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","B"]

Explanation

A: Consulting a wound care specialist ensures that proper infection management is initiated, and other treatment options, such as antimicrobial therapy, are considered.

B: Discontinuing VAC therapy and cleansing the wound allows for infection control and proper evaluation of the wound's condition before resuming therapy.

C: Reapplying the VAC system without addressing the potential infection could worsen the situation by promoting further bacterial growth.

D: Documenting wound measurements is important but does not address the immediate infection, which should be the priority.

E: Increasing the suction on the VAC system is inappropriate as it may exacerbate infection or tissue damage.

A. Advance from clear liquids as tolerated. B. Straight catheterization if unable to void. C. Cefazolin 1 gram IV every 6 hours. D. Complete blood cell count (CBC) in AM.

Correct Answer is C

Explanation

A. Advancing to clear liquids is important for nutritional support but is secondary to ensuring urinary function is restored.

B. Urinary retention is a concern after anesthesia, but it is not an immediate threat. This intervention is conditional (“if unable to void”), meaning it is implemented only if needed.

C. Postoperative clients are at high risk for infection. Cefazolin (a broad-spectrum antibiotic) is a prophylactic measure to reduce the risk of surgical site infection, which is a priority intervention immediately after surgery. This should be implemented first, since infection prevention begins as soon as the client arrives from PACU.

D. A CBC is important for monitoring but is not urgent in comparison to immediate care needs like urinary output.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When changing the client's dressing for a vacuum-assisted closure (VAC) wound therapy system, the nurse observes foul, purulent drainage. Which intervention(s) should the nurse implement? Select all that apply.

Correct Answer is ["A","B"]

Explanation

The nurse is admitting a client from the postanesthesia care unit (PACU) to the postoperative surgical care unit. Which prescription should the nurse implement first?

Correct Answer is C

Explanation

After removing a client's dressing that is saturated with sanguineous drainage, where should the nurse place the dressing?

Exhibits The nurse reviews the findings in the history and physical. Drag from word choices to complete the sentence. The nurse recognizes that dropdown,dropdown, anddropdownare findings consistent with elder mistreatment.

Which client should the charge nurse on the oncology unit assign to a registered nurse (RN), rather than a practical nurse (PN)?

Exhibits Click to indicate which client goal is being met by each of the client data. Each column must have at least one response selected.

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should the nurse include in the plan of care?

Which assessment technique provides the most useful data when the nurse is concerned about possible urinary retention?

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
.