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The nurse is preparing to physically exam a client. What action by the nurse is most to take prior to beginning the client examination?

Wash hands prior to examination in the examination room.

Approach the client from the left side of the examination table.

Recap used needles and place them in the sharps container.

Remove gloves only after the examination is over.

Answer and Explanation

The Correct Answer is A

A. Hand hygiene is the most important action to prevent the spread of infection before any physical examination.

B. Approaching from the left side is unnecessary unless required by specific patient needs.

C. Needles should never be recapped as this increases the risk of needlestick injuries.

D. Gloves should be worn when appropriate but should not be the first action before an examination. Hand hygiene is essential before touching the client or any instruments.

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Free Nursing Study Resources

Correct Answer is ["675"]

Explanation

To calculate the dosage of vancomycin, first convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client weighs 198 pounds, which is approximately 90 kilograms (198 ÷ 2.2). The prescribed dose is 15 mg/kg/day, so for a 90 kg individual, this would be 1350 mg/day (90 kg × 15 mg/kg). Since the dosage is divided equally every 12 hours, the nurse would administer half of the daily dosage per dose, resulting in 675 mg every 12 hours (1350 mg/day ÷ 2). Therefore, the nurse should administer 675 mg with each dose.

A. Increased calcium storage in the bones B. Increased joint stiffness C. Increased muscle mass D. Increased balance

Correct Answer is B

Explanation

A. Calcium storage in bones decreases with age, contributing to conditions like osteoporosis.

B. Joint stiffness is a common age-related change due to decreased flexibility and wear on the joints.

C. Muscle mass typically decreases with age, known as sarcopenia.

D. Balance tends to decrease with age due to changes in muscle strength, coordination, and sensory function.

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The nurse is preparing to physically exam a client. What action by the nurse is most to take prior to beginning the client examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

A nurse is assessing an older adult client who is experiencing age-related changes. Which findings should the nurse expect?

Correct Answer is B

Explanation

The nurse is collecting a medical history on a 34-year old client. The client reports: "I take oral antibiotics whenever she gets a sore throat, because she cannot afford to lose any time at work". What is the nurse's best response?

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A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

The nurse is admitting a client to the medical-surgical unit and notes the skin breakdown shown in the diagram. How should the nurse document the finding?