The nurse receives a telephone prescription from the healthcare provider for a client's persistent cough and wheezing. The prescription includes a chest x-ray, an antibiotic, and a nebulizer treatment now and as needed (PRN). After reading the prescription back to the healthcare provider to ensure accuracy, which intervention should the nurse implement first?

Apply portable oxygen for transport to radiology.

Administer a nebulizer breathing treatment.

Evaluate breathing pattern.

Start the prescribed antibiotic.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Applying portable oxygen for transport to radiology is not the first priority. The immediate concern is assessing and addressing the client's respiratory distress before initiating specific interventions.

Choice B rationale: The nebulizer treatment should be administered FIRST to alleviate the clients obstructed airway (respiratory distress)

Choice C rationale: Evaluating the breathing pattern is important but should be done immediately after implementing physician orders

Choice D rationale: Starting the prescribed antibiotic is not the first priority. Respiratory assessment takes precedence to address the client's immediate distress.

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Correct Answer is D

Explanation

Choice A rationale: Directing the UAP to delay weighing the client might not address the underlying issue. Understanding the client's refusal is essential for appropriate interventions.

Choice B rationale: Documenting that the client refused daily weights is important for documentation purposes, but it doesn't address the issue or provide information on the client's fluid status.

Choice C rationale: Instructing the UAP to weigh the client using a bed scale is a good option, but understanding the client's concerns or reasons for refusal is important for effective communication and addressing potential issues.

Choice D rationale: Asking the client why he does not want to be weighed is essential for understanding and addressing the client's concerns. It allows the nurse to provide education, reassurance, or alternative solutions to ensure the client's cooperation with the prescribed care plan.

A. is the cost of equipment reasonable? B. Can the equipment be updated each year? C. Will the equipment require annual repair? D. How many departments can use this equipment?

Correct Answer is A

Explanation

Choice A rationale: Assessing whether the cost of the equipment is reasonable is crucial in determining the financial feasibility and cost-effectiveness of the purchase. Choice B rationale: While the ability to update the equipment is important, the initial cost and overall benefits should be considered first.

Choice C rationale: Considering whether the equipment will require annual repair is important but is a secondary consideration after evaluating the initial cost. Choice D rationale: The number of departments that can use the equipment is relevant, but the primary focus should be on the cost-benefit analysis to justify the expense.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The unlicensed assistive personnel (UAP) reports to the nurse that a male client with fluid volume overload will not allow the UAP to obtain his daily weight. Which action should the nurse implement?

Correct Answer is D

Explanation

A group of nurse managers is asked to engage in a needs assessment for a piece of equipment that will be expensed to the organizations budget. Which question is most important to consider when analyzing the cost-benefit for this piece of equipment?

Correct Answer is A

Explanation

The nurse determines that an intravenous (IV) vesicant chemotherapy infusion is infiltrated. In responding to this finding, which task can the nurse delegate to the unlicensed assistive personnel (UAP)?

A fire is reported in the kitchen on the first floor of a three-floor community hospital, and the operator notifies the charge nurse on the third floor to start evacuation procedures. Which intervention should the charge nurse implement?

During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take?

A client with influenza is admitted to the medical unit. The nurse observes an unlicensed assistive personnel (UAP) preparing to enter the client's room to take vital signs and assist with personal care. The UAP has applied gloves and a gown. Which action should the nurse take?

Aspirin 81 mg at 0900 daily is prescribed for an adult client. At 0800 the client asks for something for low back pain, but does not have any PRN analgesics prescribed. Which action is best for the nurse to take?

Breakfast trays have arrived on the unit, but the daily serum glucose level is not available on the chart of a client with type 1 diabetes mellitus. Which action should the nurse take?

While walking down the hallway, the nurse finds a female client yelling, swinging her hands, and pushing a male visitor away from her hospital bed. Which intervention should the nurse implement first?