Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years.

The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.)

Leads an aerobics class.

Increase in age.

Body mass index of 22

History of diabetes mellitus.

Hyperlipidemia

Answer and Explanation

Correct Answer : B,D,E

A.   Leading an aerobics class typically contributes to better cardiovascular health and may not directly correlate with an increase in blood pressure.
B.   An increase in age is a common factor associated with an elevation in blood pressure.
C.   Having a body mass index (BMI) of 22, which falls within the healthy range, might not significantly contribute to a substantial increase in blood pressure.
D.   History of diabetes mellitus can contribute to changes in blood pressure over time.
E.   Hyperlipidemia, especially if poorly managed, can lead to an elevation in blood pressure.

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

Explanation

Rationale:

A. Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B. While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C. Water temperature impacts the body's response to submersion, affecting oxygen utilization.

D. The duration of submersion directly correlates with the level of hypoxemia.

A. Measure head circumference dally. B. Document strict intake and output. C. Irrigate shunt and pump valve every 12-hours. D. Monitor body temperature every 4-hours.

Correct Answer is ["A","B","D"]

Explanation

A. Measure head circumference daily. - Monitoring head circumference is crucial to detect changes that might indicate increased intracranial pressure after the shunt placement.
B. Document strict intake and output. - Monitoring fluid intake and output helps assess the infant's hydration status and shunt functionality.
C. Irrigate shunt and pump valve every 12-hours. - Shunt irrigation should be performed by specialized healthcare professionals, not typically by a practical nurse.
D. Monitor body temperature every 4 hours. - Postoperative monitoring includes assessing for signs of infection or systemic changes, which might be indicated by changes in body temperature.
E. Place in Trendelenburg position. - The Trendelenburg position is not typically recommended post-ventriculoperitoneal shunt placement and should be avoided unless specifically prescribed by the healthcare provider.

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Naxlex Comprehensive Predictor Exams

What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

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

Explanation

A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Which client finding should the practical nurse (PN) report to the registered nurse (RN) immediately?

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long term care facility consistently records subnormal temperatures when using a tympanic thermometer. Which action should the PN take first?

Which assignment is best for the practical nurse to assign to the unlicensed assistive personnel (UAP)?

The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify this error?

An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?