Exhibits

Select from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
dropdown
and
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Quality of life: This involves evaluating how the client's overall well-being has changed with the new interventions. It includes assessing the client's comfort, satisfaction, and ability to engage in meaningful activities.

Functional improvement: This includes monitoring the client's progress in physical and occupational therapy, as well as their ability to perform activities of daily living (ADLs) independently or with less assistance.

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Correct Answer is ["A","E","F","H"]

Explanation

A. Severe abdominal pain in the right lower quadrant: This could indicate appendicitis, a surgical emergency, or another acute abdominal condition requiring immediate intervention. The sudden onset and severe nature of pain are concerning.
B. Blood pressure 115/76 mm Hg: This is within normal limits and does not indicate immediate instability.
C. Capillary refill 2 seconds: This indicates adequate peripheral perfusion and is not an urgent concern.
D. Radial and pedal pulses 2+: Normal peripheral pulses do not require immediate follow-up.
E. Temperature 100.8° F (38.2° C): Fever suggests an inflammatory or infectious process, such as appendicitis or another intra-abdominal infection.
F. Respirations 28 breaths/minute with shallow breathing: Increased respiratory rate and shallow breathing may indicate pain-related distress or developing peritonitis, a life-threatening complication of appendicitis.
G. Feels anxious: Anxiety may be a response to pain but is not an immediate concern requiring urgent intervention.
H. Heart rate 121 beats/minute: Tachycardia could be a response to pain, infection, or developing sepsis, which requires urgent evaluation.
I. Vomiting small amounts of green bile: While bile-stained emesis can indicate an obstruction, other findings (pain, fever, tachycardia, and respiratory distress) are higher priority.

A. Blood pressure. B. Apical heart Fate. C. Pulse pressure. D. Level of consciousness.

Correct Answer is A

Explanation

A. Blood pressure. The nurse should assess the client’s blood pressure both while lying down and standing to check for any signs of orthostatic hypotension, which is a drop in blood pressure upon standing.

B. Apical heart rate. While heart rate is important, it is not directly related to the side effect of orthostatic hypotension.

C. Pulse pressure. Pulse pressure (the difference between systolic and diastolic blood pressure) is not the primary assessment when checking for orthostatic hypotension.

D. Level of consciousness. Although important for overall assessment, the primary focus for orthostatic hypotension is blood pressure.

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Exhibits Select from statement options to complete the sentence. To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's dropdown and dropdown.

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Select the 4 assessment findings that require immediate follow up.

Correct Answer is ["A","E","F","H"]

Explanation

The nurse knows that a medication has the side effect of orthostatic hypotension. Which assessment should the nurse make before administering the medication?

Correct Answer is A

Explanation

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

The nurse is planning discharge instructions for a client with type 2 diabetes mellitus who will be starting exenatide. Which information should be included in the discharge instructions?

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this clients plan of care?

One year after being discharged from the burn trauma unit, a client with a history of 40% full-thickness burns is admitted with bone pain and muscle weakness. Which intervention should the nurse include in this client's plan of care?

Exhibits The nurse is concerned about the client's temperature. Which interventions can the nurse use to address the client's temperature? Select all that apply.

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Patient Data Exhibits The nurse reviews the prescriptions and plans initial steps for caring for the client. Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.

Exhibits

Select from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
dropdown
and
dropdown
.