The nurse receives an order for a medication that will assist the client at bedtime. The abbreviation for the best time to administer this medication is:

HOB

HOH

Answer and Explanation

The Correct Answer is B

A. HOB (Head of Bed): This abbreviation refers to the position of the client's bed and does not indicate a specific time for medication administration. It stands for "Head of Bed" and is often used in nursing documentation to describe the elevation of the head of the bed relative to the client's body.

B. hs: This is the correct abbreviation. "hs" stands for "hora somni" in Latin, which translates to "at bedtime." It indicates that the medication should be administered to the client before they go to sleep for the night. This abbreviation is commonly used in medication orders and nursing documentation to specify the timing of medications given at bedtime.

C. hr: This abbreviation stands for "hour," indicating a specific time frame rather than a particular time of day. It does not specify bedtime as the intended time for medication administration.

D. HOH (Hard of Hearing): This abbreviation refers to the client's auditory status and does not indicate a specific time for medication administration. It stands for "Hard of Hearing" and is used to describe clients who have difficulty hearing.

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Correct Answer is B

Explanation

A. Temperature: While temperature assessment is important in evaluating a client's condition, it primarily indicates the presence of fever, which the client already reports. However, it does not provide direct information about the client's fluid status.

B. BP and pulse in lying, then sitting and standing positions: Assessing blood pressure (BP) and pulse in different positions (lying, sitting, and standing) helps evaluate orthostatic changes, which can indicate volume depletion or dehydration. A drop in BP and an increase in pulse rate upon standing suggest volume depletion and orthostatic hypotension, which are indicators of fluid loss.

C. Pulse oximetry reading on room air: Pulse oximetry measures the oxygen saturation of arterial blood and is primarily used to assess respiratory status and oxygenation. While it provides valuable information about oxygen levels, it does not directly assess fluid status.

D. Respiratory rate and depth: Respiratory rate and depth can be affected by various factors, including pain, fever, and respiratory conditions. While changes in respiratory rate and depth can indicate distress or respiratory compromise, they are not specific indicators of fluid status and may not directly reflect hydration status.

A. hyperactive B. active C. hypoactive D. absent

Correct Answer is C

Explanation

In a postoperative client one day after abdominal surgery, hearing only 3 bowel sounds in one minute indicates hypoactive bowel sounds. Normal bowel sounds are typically described as "active" and occur at a rate of 5 to 30 per minute. Hypoactive bowel sounds are decreased in frequency, often occurring less than 5 per minute, and may indicate decreased gastrointestinal motility, which is common after abdominal surgery due to factors such as anesthesia, pain medication, and bowel manipulation during surgery.

A. Hyperactive: Hyperactive bowel sounds, also known as "borborygmi," are increased in frequency and intensity. They are often loud, gurgling sounds and may indicate increased gastrointestinal motility or the presence of diarrhea. This description does not fit the scenario described.

B. Active: While "active" bowel sounds are within the normal range, hearing only 3 bowel sounds in one minute suggests decreased frequency, indicating hypoactivity rather than normal activity.

C. Hypoactive: Hypoactive bowel sounds are decreased in frequency, occurring less than 5 per minute. This finding is commonly observed in postoperative clients due to factors such as anesthesia and opioid pain medication.

D. Absent: Absent bowel sounds are concerning and may indicate ileus or bowel obstruction. In this scenario, hearing 3 bowel sounds indicates some bowel motility, ruling out the classification of absent bowel sounds.

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The nurse receives an order for a medication that will assist the client at bedtime. The abbreviation for the best time to administer this medication is:

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

Correct Answer is B

Explanation

The nurse is caring for a client who is one day post op after having abdominal surgery. While auscultating bowel sounds for a full one minute, the nurse hears 3 bowel sounds. The nurse would chart this as bowel sounds.

Correct Answer is C

Explanation

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