Exhibits

A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?

Initiate an IV access for the client.

Administer pain medication to the client.

Send the client to radiology for a CT scan.

Insert an NG tube for the client.

Answer and Explanation

The Correct Answer is A

A.   Initiating IV access is a priority to establish a route for medication administration and fluid resuscitation, which are crucial in the management of acute pancreatitis.
B.   Administering pain medication is important, but establishing IV access should be prioritized to ensure timely delivery of medications and fluids.
C.   Sending the client to radiology for a CT scan may be necessary but should not take precedence over establishing IV access for immediate intervention.
D.   Inserting an NG tube may be indicated later in the client's care but is not the first priority compared to establishing IV access.

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Correct Answer is D

Explanation

A) The recommended hepatitis vaccine series is not a series of four but typically a three-dose series, which provides protection against hepatitis B.
B) Hepatitis B is not transmitted by contaminated food. It is spread through contact with infected blood, semen, or other body fluids.
C) While chronic hepatitis C has been associated with an increased risk of renal cell carcinoma, this is not established as a common outcome for all chronic hepatitis infections.
D) Individuals with a history of viral hepatitis, specifically hepatitis B or C, are generally ineligible to donate blood due to the risk of transmission.

A. Blood pressure 94/68 mm Hg B. Urinary output 30 mL/hr C. Respiratory rate 24/min D. Heart rate 152/min

Correct Answer is D

Explanation

A. A blood pressure of 94/68 mm Hg is within the normal range for a 7-year-old child and may indicate compensated dehydration rather than severe dehydration.

B. A urinary output of 30 mL/hr is insufficient and may indicate dehydration, but it does not specifically indicate severe dehydration.

C. A respiratory rate of 24/min is within the normal range for a 7-year-old child and is not specifically indicative of severe dehydration.

D. Tachycardia (heart rate >100 beats per minute) is a common finding in severe dehydration as the body attempts to compensate for decreased blood volume by increasing heart rate.

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Exhibits A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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Exhibits

A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?