The nurse is caring for four different clients. Which of these clients should the nurse assess first?
The client who has a history of rheumatoid arthritis complaining of 5/10 pain in the joints of his hands.
The client who requires a chlorhexidine scrub prior to a double mastectomy this morning.
The client who can have nothing by mouth for a scheduled surgery this morning and received an ordered dose of insulin glargine the night before.
The client who is receiving digoxin with a blood pressure of 100/75 mmHg.
The Correct Answer is D
a) Pain in a client with a history of rheumatoid arthritis is important but may not require immediate attention compared to potential complications of medication administration.
b) Preparing a client for a chlorhexidine scrub is important, but it is not an immediate priority compared to potential complications related to medication and vital signs.
c) A client who cannot have anything by mouth before surgery and received insulin glargine the night before needs monitoring, but it may not require immediate assessment compared to the potential complications of the client receiving digoxin with a blood pressure of 100/75 mmHg.
d) The client receiving digoxin with a blood pressure of 100/75 mmHg is at risk for toxicity, as low blood pressure may increase the concentration of digoxin. This client should be assessed first to prevent potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Stopping all antibiotics and implementing strict use of alcohol-based hand sanitizer is not the appropriate response to the observed symptoms. The focus should be on addressing the potential infection.
b) The symptoms suggest the possibility of Clostridium difficile infection, and discontinuing the cephalosporin is crucial. Vancomycin or metronidazole is commonly used to treat C. difficile infection.
c) Requesting an additional antibiotic to override the effects of the cephalosporin is not the appropriate course of action. The focus should be on discontinuing the causative antibiotic.
d) Increasing the dose of cephalosporin is contraindicated in the presence of suspected C. difficile infection. Isolation measures may be implemented, but the priority is discontinuing the causative antibiotic and initiating appropriate treatment for the infection.
Correct Answer is ["97.0"]
Explanation
- To answer the question, we need to convert pounds (lb) to kilograms (kg) using the formula: 1 lb = 0.453592 kg
- Multiply the client's weight in lb by 0.453592 to get the weight in kg: 214 lb x 0.453592 kg/lb = 97.049648 kg
- Round the answer to the nearest tenth, or one decimal place: 97.049648 kg ≈ 97.0 kg - The final answer is: The client's weight in kg is 97.0 kg
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.