Exhibits
The nurse is obtaining the client's vital signs prior to an endoscopy.
Complete the following sentence by using the list of options.
The nurse should first anticipate the need to
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
The nurse should first anticipate the need to Obtain IV access then Prepare to administer IV fluids.
Rationale
First Anticipated Step: Obtain IV Access:
In a client with hypotension and anemia, immediate IV access is crucial to administer fluids or blood
products to stabilize the client’s condition before the endoscopy. Given the client’s low blood pressure and heart rate, they may need IV fluids (such as saline or Ringer's lactate) to help improve circulation and maintain perfusion. This is essential before proceeding with further interventions like the planned endoscopy.
Second Anticipated Step:
Prepare to administer IV fluids:
The client's low blood pressure and the potential for significant blood loss suggest that IV fluids will be necessary to restore blood volume and improve hemodynamic stability before endoscopy. Normal saline or Lactated Ringer's are commonly used for volume resuscitation in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While donepezil can improve cognitive function, it does not directly enhance mood.
B. Donepezil is an acetylcholinesterase inhibitor that works to improve cognitive function, particularly memory. Improved short-term memory is a good indication of its effectiveness.
C. Donepezil may improve cognitive abilities, but it does not guarantee the ability to independently perform activities of daily living (ADLs).
D. Increased food intake is not a direct effect of donepezil; however, it might occur indirectly as cognitive improvement leads to better self-care.
Correct Answer is B
Explanation
A. Assisting clients in identifying ways suicide could have been prevented may lead to guilt and blame, which is not productive in a support group setting.
B. Discussing coping strategies for changes in family dynamics is important and provides clients with helpful tools to navigate their grief.
C. Discouraging the sharing of negative aspects can hinder emotional expression. It is important to allow clients to process their feelings openly.
D. Establishing a timeline for grieving may cause clients to feel pressured and may not align with their personal grieving process.
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