Patient Data

Exhibits

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

According to the information gathered in the nurse's assessment, the nurse should prepare to give the client
dropdown
and
dropdown

Answer and Explanation

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

Oral carbohydrates: The client is not currently hypoglycemic; in fact, the blood glucose is elevated at 279 mg/dL. Oral carbohydrates are typically given to treat low blood glucose, not high glucose. Administering carbohydrates here would worsen hyperglycemia.

Insulin lispro: The client’s blood glucose is significantly elevated and requires correction. Insulin lispro is a rapid-acting insulin designed to lower high blood glucose quickly, making it the correct medication to administer while monitoring closely for improvement.

Insulin glargine: Although the client is prescribed insulin glargine once daily, she has already received her dose earlier this morning before surgery. Giving another dose now would risk insulin stacking and dangerous hypoglycemia later, so it is not safe to administer at this point.

A bolus of IV fluids: The client is showing signs of early dehydration — thirst and low urine output — likely due to hyperglycemia-induced osmotic diuresis. Administering a bolus of IV fluids will help restore circulating volume, prevent further dehydration, and support tissue perfusion.

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Correct Answer is A

Explanation

A. Ask the client to describe her dietary intake history for the last several days: Orlistat works by inhibiting fat absorption, and excessive intake of dietary fats can cause oily stools and gas. Assessing the client’s recent diet helps determine if her symptoms are due to high fat consumption, which can then be managed through dietary adjustments.

B. Instruct the client to increase her intake of saturated fats over the next week: Increasing fat intake would likely worsen her symptoms, as orlistat prevents fat absorption, leading to more pronounced gastrointestinal side effects if fat intake remains high.

C. Advise the client to stop taking the drug and contact her healthcare provider (HCP): Stopping orlistat is unnecessary at this stage. Oily stools are a common and expected side effect if dietary fat intake is not controlled, so addressing dietary habits is the first and more appropriate intervention.

D. Obtain a stool specimen to evaluate for occult blood and fat content: There is no indication that the client’s symptoms suggest gastrointestinal bleeding. The oily stools are an anticipated effect of fat malabsorption caused by orlistat, not a sign of occult blood loss.

A. Total bilirubin 4 mg/dL (68.4 μmol/L). B. Total calcium level 12 mEq/L (3 mmol/L). C. Sodium level 140 mEq/L (140 mmol/L). D. Serum glucose 170 mg/dL (9.4 mmol/L).

Correct Answer is B

Explanation

A. Total bilirubin 4 mg/dL (68.4 μmol/L): Elevated bilirubin suggests possible liver dysfunction or hemolysis but is not directly associated with vitamin D toxicity. Vitamin D overdose primarily leads to disturbances in calcium metabolism rather than bilirubin elevations.

B. Total calcium level 12 mEq/L (3 mmol/L): Hypercalcemia is a hallmark of vitamin D overdose because vitamin D increases calcium absorption from the gastrointestinal tract. A calcium level above the normal range signals potential toxicity that needs immediate attention.

C. Sodium level 140 mEq/L (140 mmol/L): A sodium level of 140 mEq/L falls squarely within the normal reference range. This value does not suggest any connection to vitamin D toxicity or indicate any immediate concern regarding electrolyte imbalance.

D. Serum glucose 170 mg/dL (9.4 mmol/L): Elevated blood glucose may point to uncontrolled diabetes or stress response but is not linked to excessive vitamin D intake. Vitamin D toxicity primarily affects calcium regulation, not glucose metabolism.

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Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. According to the information gathered in the nurse's assessment, the nurse should prepare to give the client dropdown and dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

An adolescent receives a new prescription for isotretinoin for cystic acne. Which information is most important for the nurse to provide?

Patient Data Exhibits The nurse is preparing the client's plan of care (POC). Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

A client recently diagnosed with Parkinson's disease receives a new prescription for carbidopa-levodopa. To reduce the client's risk for injury, which instruction should the nurse provide?

Patient Data Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.

When administering zolpidem to an older adult client, which computer documentation indicates that the desired outcome has been achieved?

After receiving five doses of filgrastim, the nurse notes that the client's white blood cell count has increased from 2,500/mm3 (2.5 x 10 /L) to 5,000/mm3 (5 x 105/L). Which action should the nurse implement?Reference Range:White Blood Cell (WBC) [5,000 to 10,000/mm3 (5 to 10 x 109/L)]

Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement?Reference Range:Calcium [8.5 to 10.5 mg/dL (2.25 to 2.75 mmol/L]

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Patient Data

Exhibits

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

According to the information gathered in the nurse's assessment, the nurse should prepare to give the client
dropdown
and
dropdown