Sandra, a 48-year-old with a past medical history of recurrent tonsillitis and poorly controlled diabetes mellitus type 2, presents to the ER. She has a temperature of 102°F, blood pressure of 150/90 mmHg, respiratory rate of 22/min, and SpO2 of 95%. Her labs show a WBC count of 18,000 and an arterial pH of 7.32. Which of the following should be included in her immediate management? Select all that apply

Administer nebulized albuterol.

Perform arterial blood gas analysis.

Prepare for immediate incision and drainage (I&D).

Initiate IV antibiotics targeting group A B-hemolytic Streptococcus

Order a chest X-ray.

Answer and Explanation

Correct Answer : B,C,D

A. Albuterol is used for bronchodilation and is not indicated for Sandra's presentation.

B.   She needs arterial blood gas analysis to monitor her acid-base status, as she has a low pH indicating acidosis.
C.   Sandra is a patient who has signs and symptoms of peritonsillar abscess, a complication of recurrent tonsillitis. She needs urgent treatment to prevent airway obstruction and sepsis.
D.   Given Sandra's history of tonsillitis and elevated WBC count, initiating antibiotics targeting streptococcal infection is crucial.
E.   While a chest X-ray may be indicated for respiratory symptoms, it's not the most immediate action needed for Sandra's management.

Nursing Test Bank

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Correct Answer is C

Explanation

A. The position of the testicles is not typically indicative of testicular cancer, and further testing is not warranted based solely on this finding.
B. The difference in testicular position is not likely related to a hernia, and Steve's history and symptoms do not suggest hernia.
C. Testicular asymmetry, where one testicle hangs lower than the other, is a common and normal variation in many men.
D. Testicular asymmetry alone is not an indication for a scrotal ultrasound, and Steve's presentation does not raise suspicion for underlying pathology.

A. Liam, 21: Common cold with no other underlying conditions B. Charlotte, 38: Chronic Sinusitis C. Olivia, 34: Rhinitis with excessive nasal drainage D. Noah, 45: Allergic Rhinitis from environmental exposure

Correct Answer is A ,B,C,D

No explanation

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Naxlex Comprehensive Predictor Exams

Steve, a 40-year-old man, comes to the clinic for a routine check-up. During the examination of his male genitalia, it is noted that his left testicle hangs significantly lower than the right. What should be the healthcare provider's Initial action?

Correct Answer is C

Explanation

Nurse Linda has to educate patients on various lifestyle and hygiene interventions. Match each patient's condition to the most relevant intervention.

Correct Answer is A ,B,C,D

Brian, 22, has a right-sided closed head injury and is unconscious. Which position would be best for him?

Robert, a 55-year-old man with a family history of colorectal cancer, reports no symptoms during his routine check-up. What should the healthcare provider recommend based on his family history?

47. Nurse Karen is reviewing medication orders for patients with different types of throat infections. Match each patient's condition to the appropriate pharmacological intervention.

Maria, 21, with a closed head injury is unconscious and on mechanical ventilation. Her ABG results show a CO2 level of 35 mm Hg. What should be the target CO2 level to optimize brain perfusion?

Linda, 50, has a history of rheumatoid arthritis and Raynaud's phenomenon. She presents with muscle pain, weakness, and a hellotrope rash. Her lab tests show elevated levels of aldolase and antinuclear antibodies (ANA). What medication would best help control Linda's inflammatory myositis symptoms?

Sophia, a 44-year-old woman with COPD, has an arterial blood gas showing a PaO2 of 60 mmHg and a Sa02 of 90%. What monitoring technique can be used to continuously assess her oxygenation status?

Sarah, a 45-year-old woman with a 10-year history of COPD, presents with a pH of 7.30, PaO2 of 50, and PaCO2 of 60. She is currently taking tiotropium bromide. Which Interventions are most appropriate? Select all that apply.

Marie, a 30-year-old nurse at a flu immunization clinic, encounters Paul, a 45-year-old patient with diabetes and hypertension, who also received immunoglobulin therapy two weeks prior. Which is the most appropriate action for Marie to take?