Exhibits

Which of the following does the nurse anticipate the healthcare provider to prescribe during morning rounds? Select 4 findings.

Chest xray

Albuterol treatments by nebulizer every 4 to 6 hours

Computerized tomography (CT) scan of the chest

Arterial blood gas (ABG)

Increase oral fluids

Answer and Explanation

Correct Answer : A,B,D,E

A.   Chest x-ray: Follow-up imaging is typically needed to assess the progression or resolution of pneumonia after initiating antibiotic therapy.
B.   Albuterol treatments by nebulizer every 4 to 6 hours: This can help relieve bronchospasm and improve air exchange, especially if the client is experiencing wheezing or increased work of breathing due to pneumonia.
C.   Arterial blood gas (ABG): An ABG can help evaluate the client's respiratory status and the effectiveness of oxygenation and ventilation, especially given the diminished breath sounds and crackles.
D.   C. Computerized tomography (CT) scan of the chest: While a CT scan can provide detailed images of the lungs, it is not typically the immediate follow-up after initial pneumonia treatment unless there are complications or concerns not resolved with a standard chest x-ray.
E.   Increase oral fluids: Encouraging fluid intake can help thin secretions, promote hydration, and support overall recovery from pneumonia.

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Correct Answer is B

Explanation

A. Observing for edema around the ankles is important but not the most critical assessment related to hydromorphone use.
B. Auscultating the client's bowel sounds is crucial because opioids like hydromorphone can lead to decreased gastrointestinal motility and potential constipation or bowel obstruction.
C. Measuring the client's capillary glucose level is important for clients with diabetes but not directly related to the effects of hydromorphone.
D. Counting the apical and radial pulses simultaneously is important for assessing cardiovascular health but does not specifically relate to the side effects of opioid administration.

A. Remind the client that it is also important to switch to decaffeinated coffee and tea. B. Reinforce the teaching by asking the client to make a list of snack foods high in dairy content. C. Review with the client the need to avoid foods that are rich in milk and cream. D. Suggest that the client also plan to eat frequent small meals to reduce discomfort.

Correct Answer is C

Explanation

A. While decaffeinated beverages may be better tolerated, this option does not directly address the client's misunderstanding about dairy products and their effect on ulcers.
B. Reinforcing dairy consumption does not correct the misconception that dairy is beneficial for coating the ulcer, as it may stimulate acid production.
C. Reviewing the need to avoid foods rich in milk and cream is essential because these foods can increase gastric acid secretion, potentially worsening ulcer symptoms.
D. Although frequent small meals can help reduce discomfort, the immediate follow-up action should focus on correcting the client's misunderstanding regarding dairy products and their impact on ulcer healing.

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Exhibits Which of the following does the nurse anticipate the healthcare provider to prescribe during morning rounds? Select 4 findings.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?

Correct Answer is B

Explanation

Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow-up action by the nurse?

Correct Answer is C

Explanation

Exhibits The client undergoes several days of antibiotic and respiratory treatment for his pneumonia. Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

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The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

The nurse is caring for a client with emphysema who is mildly dyspneic after ambulation. Which instruction should the nurse provide to the client to improve gas exchange?

A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?

A client with emphysema is reporting difficulty in breathing and exhibiting audible wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse?

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

Exhibits

Which of the following does the nurse anticipate the healthcare provider to prescribe during morning rounds? Select 4 findings.