Exhibits

The client undergoes several days of antibiotic and respiratory treatment for his pneumonia.

Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

Oxygen saturation greater than 94%

PaCO2 55 mm Hg per arterial blood gas

Symmetric chest expansion

Rhonchi in the right lung

Client ambulates without shortness of breath

Diminished breath sounds in the right lung

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}

Oxygen saturation greater than 94% indicates improved oxygenation, showing the treatment's effectiveness.
PaCO2 55 mm Hg per arterial blood gas indicates hypercapnia, suggesting ineffective treatment as normal levels should be lower.
Symmetric chest expansion suggests effective treatment as it reflects improved lung function.
Rhonchi in the right lung may indicate retained secretions, suggesting ineffective treatment.
Client ambulates without shortness of breath demonstrates effective treatment, as the patient can move without respiratory distress.
Diminished breath sounds in the right lung could indicate ongoing consolidation or fluid, suggesting ineffective treatment.

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Correct Answer is C

Explanation

A. While decaffeinated beverages may be better tolerated, this option does not directly address the client's misunderstanding about dairy products and their effect on ulcers.
B. Reinforcing dairy consumption does not correct the misconception that dairy is beneficial for coating the ulcer, as it may stimulate acid production.
C. Reviewing the need to avoid foods rich in milk and cream is essential because these foods can increase gastric acid secretion, potentially worsening ulcer symptoms.
D. Although frequent small meals can help reduce discomfort, the immediate follow-up action should focus on correcting the client's misunderstanding regarding dairy products and their impact on ulcer healing.

A. Employed as a construction worker. B. Reported history of alcoholism. C. Toenails appear thick and yellow. D. White blood cell count of 8,500/mm3 (8.5 x 10°/L).

Correct Answer is B

Explanation

A. While working as a construction worker may involve exposure to various pathogens, it is not as critical as the client's history of substance use.
B. A reported history of alcoholism is significant because terbinafine is metabolized by the liver, and a history of alcohol use could affect liver function, increasing the risk of liver toxicity. This finding requires further assessment before administration.
C. Thick and yellow toenails indicate a fungal infection, which is the reason for the terbinafine prescription but does not impact the immediate safety of administering the medication.
D. A white blood cell count of 8,500/mm³ is within the normal range and does not indicate an immediate concern related to medication administration.

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Exhibits The client undergoes several days of antibiotic and respiratory treatment for his pneumonia. Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow-up action by the nurse?

Correct Answer is C

Explanation

Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?

Correct Answer is B

Explanation

A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

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Exhibits According to the client's vital signs, he is experiencing dropdownanddropdown

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Exhibits

The client undergoes several days of antibiotic and respiratory treatment for his pneumonia.

Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.