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 ["A","B","G"]

Explanation

A. Shrimpisknown to be high in purines and is generally not recommended for a gout-friendly diet

B. Sardines are high in purines, which can increase uric acid levels in the body and contribute to gout flare-ups. Foods high in purines should generally be limited in the diet of someone with gout.

G. Liver is very high in purines and can significantly elevate uric acid levels. Consumption of liver and other organ meats should be minimized or avoided by individuals with gout to help prevent gout attacks.

Other foods are low in purine and hence not contraindicated in clients with gouty arthritis.

A. Hematocrit. B. Platelet count. C. White blood cell (WBC) count. D. Blood pH level.

Correct Answer is C

Explanation

C. The WBC count assesses the number of white blood cells in the blood, which are key components of the immune system involved in fighting infection. An elevated WBC count (leukocytosis) may indicate an inflammatory response to infection, including bacterial colonization or superinfection of burn wounds.
A. The hematocrit measures the proportion of red blood cells in the blood and is used to evaluate for anemia or dehydration.
B. The platelet count measures the number of platelets in the blood and is used to assess for bleeding disorders or clotting abnormalities.
D. While changes in blood pH may occur in response to severe burn injuries, it is not typically the primary laboratory value assessed to determine the presence of infection.

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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.

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Naxlex Comprehensive Predictor Exams

Patient’s Data Exhibits Select the 3 dietary choices that are not part of the recommended diet gout.

Correct Answer is ["A","B","G"]

Explanation

While caring for a client with a full thickness burn covering 40% of the body, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?

Correct Answer is C

Explanation

When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?

The nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendation should the nurse encourage the client to follow?

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?

A client presents to the emergency department reporting chest pain that is radiating to the left arm, shortness of breath, and diaphoresis. Which medication should the nurse anticipate being prescribed by the healthcare provider?

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

Exhibits

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

Select all that apply.