The nurse is caring for clients on a medical floor. Which client should be assessed first?

The hemodialysis client who is experiencing anuria

The client diagnosed with cirrhosis who is complaining of itching

The client diagnosed with peripheral arterial disease who is complaining of pain when walking

The client diagnosed with lupus who is complaining of chest pain

Answer and Explanation

The Correct Answer is D

Choice A reason: Anuria in hemodialysis is expected due to renal failure; it’s not acute unless accompanied by distress, less urgent than chest pain’s potential severity.

Choice B reason: Itching in cirrhosis from bile salts is uncomfortable but not life-threatening, ranking below chest pain, which could indicate critical cardiac or pulmonary issues.

Choice C reason: Pain when walking in PAD (claudication) is chronic and stable, not an immediate threat compared to chest pain, which requires urgent evaluation.

Choice D reason: Chest pain in lupus may signal pericarditis or pleuritis, potentially life-threatening complications, prioritizing assessment for rapid intervention over stable conditions.

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Correct Answer is A

Explanation

Choice A reason: NSTEMI causes chest pain at rest due to reduced blood flow from partial occlusion, unlike stable angina, reflecting demand-supply mismatch without full blockage.

Choice B reason: Complete occlusion causes ST-elevation MI (STEMI), not NSTEMI, which involves partial blockage, leading to subendocardial ischemia without full transmural infarction.

Choice C reason: Chest pain on exertion resolving with rest describes stable angina, not NSTEMI, which occurs unpredictably, often at rest, due to unstable plaque rupture.

Choice D reason: NSTEMI results from partial coronary occlusion, causing ischemia without ST elevation, detectable by troponin rise, distinguishing it from STEMI’s complete blockage.

A. Radioactive iodine B. Sumatriptan C. Levothyroxine D. Levofloxacin

Correct Answer is C

Explanation

Choice A reason: Radioactive iodine treats hyperthyroidism by destroying thyroid tissue, reducing hormone production. It’s contraindicated in hypothyroidism, where hormone replacement is needed instead.

Choice B reason: Sumatriptan, a serotonin agonist, treats migraines by constricting blood vessels. It has no role in hypothyroidism, which requires thyroid hormone supplementation.

Choice C reason: Levothyroxine replaces deficient thyroid hormone in hypothyroidism, normalizing metabolism by mimicking T4, addressing symptoms like fatigue and weight gain effectively.

Choice D reason: Levofloxacin, an antibiotic, fights bacterial infections but doesn’t address hypothyroidism’s hormonal deficiency, making it irrelevant to this condition’s treatment.

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The nurse is caring for clients on a medical floor. Which client should be assessed first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following describe a non-ST segment elevation myocardial infarction (NSTEMI)?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Correct Answer is C

Explanation

Which statement by the family is consistent with mild Alzheimer’s disease?

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?

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The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?

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