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Exhibits

Which prescriptions would the nurse question? Select all that apply.

Enalapril 10 mg every morning

Chest x-ray now

Admit to the medical floor

Vital signs every 4 hours

Send blood for a complete blood count, electrolytes

Supplemental oxygen 10 L/min via nasal cannula

Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater than 100.5° F (38.0° C)

Continuous pulse oximetry

Answer and Explanation

Correct Answer : A,F,G

A. Enalapril can potentially cause hyperkalemia and hypotension, which could be detrimental to a client with pneumonia. The prescription should be questioned due to these risks.
B. A chest X-ray may be necessary to assess the extent of pneumonia; thus, it is appropriate and should not be questioned.
C. Admission to the medical floor is necessary for monitoring the client's condition due to pneumonia, so this prescription is appropriate.
D. Monitoring vital signs every 4 hours is essential for assessing the client's condition, making this prescription appropriate.
E. Sending blood for a complete blood count and electrolytes is important to evaluate the patient's infection status and metabolic balance, so this is appropriate.
F. Changing the supplemental oxygen from a face mask to a nasal cannula may compromise oxygenation and should be questioned.
G. Administering ibuprofen could mask fever and may not be advisable in the presence of pneumonia, so this prescription should be questioned.
H. Continuous pulse oximetry is crucial for monitoring the patient's oxygen saturation, especially given the pneumonia diagnosis, making this prescription appropriate.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Increasing intestinal peristalsis is not a primary goal related to managing a hiatal hernia. While peristalsis is important for digestion, the focus should be on the esophagus and stomach.
B. Preventing esophageal reflux is the main goal for clients with a hiatal hernia, especially sliding type, as the hernia can cause the stomach to push into the esophagus, leading to reflux symptoms. Strategies to prevent reflux may include dietary modifications and positioning.
C. Promoting effective swallowing may be important in some contexts, but it is not a primary goal associated with managing a hiatal hernia.
D. Maintaining intact oral mucosa is generally a broader nursing goal and not specific to the management of a hiatal hernia. The focus should be on preventing reflux rather than oral mucosa integrity in this case.

A. Reduction in number of liquid stools. B. Improved mental status. C. Increase in urine output. D. Ability to ambulate independently.

Correct Answer is B

Explanation

A. Lactulose typically increases the frequency of liquid stools as it helps to draw water into the intestines to facilitate bowel movements.
B. The primary therapeutic goal of lactulose in hepatic encephalopathy is to reduce ammonia levels in the blood, which should result in improved mental status and cognitive function.
C. While lactulose can affect fluid balance, an increase in urine output is not a direct therapeutic response associated with its use.
D. Although improvement in ambulation may occur as the client's mental status improves, it is not the primary expected outcome of lactulose treatment.

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Exhibits Which prescriptions would the nurse question? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client with a direct (sliding) hiatal hernia. Nursing actions should be planned to meet which goal?

Correct Answer is B

Explanation

A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

Correct Answer is B

Explanation

When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?

A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in, "500 mg per 100 mL of dextrose 5% in water." To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

The nurse is discussing dietary choices with a client who is newly diagnosed with celiac disease. Which menu choice by the client indicates a need for further teaching?

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?

Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?

A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Exhibits

Which prescriptions would the nurse question? Select all that apply.