Exhibits

Based on the assessment and blood gas results, which 3 orders should the nurse expect from the healthcare provider?

Give a bolus of 1,000 mL 0.9% sodium chloride

Repeat blood gas in 1 hour

Place the client in a prone position

Perform endotracheal suctioning

Chest x-ray now

Administer inhaled corticosteroid

Answer and Explanation

Correct Answer : B,C,D

A. Giving a bolus of 1,000 mL 0.9% sodium chloride is typically used to treat hypovolemia or electrolyte imbalances, which are not indicated by the patient's current lab values or clinical
situation.
B. Repeating the blood gas in 1 hour is a reasonable order as it would provide information on whether the patient's respiratory status is improving following interventions for ventilator-associated pneumonia.
C. Placing the client in a prone position can improve oxygenation in patients with respiratory distress by redistributing lung perfusion, making it a suitable intervention for this patient with diminished breath sounds and crackles.
D. Performing endotracheal suctioning would help clear secretions, which may be contributing to the patient's diminished breath sounds and crackles, and is consistent with the care for a patient with pneumonia.
E. A chest x-ray now would typically be ordered if there was a suspicion of a new onset condition such as a pneumothorax or pleural effusion, which is not indicated by the patient's current presentation.
F. Administering an inhaled corticosteroid is generally used for long-term management of chronic respiratory conditions and is not typically used for acute management of ventilator-associated pneumonia.

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Correct Answer is D

Explanation

A. The client will monitor blood glucose and blood pressure after each meal: While monitoring blood pressure may be important for cardiovascular health, this outcome specifically addresses blood glucose, which may not be directly related to the client's newly diagnosed cardiovascular disease.
B. The client's blood pressure readings will be less than 160/90 mm Hg: This outcome focuses on blood pressure control, but the goal of less than 160/90 mm Hg may not be stringent enough for optimal cardiovascular health.
C. The nurse will encourage the client to walk thirty minutes every day: Exercise is important for cardiovascular health, but this outcome does not specifically address blood pressure
management, which is crucial for reducing the risk of cardiovascular events.
D. The client's daily blood pressure will be less than 140/80 mm Hg this month: This outcome addresses blood pressure control, setting a specific target (less than 140/80 mm Hg) that aligns with current guidelines for managing cardiovascular disease and reducing the risk of
complications.

A. Gonorrhea. B. Group B Streptococcus. C. Toxoplasmosis. D. Rubella.

Correct Answer is D

Explanation

A. Gonorrhea: While sexually transmitted infections can affect pregnancy, the symptoms described are not consistent with gonorrhea.
B. Group B Streptococcus: Group B Streptococcus is commonly screened for in pregnant individuals but does not typically present with the described symptoms.
C. Toxoplasmosis: Toxoplasmosis can affect pregnancy, but the symptoms described are not specific to toxoplasmosis.
D. Rubella: Rubella infection during pregnancy can lead to congenital rubella syndrome, which can cause birth defects. The symptoms described are consistent with rubella infection.

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Exhibits Based on the assessment and blood gas results, which 3 orders should the nurse expect from the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Exhibits

Based on the assessment and blood gas results, which 3 orders should the nurse expect from the healthcare provider?