Exhibits
According to the lab values, the client has
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"B"}
The client has a history of trauma with abdominal injury (lacerations to the liver and spleen) and blood in the peritoneum, indicating significant internal bleeding.
Hypovolemia (low blood volume) occurs due to blood loss from the injured organs, leading to low blood pressure (90/79 mmHg) and tachycardia (HR 128 bpm). The low hemoglobin (9.3 g/dL) and low hematocrit (30%) are consistent with either acute blood loss or hemodilution due to intravenous fluid resuscitation, which can temporarily dilute blood components. The normal clotting times (PT 11.5 sec, PTT 64 sec) do not indicate disseminated intravascular coagulation (DIC), and there is no evidence of acidosis in the provided data.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["122"]
Explanation
1. Convert pounds to kilograms:
160 pounds / 2.2 pounds/kg = 72.7 kg (approximately 73 kg)
2. Calculate the total daily dose:
Total daily dose = 5 mg/kg/day * 73 kg = 365 mg/day
3. Calculate the single dose:
Since the medication is to be administered every 8 hours (three times a day), divide the total daily dose by 3:
Single dose = 365 mg/day / 3 doses = 121.67 mg/dose
4. Round to the nearest whole number:
Single dose = 122 mg
Therefore, the nurse should administer 122 mg of gentamicin with each dose.
Correct Answer is B
Explanation
A. Frequency that the problem occurs is important for understanding the issue but does not ensure that the evidence gathered is relevant to the specific clinical question.
B. Relevance to the situation is the most critical factor in evidence-based practice. The evidence must directly apply to the client’s condition, treatment, or intervention to support sound decision-making.
C. Past experience with similar problems can guide nursing judgment but is not a substitute for current, research-based evidence.
D. Related personal values may influence decision-making but should not be prioritized over scientifically validated evidence.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.