Exhibits

A nurse is collecting data from a client following a thoracentesis. The nurse should notify the provider for which of the following findings? (Click on the "Exhibit" button for additional information about the client There are three tabs that contain separate categories of data.)

Respiratory rate

Blood pressure

Hematocrit

PCO2

Answer and Explanation

The Correct Answer is A

Choice A. Respiratory rate
Reason: After thoracentesis, it's crucial to monitor the patient's respiratory rate. An increased respiratory rate could indicate respiratory distress. In this case, the respiratory rate is 26/min, which is higher than the normal range (12-20 breaths per minute for an adult at rest). Therefore, the nurse should notify the provider about this finding.

Choice B. Blood pressure
Reason: The blood pressure of the patient is 110/76 mm Hg, which falls within the normal range (90/60 mm Hg to 120/80 mm Hg). Therefore, there is no need for the nurse to notify the provider about the patient's blood pressure.

Choice C. Hematocrit
Reason: The hematocrit level is 43%, which is within the normal range (38.8% to 50.0% for males, and 34.9% to 44.5% for females). Therefore, there is no need for the nurse to notify the provider about the patient's hematocrit level².

Choice D. PCO2
Reason: The PCO2 level is 37 mm Hg, which is within the normal range (35 to 45 mm Hg). Therefore, there is no need for the nurse to notify the provider about the patient's PCO2 level.

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Correct Answer is A

Explanation

Choice A reason: Sitting in a straight-backed chair helps maintain proper posture and alignment, which is important after hip arthroplasty to prevent dislocation.

Choice B reason: Cleansing the surgical incision with hydrogen peroxide is not recommended as it can be too harsh and impede healing.

Choice C reason: Performing range of motion by adducting the hip is not recommended immediately postoperative as it can increase the risk of dislocation.

Choice D reason: Applying moist heat to the incision while in bed is not recommended as it can increase the risk of infection and delay healing.

A. "I will apply an SPF 30 sunblock before gardening." B. "I should apply lotion to my skin twice daily." C. "I will gently pat my skin dry after bathing." D. "I will limit time on tanning beds to 10 minutes." E. "I should cleanse reddened areas of my face with an astringent."

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

Explanation

Choice A reason: Applying SPF 30 sunblock is crucial for clients with SLE to protect their skin from UV light, which can exacerbate the condition.

Choice B reason: Applying lotion twice daily can help maintain skin hydration and integrity, which is important for clients with SLE who may have dry or sensitive skin.

Choice C reason: Gently patting the skin dry after bathing can minimize irritation and is a gentle way to care for sensitive skin, which is beneficial for clients with SLE.

Choice D reason: Limiting time on tanning beds is not advisable; clients with SLE should avoid tanning beds altogether due to the risk of UV light triggering a flareup.

Choice E reason: Using an astringent on reddened areas is not recommended as it can be harsh and drying, which could worsen skin irritation for clients with SLE.

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Exhibits A nurse is collecting data from a client following a thoracentesis. The nurse should notify the provider for which of the following findings? (Click on the "Exhibit" button for additional information about the client There are three tabs that contain separate categories of data.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is 24 hours postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing skin care teaching with a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

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

Explanation

A nurse is collecting data from a client who has iron deficiency anemia. Which of the following locations should the nurse monitor for the clinical manifestation of cheilosis? (You will find hot spots to select in the art work below. Select only the hotspot that corresponds to your answer.)

A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is 3 days postoperative following an ileostomy placement. Which of the following findings should the nurse report to the provider?

A nurse is reviewing the ABG values of a client who has pneumonia. Which of the following findings indicates the client is developing respiratory acidosis?

A nurse is assisting with the preparation of a client who is scheduled for a thoracentesis. In which of the following positions should the nurse place the client during the procedure?

A nurse is reinforcing teaching with a client who has coronary artery disease and is to begin a low-fat diet. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?

A nurse is reinforcing teaching about saturated fats with a client who is at risk for cardiovascular disease. Which of the following cooking fats should the nurse recommend the client use?

Exhibits

A nurse is collecting data from a client following a thoracentesis. The nurse should notify the provider for which of the following findings? (Click on the "Exhibit" button for additional information about the client There are three tabs that contain separate categories of data.)