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.

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Correct Answer is C

Explanation

A. Tonsillitis typically presents with sore throat, difficulty swallowing, and inflamed tonsils, but it does not involve ear pain or tympanic membrane abnormalities.
B. Laryngitis presents with hoarseness or loss of voice due to inflammation of the larynx, not ear pain or tympanic membrane abnormalities.

C. Acute otitis media commonly presents with ear pain, dull tympanic membrane, and may be preceded by an upper respiratory tract infection. Tender, enlarged postauricular lymph nodes can also be present.
D. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but not with ear pain or tympanic membrane abnormalities.

A. Every 10 years B. Every 2 years C. Every year D. Every 5 years

Correct Answer is A

Explanation

A. Tetanus boosters are typically recommended every 10 years for adults to maintain immunity against tetanus.
B. Tetanus boosters are not required every 2 years; this frequency is excessive and unnecessary.
C. Tetanus boosters are not required annually; this frequency is excessive and unnecessary.
D. Tetanus boosters are typically recommended every 10 years, not every 5 years.
57. Susan, 55, presents with a right Intracerebral hemorrhage. Lab results show an

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Dr. Lewis is offering an educational session on the frequency of tetanus boosters for middle-aged employees in an industrial setting. How often should Nurse Rachel recommend that her middle-aged patients receive a tetanus booster?

Correct Answer is A

Explanation

Jack, a 60-year-old man with a history of smoking and alcohol consumption, has been diagnosed with squamous cell carcinoma of the larynx. He is scheduled for a partial laryngectomy. What are the preoperative nursing interventions? Select all that apply.

Samantha, a nurse in the post-operative ward, is going over recent lab results of a patient, Jane, who underwent abdominal surgery two days ago. Samantha notes an elevated C- reactive protein level. What clinical concern should Samantha prioritize based on this finding?

Nurse Lisa is reading the history of incoming patients. Match the causes or events leading to their injuries with the most likely thoracic conditions.

Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC. Which piece of equipment would most benefit Alice at this stage?

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.

Nurse Mary needs to decide on nursing management for patients with different conditions. Match each patient's condition to the best nursing management strategy