Exhibits
According to the client's vital signs, he is experiencing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
- Tachypnea refers to an increased respiratory rate, which is noted as 29 breaths per minute in this client. Normal respiratory rates typically range from 12 to 20 breaths per minute.
- Bradycardia typically refers to a slower than normal heart rate; however, in this context, the client’s heart rate is actually elevated at 104 beats per minute, which is not bradycardic. Thus, this term does not accurately apply to the client’s condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lactulose typically increases the frequency of liquid stools as it helps to draw water into the intestines to facilitate bowel movements.
B. The primary therapeutic goal of lactulose in hepatic encephalopathy is to reduce ammonia levels in the blood, which should result in improved mental status and cognitive function.
C. While lactulose can affect fluid balance, an increase in urine output is not a direct therapeutic response associated with its use.
D. Although improvement in ambulation may occur as the client's mental status improves, it is not the primary expected outcome of lactulose treatment.
Correct Answer is A
Explanation
A. Isolating the client is the most critical action to prevent the potential spread of COVID-19 to others, especially since the client is exhibiting symptoms consistent with the virus.
B. While counseling family members is important, it is secondary to ensuring the immediate safety of others in the healthcare setting.
C. Reporting results is necessary for public health tracking but does not take precedence over immediate isolation measures.
D. Teaching the client preventive measures is important, but again, it should follow ensuring isolation to mitigate any risk of exposure to others.
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