Exhibits

The healthcare provider places orders to determine the cause of client symptoms.

Use the chart to indicate if the listed symptom or finding is consistent with gastroenteritis, appendicitis, or ectopic pregnancy.

Each row must have at least one, but may have more than one, response option selected.

Fever

Tachycardia

Nausea

Vomiting

Diarrhea

Answer and Explanation

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

Fever is a common symptom that can be present in gastroenteritis, appendicitis, and, less commonly, ectopic pregnancy. Tachycardia may occur in all three conditions but is more commonly associated with ectopic pregnancy, especially if there is internal bleeding. Nausea and vomiting are symptoms that can be seen in gastroenteritis and appendicitis, and occasionally in ectopic pregnancy. Diarrhea is most commonly associated with gastroenteritis.

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Correct Answer is B

Explanation

A. Scabies requires contact precautions, not airborne isolation.
B. Tuberculosis (TB) is transmitted via airborne particles, requiring a negative airflow room and use of a particulate respirator (e.g., N95 mask).
C. Herpes simplex virus type II is transmitted through direct contact and does not require airborne precautions.
D. Scarlet fever is spread through respiratory droplets, but it does not require airborne precautions or a negative pressure room.

A. It prevents mouth infections when an inhaler is used. B. It allows the medication to slowly enter the lungs. C. It increases the effectiveness of the medication effectiveness D. It allows time to inhale the entire dispensed dose.

Correct Answer is C

Explanation

A: While the spacer can reduce the risk of mouth infections, its primary purpose is to improve medication delivery to the lungs.

B: The spacer does not slow down the medication’s entry into the lungs, but it does enhance its delivery.

C: The spacer helps ensure that more medication reaches the lungs by holding the medication in the chamber before the client inhales it. This increases the effectiveness of the inhaler and reduces the risk of side effects, like oral thrush.

D: The spacer does not slow down inhalation to allow the client to inhale the entire dose. Instead, it holds the medication to ensure more is inhaled.

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Naxlex Comprehensive Predictor Exams

The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

Correct Answer is B

Explanation

The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?

Correct Answer is C

Explanation

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse assign to the UAP?

The nurse observes an unlicensed assistive personnel (UAP) begin to provide oral care to an unresponsive client who is at risk for aspiration as seen in the picture. Which instruction(s) should the nurse provide the UAP? Select all that apply.

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

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.

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

The nurse assesses a client who had bilateral total knee replacements (TKR) four hours ago. The nurse notes that the dressing on the client's right knee is saturated with serosanguineous drainage. Which action should the nurse implement?

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?