The healthcare provider gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her to increase iron-rich foods in her diet because her hemoglobin is 8.2 g/dL or (5.09 mmol/L).

When a list of iron-rich foods is given to the client, she tells the practical nurse (PN) that she is vegetarian and does not eat anything that "bleeds." Which instruction should the PN provide? (Select all that apply.)

Add lentils and black beans to soups

Eat red meat just until the anemia is resolved

Take two prenatal vitamins with iron daily

Oatmeal is a good choice for breakfast

Increase green leafy vegetables in the diet

Answer and Explanation

Correct Answer : A,D,E

Since the pregnant woman is vegetarian and does not eat meat, the practical nurse (PN) should provide alternative sources of iron-rich foods. Lentils and black beans are excellent vegetarian sources of iron and can be added to soups to increase iron intake (option a).

Oatmeal is a good choice for breakfast as it is often fortified with iron (option d). This can help supplement

iron intake in the diet.

Green leafy vegetables, such as spinach, kale, and broccoli, are also rich in iron and should be increased in the client's diet (option e).

Option b, which suggests eating red meat just until the anemia is resolved, is not appropriate for a vegetarian client.

Option c, taking two prenatal vitamins with iron daily, is not necessary unless specifically advised by the healthcare provider. It is important to follow the prescribed dosage of medication and supplements as directed by the healthcare provider.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Choice A rationale:

The neurology unit supervisor is not the most appropriate nurse to coordinate the progression of care for a client with a spinal cord injury (SCI). While they may have expertise in neurology, the nurse case manager is specifically trained to coordinate and manage the care of patients with complex conditions, including SCI. They can facilitate communication between various healthcare providers and ensure that the client receives comprehensive care throughout their stay.

Choice B rationale:

An adult nurse practitioner may have specialized knowledge in the care of adults, but they may not have the specific skills and training required to coordinate the care of a client with a spinal cord injury in the ICU. Nurse case managers are better equipped to manage complex cases and ensure the continuity of care for the client.

Choice D rationale:

A risk management nurse focuses on minimizing healthcare-related risks and ensuring the safety of patients and staff. While their role is essential, it is not the primary responsibility to coordinate the progression of care for a client with a spinal cord injury. The nurse case manager is better suited for this role as they specialize in care coordination.

A. Increased temperature. B. Peripheral pallor of the skin. C. Increased respiratory rate. D. Increased pulse rate. E. Restlessness. F. Clenched fists.

Correct Answer is ["B","D","E","F"]

Explanation

Choice A rationale:
Increased temperature alone is not a sufficient indication for pain medication in a post-pyloromyotomy infant. Fever can have various causes, and pain should be assessed based on other factors.
Choice B rationale:
Increased pulse rate can be an indication of pain in an infant following surgery like pyloromyotomy. It's important to assess the overall clinical picture and consider pain management if other signs are present.
Choice C rationale:
Increased respiratory rate alone is not a specific indicator of pain in a post-pyloromyotomy infant. Respiratory rate can vary for many reasons, so it should not be the sole criterion for pain management.
Choice D rationale:
Increased pulse rate is a potential sign of pain in a post-pyloromyotomy infant and should be considered when assessing the need for pain medication.
Choice E rationale:
Restlessness is often a sign of discomfort or pain in infants. Restlessness, along with other clinical indicators, can guide the decision to administer pain medication.
Choice F rationale:
Clenched fists can be a sign of discomfort or pain in infants, and it should be considered when assessing the need for pain management.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the intensive care unit (ICU) with a spinal cord injury (SCI) following a motor vehicle collision.Which nurse should be contacted to coordinate the progression of the client's care?

Correct Answer is C

Explanation

The nurse is assessing a 3-month-old infant who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? (Select all that apply.).

Correct Answer is ["B","D","E","F"]

Explanation

A nurse is administering protamine sulfate to a client who has received an overdose of heparin.What are some important nursing considerations for this medication? *.

A nurse is teaching a client who has a fungal infection about fluconazole.Which of the following statements by the client indicates an understanding of the teaching?

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

A nurse is reviewing the laboratory results of a client who is receiving intravenous unfractionated heparin.The nurse notes that the client’s activated partial thromboplastin time (aPTT) is 120 seconds.What are the appropriate nursing actions in this situation? Select all that apply.*.

A client who weighs 176 pounds receives a prescription for norepinephrine 2 mcg/min intravenously (IV). The IV bag is labeled, "Norepinephrine 4 mg in dextrose 5% in water (D; W) 1,000 mL." How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.).

A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tumor.Which potential complication should the nurse monitor closely?

A nurse is updating the plan of care for a client who has a pressure ulcer on the sacrum.Which of the following outcomes are appropriate for this client? (Select all that apply.)

While caring for a client with a full-thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values.