Patient Data

Exhibits

As a result of the Adult Protective Services investigation, additional care has been established for the client including physical and occupational therapy twice weekly and a home health aide to provide assistance with activities of daily living.

Drag from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Quality of life: This involves evaluating how the client's overall well-being has changed with the new interventions. It includes assessing the client's comfort, satisfaction, and ability to engage in meaningful activities.

Functional improvement: This includes monitoring the client's progress in physical and occupational therapy, as well as their ability to perform activities of daily living (ADLs) independently or with less assistance.

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Correct Answer is C

Explanation

A. Assessing papillary reactions to light is important in a neurological assessment but is not the priority in this situation.

B. Measuring and recording abdominal girth is not relevant to the client's current symptoms.

C. Auscultating over the main stem bronchus is the priority action as the client's symptoms suggest potential airway compromise, possibly from inhalation injury or swelling. Early identification and management of airway issues are critical in burn patients.

D. Determining the time of last oral intake is part of a comprehensive assessment but is not the immediate priority when airway compromise is suspected.

A. Increased fatigue. B. Watery diarrhea. C. Nausea and headache. D. Yellow-tinged sputum.

Correct Answer is B

Explanation

A. Increased fatigue is a common side effect of many medications and illnesses but is not as immediately concerning.

B. Watery diarrhea can indicate a serious side effect such as Clostridium difficile-associated diarrhea, which requires prompt medical attention.

C. Nausea and headache are common side effects but are generally not urgent.

D. Yellow-tinged sputum can indicate infection but is not as critical as the potential for a serious gastrointestinal issue.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While the nurse is admitting a client with partial thickness burns to the upper extremities, chest, and abdomen, the client experiences difficulty swallowing. The client is drooling and anxious. Which intervention should the nurse implement first?

Correct Answer is C

Explanation

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is B

Explanation

Patient Data Exhibits The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and timing of her meals. Which 3 responses should the diabetic nurse educator provide?

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

Patient Data Exhibits The nurse suspects elder mistreatment. Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

The adult child of an older adult client who has Parkinson's disease, calls the clinic and reports that the client has been confused for the past week. What action(s) should the nurse take? Select all that apply.

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)