Exhibits
The nurse is reviewing the client’s findings. The client is at the highest risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Based on the client’s symptoms and laboratory findings, the client is at the highest risk for developing sepsis due to white blood cell count.
Sepsis is a severe response to infection, and the elevated white blood cell count (15,000/mm³) along with fever, chills, and other symptoms indicate a significant infection that could lead to sepsis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Bathing in a tub until the catheter is removed is not recommended after a transurethral resection of the prostate (TURP). This could increase the risk of infection.
Choice B rationale
Taking ibuprofen for discomfort is not typically recommended after TURP. Ibuprofen can increase the risk of bleeding.
Choice C rationale
Waiting 6 weeks before resuming sexual intercourse is a standard recommendation after TURP. This allows the body time to heal.
Choice D rationale
Driving after 1 week is not typically recommended after TURP. Patients are usually advised to avoid driving until they are free of pain and can move quickly and safely.
Correct Answer is ["B","D"]
Explanation
Choice A rationale
Scheduled times for dressing changes are not typically included in transfer documentation. This information is usually part of the patient’s daily care plan and can be communicated to the receiving unit as needed.
Choice B rationale
The primary health problem is crucial information to include in the transfer documentation. It provides the receiving unit with a clear understanding of the patient’s main health issue and the reason for their transfer.
Choice C rationale
Admission vital signs from 1 week ago are not typically included in transfer documentation. The most recent vital signs are more relevant and provide a better indication of the patient’s current health status.
Choice D rationale
Current medication prescriptions are essential to include in the transfer documentation. This information ensures continuity of care and prevents medication errors.
Choice E rationale
The number of family members who have visited is not typically included in transfer documentation. This information is not directly related to the patient’s health status or care needs.
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