immediate follow-up.)

Decreased lung sounds

Heart rate 110/min and regular

Oxygen saturation of 95%

Subcutaneous emphysema

Answer and Explanation

Correct Answer : A,B,D

A.   This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B.   A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C.   While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D.   This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Reviewing the client's medications requires a higher level of education and training than most assistive personnel have.
B. Notifying the case manager of the client's wishes for community resources requires a higher level of education and training than most assistive personnel have.
C. Assisting the client with bathing and oral care is within the scope of practice for most assistive personnel.
D. Assessing the client's wound requires a higher level of education and training than most assistive personnel have.

A. Family history B. Diuretic use C. BMI less than 25 D. Hypocalcemia

Correct Answer is A

Explanation

A. A family history of urolithiasis is a risk factor for developing the condition. Genetic factors can influence the risk of developing kidney stones.
B. Diuretic use can increase the risk of kidney stone formation by increasing the concentration of certain substances in the urine that can lead to stone formation.
C. A body mass index (BMI) less than 25 is not typically considered a risk factor for urolithiasis. Obesity, however, can be a risk factor for certain types of kidney stones.
D. Hypocalcemia (low calcium levels) can increase the risk of certain types of kidney stones, particularly those composed of calcium oxalate or calcium phosphate. However, hypocalcemia is not a common risk factor for urolithiasis.

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immediate follow-up.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is working with assistive personnel (AP) to care for a client in their home. Which of the following tasks can the nurse assign to the AP?

Correct Answer is C

Explanation

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is A

Explanation

A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)

immediate follow-up.)

A nurse is teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medications should the nurse have on hand in the event of an overdose?