and can be elevated in other conditions.
C. B-type natriuretic peptide is a hormone primarily used to diagnose heart failure, not acute myocardial infarction (heart attack).
D. Creatine kinase-MB is an older marker for heart damage, but it is less specific than troponin and takes longer to rise in the blood.

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An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Hospital policy is that any new patient admitted to the hospital will have their blood checked for their Hgb A1C level. Your patient's blood was drawn, and the lab calls you to report that their Hgb A1C level is 5.4. This level is:

Correct Answer is B

Explanation

Your patient in the Emergency Room reports having severe chest pain and you suspect a heart attack. Which of the following laboratory tests would be best to confirm your suspicions?

Correct Answer is A

Explanation

Patients with Chronic Bronchitis can sometimes display some characteristic signs and symptoms. Which of the following is NOT commonly one of these characteristic signs?

Your patient asks you what the purpose of the Hgb A1C test is. The BEST answer is:

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A nurse is caring for a patient who has Diabetes Insipidus. Which of the following urinalysis laboratory findings should the nurse expect?

For a patient who is taking a Casual (Random) blood glucose test, what value is considered to indicate they likely have Diabetes?

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