Exhibits

A nurse on an antepartum unit is caring for a client who is at 15 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Hgb

Urinalysis results

Intake

Temperature

Answer and Explanation

The Correct Answer is B

A. Hgb: A hemoglobin level of 11.1 mg/dL is lower than normal, indicating anemia, which could be concerning but might not be the most urgent issue compared to other findings.
B. Urinalysis results: Positive urine ketones indicate ketonuria, which is significant in the context of hyperemesis gravidarum and may reflect severe dehydration or malnutrition. This finding should be reported to the provider.
C. Intake: The client’s intake of 50% of the meal without emesis is a relevant detail but does not indicate a severe immediate issue compared to the urinalysis results.
D. Temperature: A temperature of 37.2° C (99° F) is slightly elevated but not extremely concerning in this context compared to other findings like ketonuria.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["15"]

Explanation

To determine the correct dosage in mL:

The prescribed dose is 7.5 mg.

The concentration of the elixir is 2.5 mg/5 mL.

Calculate the volume to administer:

Volume(mL) = DesiredDose(mg)÷Concentration(mg/mL)

First, find the concentration in mg/mL:

Concentration=2.5mg÷5mL

= 0.5mg/mL

Next, calculate the volume:

Volume = 7.5mg÷ 0.5mg/mL

= 15mL

So, the nurse should administer 15 mL of the elixir.

A. Compile a list of the client's current medications to compare with new medications. B. Label syringes, but not medicine cups or basins, during a procedure. C. Use one client identifier for treatments, care, and services. D. Perform a daily assessment of wounds using the Braden scale.

Correct Answer is A

Explanation

A. Compile a list of the client's current medications to compare with new medications. Medication reconciliation is a key component of The Joint Commission's National Patient Safety Goals. It helps prevent medication errors by ensuring that all medications are reviewed and documented.
B. Label syringes, but not medicine cups or basins, during a procedure. All medications and solutions should be labeled to prevent medication errors, including those in syringes, medicine cups, and basins. Not labeling all items can lead to confusion and errors.
C. Use one client identifier for treatments, care, and services. Using at least two identifiers (e.g., name and date of birth) is recommended to ensure correct patient identification and reduce the risk of errors.
D. Perform a daily assessment of wounds using the Braden scale. The Braden scale is used for assessing pressure ulcer risk, not for daily wound assessment. While regular assessment of wounds is important, the Braden scale is not the correct tool for this purpose.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["15"]

Explanation

An acute care nurse is teaching a group of newly licensed nurses about The Joint Commission's National Patient Safety Goals. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client about the use of electronic resources to research health information. Which of the following client responses indicates an understanding of the teaching?

A nurse in a community health clinic is conducting a health screening for a male client. For which of the following findings should the nurse recommend the client follow up with his provider?

A nurse is caring for a client who has limited mobility and is experiencing urinary incontinence. Which of the following actions should the nurse take to prevent skin breakdown?

A nurse in a community health center is consulting with a client who lost her home in a fire a few days ago. Which of the following responses should the nurse make?

A nurse is reviewing a newly admitted client's medical record to determine the need to implement fall prevention interventions. The nurse should identify that which of the following findings places the client at risk for a fall?

A nurse is evaluating an assistive personnel's (AP) use of standard precautions while performing client care. Which of the following actions by the AP indicates an understanding of infection control measures?

A charge nurse is providing an in-service for a group of staff nurses about advance directives. Which of the following statements by a staff nurse indicates the teaching was effective?

A nurse is caring for a client who has a urinary tract infection. Which of the following actions should the nurse take?