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The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?

Enzymatic medication

Oxygen therapy

Anti-coagulation therapy

Physical therapy

"Safe gradual weight loss will decrease stress on your joints."

Answer and Explanation

The Correct Answer is B

A. Enzymatic medications are not relevant to this condition.

B. Oxygen therapy is critical as these symptoms suggest fat embolism syndrome, which impairs oxygenation.

C. Anticoagulation therapy is not appropriate for fat embolism syndrome, which differs from thromboembolism.

D. Physical therapy is not an immediate intervention for this acute condition.

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Correct Answer is A

Explanation

A. Isoniazid, a medication used to treat tuberculosis, can trigger or worsen systemic lupus erythematosus (SLE) symptoms in some individuals. This is a known side effect, and the nurse should question its use in a client with a history of lupus.

B. Furosemide is a diuretic that can cause electrolyte imbalances but is not typically associated with triggering lupus symptoms.

C. Warfarin is an anticoagulant, and while it interacts with many drugs, it is not specifically associated with exacerbating lupus symptoms.

D. Levofloxacin is an antibiotic and is generally safe for individuals with lupus unless there are specific contraindications, but it is not known to trigger lupus flare-ups.

A. Neutropenic B. Airborne C. Contact D. Droplet

Correct Answer is C

Explanation

A. Neutropenic precautions are for immunocompromised clients to prevent infections.

B. Airborne precautions are for pathogens spread through the air.

C. Contact precautions prevent the spread of infections through direct or indirect contact.

D. Droplet precautions are for pathogens spread through large droplets.

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The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

Correct Answer is A

Explanation

The nurse is caring for a client newly diagnosed with Clostridium difficile. This client should be placed on which type of precautions?

Correct Answer is C

Explanation

A patient with fluid volume deficit must receive a 250 mL IV bolus of NS over 25 minutes via a peripherally inserted central line (PICC) on an IV pump. At what rate will the nurse program the pump? Round to the nearest whole number. Do not use trailing zeros.

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The nurse evaluates the client's recall of the instructions about gout. Which response would indicate that the client understands the therapeutic regimen? "I:

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