Exhibits

What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers?

Select all that apply.

Administer antiemetic

Monitor for adverse reaction to antibiotics

Increase IV fluids to 150 mL/hr

Initiate airborne isolation

Repeat CD4+ T-cell count STAT

Answer and Explanation

Correct Answer : A,B,C

A. The client is noted to have emesis which contributes to total fluid loss predisposing the client to acute kidney injury. Antiemetics are important to reduce emesis.
B. Clients with PCP are typically treated with antibiotics, such as trimethoprim-sulfamethoxazole (TMP-SMX), as first-line therapy. Monitoring for adverse reactions to antibiotics, such as hypersensitivity reactions or renal toxicity, is essential for safe medication administration.
Increasing fluid intake prevents and manages acute kidney injury in the client.
C. Increasing intravenous hydration ensures the lost fluid is replaced to prevent acute renal injury that may occur due to hypoperfusion.
D. Pneumocystis pneumonia is caused by the fungus Pneumocystis jirovecii (formerly known as Pneumocystis carinii), and its transmission occurs through the inhalation of airborne fungal spores. However, it is not typically spread from person to person like airborne viral or bacterial infections.
E. Repeating CD4 count is not necessary as it is unlikely to alter the management of the client at this point. This should be after 2-3 weeks.

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Correct Answer is B

Explanation

B. Hematuria can indicate renal involvement, which is a serious complication of SLE. Lupus nephritis, inflammation of the kidneys caused by SLE, can lead to hematuria, proteinuria, and impaired kidney function. Monitoring for renal complications is essential in managing SLE exacerbations, and hematuria warrants immediate attention to assess the extent of renal involvement and adjust treatment as necessary.
A. Joint pain is a common symptom of systemic lupus erythematosus (SLE), an autoimmune disease that can affect multiple organs and tissues, including the joints. While joint pain can be distressing for the patient, it is not necessarily an urgent or life-threatening complication requiring immediate intervention.
C. Muscle atrophy, or the wasting away of muscle tissue, can occur in individuals with systemic lupus erythematosus (SLE), particularly if they are experiencing prolonged periods of inactivity due to joint pain, fatigue, or other symptoms. While muscle atrophy can contribute to functional impairment and decreased quality of life, it is not typically considered an urgent or life-threatening complication requiring immediate intervention.
D. Low-grade fever is a common symptom in systemic lupus erythematosus (SLE), often occurring during disease flares or exacerbations. Monitoring the patient's temperature and assessing for other signs of infection or disease activity is important, but low-grade fever alone may not warrant urgent intervention.

A. Decrease the flow rate. B. Irrigate the catheter manually. C. Discontinue infusing solution. D. Monitor catheter drainage.

Correct Answer is B

Explanation

A. The irrigation solution is typically maintained at a continuous rate to prevent clot formation and maintain catheter patency, which is important for promoting urinary drainage and preventing obstruction.
B. This involves injecting more saline into the bladder through the catheter to help break up and flush out the clots. This should be done carefully and gently to avoid causing any damage or discomfort.

C. Discontinuing the infusion solution may not be necessary or appropriate, as the continuous bladder irrigation (CBI) solution is typically maintained at a continuous rate to prevent clot formation and maintain catheter patency after a TURP procedure.

D.While it's important to monitor the drainage, simply observing won't address the issue of the clots.

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Exhibits What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important for the nurse to report which assessment finding to the healthcare provider?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

A client with a fracture of the right femur has had skeletal traction applied. Which intervention should the nurse include in the client's nursing care plan?

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

Exhibits What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers? Select all that apply.

The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?

The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?

Methotrexate is prescribed for a client with rheumatoid arthritis (RA) who is also taking aspirin. Which is the best explanation for the nurse to provide as to why a second medication has been added?

A client receives a prescription for 1 L of lactated Ringers to be infused IV over 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Exhibits

What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers?

Select all that apply.