Patient Data

Exhibits

Review H and P, nurse's notes, flow sheet, and prescriptions.

Choose the most likely options missing from the statements by selecting from the list of options provided.

The nurse teaches the client about the fetus reactions to labor by
dropdown
. The nurse will assess the fetus reaction by
dropdown
.

Answer and Explanation

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

Describing heart rate patterns: Fetal heart rate patterns are essential indicators of the fetus's response to labor. By teaching the client about these patterns, the nurse can help the client understand what is normal and what may signal potential distress, helping to alleviate anxiety and provide education during labor.

Continuous fetal monitoring: Continuous fetal monitoring is a key tool for assessing the fetus's well-being during labor. It helps the nurse track the fetal heart rate and identify any abnormal patterns that could indicate fetal distress, such as late decelerations or significant variability.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Identifying support systems is the first step in addressing the client’s emotional distress and providing the appropriate resources, such as therapy or support groups, for recovery.

B. Exploring feelings of hope is important, but first, it’s essential to establish a support system that can provide the client with the care they need.

C. Inquiring about plans for further education may not be appropriate at this moment, as the client’s emotional needs should take priority.

D. Explaining the ELISA test would be irrelevant since the client has already been diagnosed as HIV positive.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"D"}

Explanation

Appendicitis is the most likely diagnosis, given the right lower quadrant (RLQ) pain, fever, nausea, vomiting, and CT findings of a dilated appendix with fat stranding. CT scan results confirming appendix dilation and fat stranding indicate inflammation, which is characteristic of appendicitis. WBC count is often elevated in appendicitis due to the inflammatory response and potential infection. Gastroenteritis is unlikely since there is no history of diarrhea or recent illness, and pneumonia is not relevant given the primary abdominal symptoms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse recognizes that the client has dropdownas evidenced by dropdownanddropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"D"}

Explanation

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

The nurse is performing tracheostomy care for a client when a code blue is called for another client on the unit who experiences a cardiopulmonary arrest. Which action should the nurse take?

The nurse is completing the admission assessment of a client with multiple sclerosis (MS). Which finding(s) should be reported to the healthcare provider immediately? Select all that apply.

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Patient Data Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions. Select the 3 findings that would require immediate action from the nurse while the laboring mother is receiving an epidural anesthesia.

A client who fell and broke a wrist is admitted for 24 hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.