Patient Data History and Physical

The nurse calls the provider to notify them that the digoxin level is above therapeutic range. Place the nurse statements in Situation, Background, Assessment, Recommendation (SBAR) format.

The client is a 61-year-old female with heart failure. She started digoxin 3 days ago

I am holding the digoxin because the client's digoxin level is too high

Do you want to recheck the digoxin level again tomorrow morning to see if we can restart it?

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B,C"},"C":{"answers":"D"}}

The medical history of the client provides a background of the current issue of concern The nurse describes the current situation that has prompted her to contact the healthcare provider

A recommendation provides a proposal of plan of care to allow the healthcare provider to either agree, disagree or add more insight

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

B. In three-point gait crutch walking, the client should progress to foot touchdown and weight bearing of the affected leg. This means that the client is able to advance the crutches forward, followed by the affected leg, and then the unaffected leg. The weight should be borne primarily by the hands and arms on the crutches while the affected leg supports some weight as tolerated.

A. Bearing body weight on the palms of hands during the crutch gait describes the correct distribution of weight on the crutches, which is important for proper technique, but it does not specifically address the coordination of crutch and leg movements in three-point gait.

C. Practices bicep and triceps isometric exercises is not directly related to proper crutch walking technique but may be beneficial for strengthening the upper extremities, which are involved in using crutches.

D. Inspects crutches to ensure rubber tips are intact is important for safety but does not specifically indicate understanding of proper crutch walking technique.

A. Take an afternoon nap to make up for missed sleep. B. Avoid drinking caffeinated beverages late in the day. C. Establish a regular time for going to bed and getting up. D. Ask the healthcare provider for a mild sedative for bedtime. E. Drink a mixture of warm water, whiskey, and honey at bedtime.

Correct Answer is ["B","C"]

Explanation

B. Caffeine can interfere with sleep, especially if consumed close to bedtime. Opt for decaffeinated options in the evening. Avoiding caffeinated beverages late in the day can help promote better sleep by reducing the stimulant effects of caffeine, which can interfere with falling asleep or staying asleep.

C. Establish a regular time for going to bed and getting up. Consistency helps regulate your

body’s internal clock. Try to maintain the same sleep schedule even on weekends.

A. Taking an afternoon nap to make up for missed sleep is not recommended, as napping during the day can disrupt nighttime sleep patterns and make it harder to fall asleep or stay asleep at night, especially for older adults.

D. Asking the healthcare provider for a mild sedative for bedtime may not be the first-line recommendation, as sedatives can have side effects and potential risks, especially for older adults. Non-pharmacological interventions are typically preferred for improving sleep quality.

E. Alcohol consumption before bedtime can disrupt sleep patterns and interfere with restorative sleep, particularly when combined with other substances like caffeine or sugar.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Patient Data History and Physical The nurse calls the provider to notify them that the digoxin level is above therapeutic range. Place the nurse statements in Situation, Background, Assessment, Recommendation (SBAR) format.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren. Which behavior indicates that the client understands proper crutch walking?

Correct Answer is B

Explanation

An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. Which action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.

Correct Answer is ["B","C"]

Explanation

When identifying the goals to be included in a client's plan of care, the nurse should take which action?

The nurse is using guided imagery with a client who is experiencing chronic pain. The nurse should direct the client's attention on which focus?

Following surgery, a client expresses concern to the nurse about being able to use the bedpan. After noting that the client's prescribed postoperative activity includes getting up to a chair three times a day, how should the nurse intervene?

A client is in contact isolation due to a stage IV coccyx wound infected with methicillin resistant Staphylococcus aureus (MRSA). The nurse plans interventions to prevent multiple re-entries to the client's room. In which order should the nurse perform the interventions?

The nurse assesses an older adult woman's ability to perform activities of daily living (ADLs). When observing the client ambulate, the nurse notes that her posture is upright, and her gait is smooth and steady. Which action should the nurse take next?

A female client with metastatic breast cancer is admitted with shortness of breath and pleural effusions. The client has a living will and the family is requesting hospice information. Which information should the nurse provide regarding hospice? Select all that apply.

The nurse observes that a client is using accessory muscles. Which vital sign should the nurse obtain first?

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

Patient Data History and Physical

The nurse calls the provider to notify them that the digoxin level is above therapeutic range. Place the nurse statements in Situation, Background, Assessment, Recommendation (SBAR) format.