The nurse is assisting with the care of a client.
Complete the following sentence by using the lists of options. The nurse is assisting with the plan of care for the client. The nurse should first assist with
dropdown
and then
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

• Initiating IV: The client shows signs of hypovolemia—tachycardia, hypotension, dry mucous membranes, and elevated BUN/creatinine—all of which indicate fluid deficit from vomiting and third-spacing due to the small-bowel obstruction. Immediate IV access is needed to begin fluid resuscitation and stabilize perfusion before any further interventions.

• Administering antibiotics: There is no evidence of infection requiring immediate antibiotic therapy—WBC count is normal, and there are no signs of peritonitis. Fluid resuscitation takes priority before any medication administration in a hemodynamically unstable client.

• Preparing for surgery: Although surgery may be needed later, the immediate priority is to stabilize circulation and decompress the bowel. The client is hypotensive and tachycardic, making preparation for surgery unsafe until volume status is corrected.

• Preparing to place a nasogastric tube: An NG tube is essential in small-bowel obstruction to decompress the bowel, relieve distention, reduce vomiting, and prevent perforation. After IV access is established for stabilization, NG tube placement becomes the next priority to reduce gastrointestinal pressure and prevent further complications.

• Weighing the client: This is not an urgent intervention and does not affect immediate treatment for a small-bowel obstruction. Stabilizing fluids and gastric decompression take precedence over baseline weight data.

• Monitoring intake and output: While important for ongoing assessment of hydration and renal perfusion, it is not the first or second priority. The client must first receive IV resuscitation and bowel decompression to prevent worsening shock.

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Correct Answer is A

Explanation

A. Iron dextran: Iron dextran is irritating to subcutaneous tissue and can stain the skin, so the Z-track method is used to seal the medication deep in the muscle. This technique creates a zigzag path that prevents leakage back through the needle track. Using this method reduces pain and minimizes skin discoloration.

B. Vitamin B12: Vitamin B12 is typically given as a standard IM injection because it does not cause tissue staining or significant irritation. It is well tolerated without the need for special injection techniques.

C. Epoetin alfa: Epoetin alfa is administered subcutaneously or intravenously, not intramuscularly, so the Z-track method does not apply. Its purpose is to stimulate erythropoiesis, and the injection sites used do not require a sealing technique.

D. Folic acid: Folic acid is generally taken orally unless severe deficiency requires parenteral supplementation, which is usually given IV or deep subcutaneous. It does not irritate tissues or cause staining, so a Z-track technique offers no added benefit.

A. "If you are immunized against human papillomavirus, you don't need cervical cancer screenings." B. "Cervical cancer screenings should begin at age 40." C. "Plan to continue cervical cancer screenings for the rest of your life." D. "You should get a Papanicolaou (Pap) test and human papillomavirus test every 5 years."

Correct Answer is D

Explanation

A. While HPV vaccines target the most oncogenic strains, they do not provide 100% protection against all high-risk viral types that can lead to malignancy. Clinical guidelines mandate that vaccinated individuals continue routine screening because secondary prevention remains necessary to identify early dysplastic changes. Relying solely on primary prevention via immunization significantly increases the risk of undiagnosed cervical intraepithelial neoplasia.

B. Initiating cervical cancer screening at age 40 is a direct violation of evidence-based preventative health protocols. Current standards recommend that cytological screening begins at age 21 to detect precancerous lesions that are most common in early adulthood. Delaying the first screen until 40 would result in a failure to identify and treat high-grade squamous intraepithelial lesions during their most treatable stages.

C. Most clinical guidelines allow for the cessation of cervical cancer screening at age 65 for individuals who have had a series of consistently negative prior results. Continuing these invasive tests indefinitely in low-risk geriatric populations does not offer a statistically significant reduction in mortality. Screening beyond the recommended age limit can lead to unnecessary psychological distress and complications from follow-up diagnostic procedures.

D. For individuals aged 30 to 65, the preferred screening strategy is co-testing with both a Pap test and an HPV DNA test every 5 years. This combined molecular and cytological approach maximizes the detection of high-risk human papillomavirus and abnormal cellular morphology. Utilizing this 5-year interval provides a high level of diagnostic sensitivity while reducing the frequency of over-treatment for transient infections.

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The nurse is assisting with the care of a client. Complete the following sentence by using the lists of options. The nurse is assisting with the plan of care for the client. The nurse should first assist with dropdownand then dropdown

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a group of newly licensed nurses about medication administration. The nurse should include that which of the following medications is administered using the Z-track method?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a 30-year-old client who is concerned about cervical cancer. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image?

A nurse is reinforcing teaching with a client who is to begin taking lansoprazole. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a group of clients on a surgical unit. Which of the following images should the nurse identify as evisceration?

The nurse is collecting data on the client. Which of the following findings require follow-up?Select all that apply.

A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing which of the following actions should the nurse take next?

A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the following interventions should the nurse include in the plan?

A nurse is reinforcing teaching about testicular self-examination with a young adult client. Which of the following instructions should the nurse include?

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. Which of the following findings should the nurse identify as an indication that the client should receive diphenhydramine?

The nurse is assisting with the care of a client.
Complete the following sentence by using the lists of options. The nurse is assisting with the plan of care for the client. The nurse should first assist with
dropdown
and then
dropdown