Patient Data
The nurse reviews the findings in the history and physical.
Drag from Word Choices to complete the sentence.
The nurse recognizes that
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"C"}
Pressure injuries: These can indicate neglect or inadequate care, as they often develop from prolonged periods of immobility or poor hygiene.
Poor hygiene: A foul odor and unclean environment, along with a lack of clothing, can be signs of neglect or mistreatment.
Malnutrition: The client's low weight (98 lb or 44.5 kg) and a lack of appropriate nutrition could indicate inadequate care and potential mistreatment, contributing to overall poor health and well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["A","D","E"]
Explanation
A. Giving the client 4 ounces of orange juice can quickly raise blood glucose levels if hypoglycemia is suspected.
B. Administering insulin is inappropriate without knowing the current blood glucose level, especially if hypoglycemia is suspected.
C. Diet carbonated soda does not contain sugar and will not help raise blood glucose levels.
D. Checking the client's fingerstick blood glucose is essential to determine if hypoglycemia is causing the symptoms.
E. Obtaining blood pressure and pulse rate is important to assess the client's overall condition and identify any additional complications.
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