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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.

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Correct Answer is A

Explanation

A. Culturing for sensitive organisms is essential in identifying the causative agent of the infection indicated by the purulent drainage, guiding appropriate antibiotic therapy.
B. Blood pH level is not directly relevant to assessing wound drainage or infection status.
C. C-reactive protein (CRP) can indicate inflammation but is not specific enough to provide immediate information regarding the infection at the wound site.
D. Serum blood glucose level is more relevant for assessing the client's overall metabolic status and risk for infections rather than directly correlating with the purulent drainage observed.

A. Turn, cough, and deep breathe every 2 hours. B. Observe pupil response of the right eye. C. Sleep flat in a supine position. D. Administer a stool softener.

Correct Answer is B

Explanation

A. While deep breathing exercises are important after surgery, they are not specific to cataract extraction recovery; the focus should be on eye care.
B. Observing the pupil response of the right eye can help detect any issues with the right eye post-surgery, ensuring the patient monitors both eyes' health effectively.
C. Clients are generally advised to avoid sleeping flat and may be instructed to sleep in a specific position to prevent pressure on the operated eye, often in a semi-reclined position.
D. Administering a stool softener can be important for some postoperative patients, but it is not a primary concern following cataract surgery unless specifically indicated for that client.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

Correct Answer is B

Explanation

An adult client is admitted with AIDS and oral Candida albicans manifested by several painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to assist the client. Which instruction should the nurse provide to the UAP?

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.

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?

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 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?

The client with Clostridium difficile in the stool receives a prescription for vancomycin PO. Which action should the nurse take before administering the first dose?

Exhibits

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