Patient Data
What order(s) would the nurse question? (Select all that apply.)
Send blood for a complete blood count, electrolytes
Enalapril 10 mg every morning
C Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater than 100.5°F (38° C)
Admit to the medical floor
Supplemental oxygen 10 L/min via nasal cannula
Vital signs every 4 hours
Continuous pulse oximetry
Chest x-ray
Correct Answer : C,E,H
A. Send blood for a complete blood count, electrolytes: This is appropriate for assessing the client's overall health status and electrolyte balance, which may be affected by pneumonia and enalapril therapy.
B. Enalapril 10 mg every morning: This is the client's maintenance dose of enalapril for managing hypertension, and it should be continued unless there are specific contraindications or concerns about renal function.
C. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase blood pressure and interfere with the antihypertensive effects of enalapril. Additionally, NSAIDs can potentially worsen renal function, which may already be compromised in a client with pneumonia.
D. Admit to the medical floor: This is appropriate for a client with pneumonia who may require close monitoring and management of respiratory status and other complications.
E. Supplemental oxygen 10 L/min via nasal cannula: High-flow oxygen can decrease respiratory drive and potentially worsen ventilation-perfusion (V/Q) matching, especially in clients with pneumonia.
F. Vital signs every 4 hours: Regular monitoring of vital signs is essential for assessing the client's response to treatment and identifying any signs of deterioration.
G. Continuous pulse oximetry: Continuous pulse oximetry provides real-time monitoring of oxygen saturation and helps assess the effectiveness of oxygen therapy and the client's respiratory status.
H. While a chest x-ray is often indicated for diagnosing pneumonia, ordering it "now" may not be necessary unless the client's condition is unstable or if there are specific concerns regarding the severity of the pneumonia
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription is appropriate because it acknowledges the client's interest in taking oseltamivir to treat their influenza symptoms.
B. Advising the client that once symptoms occur it is too late to receive an influenza vaccination is not relevant to the client's question about taking oseltamivir to treat their existing influenza symptoms. It addresses the timing of influenza vaccination, which is typically recommended before the onset of flu season or at the beginning of flu season, rather than during an active infection.
C. Instructing the client that over-the-counter medications are sufficient to manage influenza symptoms is not accurate because while over-the-counter medications can help relieve some influenza symptoms such as fever, cough, and congestion, they do not directly treat the underlying viral infection.
D. Explaining to the client that antibiotics are not useful in treating viral infections such as influenza is true but does not address the client's specific question about taking oseltamivir to treat their influenza symptoms.
Correct Answer is D
Explanation
D. Sputum culture is the gold standard diagnostic test for confirming the diagnosis of tuberculosis. It involves culturing the bacteria from sputum samples to identify the presence of Mycobacterium tuberculosis, the causative organism of TB.
A. The Hemoccult test is used to detect occult (hidden) blood in stool samples, not sputum.
B. Chest x-ray or CT imaging is commonly used in the diagnosis of tuberculosis. However, imaging findings alone are not sufficient to confirm the diagnosis of TB.
C. The PPD skin test is a screening test for tuberculosis infection. A positive PPD test indicates exposure to TB bacteria but does not distinguish between latent TB infection and active TB disease.
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