The nurse reviews the client's laboratory results.

Exhibits

SELECT words from the choices below to fill in each blank in the following sentence.

The nurse should anticipate a provider's prescription for

and
___
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Rationale for correct choices

• oxytocin: The client is term, contracting regularly, and already 3 cm dilated, indicating early active labor progression. Oxytocin may be anticipated to augment labor when contractions are present but not yet efficient. The presence of infection risk (fever, malodorous discharge) also increases the need to progress labor toward delivery.

• nalbuphine: The client reports pain that increases to 8 during contractions, indicating a need for pharmacologic analgesia. Nalbuphine is an opioid analgesic used in labor for moderate to severe pain and is appropriate for intrapartum pain management. It can be anticipated when the client requests stronger pain relief before progression to active labor.

Rationale for incorrect choices

• magnesium sulphate: This medication is used for seizure prophylaxis in preeclampsia or for neuroprotection in preterm labor. The client’s blood pressure is within normal range, and gestation is 38 weeks, so there is no indication for magnesium sulfate.

• misoprostol: Cervical ripening is not required because the cervix is already 3 cm dilated with active contractions. Misoprostol would not be indicated when labor is already progressing, especially in the presence of suspected infection, where accelerating delivery is preferred.

• hydralazine: Hydralazine is an antihypertensive used for severe hypertension in pregnancy. The client’s blood pressure is 128/82 mm Hg, which does not indicate hypertensive management.

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Correct Answer is B

Explanation

A. A room with a laminar airflow filtration system: Laminar airflow rooms are designed for clients who are immunocompromised to reduce exposure to airborne pathogens. Clients with hyperthyroidism do not require this level of infection control, so this room type is unnecessary.

B. A room with a cool temperature: Hyperthyroidism increases the client’s metabolic rate, which can lead to heat intolerance and excessive sweating. Assigning a room with a cooler temperature helps maintain comfort and prevent overheating, making it the most appropriate choice for this client.

C. A room that has a private bathroom: While a private bathroom may be convenient for some clients, it is not specifically necessary for hyperthyroidism. The client’s primary needs relate to temperature control and symptom management rather than isolation or frequent toileting.

D. A room near the nurses’ station: Proximity to the nurses’ station is helpful for clients requiring close monitoring, but a client with stable hyperthyroidism does not typically need continuous observation. Room placement near the station is not the priority compared to maintaining a comfortable ambient temperature.

A. A 3-year-old child who has cystic fibrosis B. A 12-year-old child who has diabetes mellitus C. A 6-year-old child who is recovering from mononucleosis D. An 8-year-old child who has a fractured tibia following a soccer game

Correct Answer is A

Explanation

A. A 3-year-old child who has cystic fibrosis: Young children with chronic illnesses are at higher risk for maltreatment due to their dependency on caregivers for complex medical care, frequent hospitalizations, and ongoing supervision. The combination of young age and chronic medical needs increases vulnerability.

B. A 12-year-old child who has diabetes mellitus: While chronic illness can be a risk factor, older children are generally less vulnerable to maltreatment because they have greater independence and ability to communicate needs. Diabetes management in a 12-year-old may be shared with the child, reducing dependence on caregivers.

C. A 6-year-old child who is recovering from mononucleosis: Mononucleosis is typically a self-limiting illness, and recovery usually occurs at home without complex care. This child’s risk for maltreatment is lower compared to a younger child with a chronic condition requiring intensive management.

D. An 8-year-old child who has a fractured tibia following a soccer game: An accidental injury in a school-age child is not inherently associated with maltreatment. This child’s age and the nature of the injury (traumatic but accidental) place them at lower risk for abuse compared with a younger child with chronic health needs.

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The nurse reviews the client's laboratory results. Exhibits SELECT words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for ____________ and _______________.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to admit a client who has hyperthyroidism. To which of the following rooms should the nurse assign this client?

Correct Answer is B

Explanation

A nurse is caring for multiple clients at a pediatric clinic. Which of the following clients should the nurse identify as being at the highest risk of child maltreatment?

Correct Answer is A

Explanation

A nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching?

A nurse is caring for a dent in a cardiology clinic. Complete the following sentence by using the lists of options. Based on the client data, the nurse should identify the client is experiencing _____________ as evidenced by ______________.

A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering the first dose, which of the following laboratory values should the nurse evaluate?

A nurse is planning care for a client who has a deep vein thrombosis in the right leg. Which is the following actions should the nurse include in the plan?

A nurse is preparing to administer ondansetron 0.15 mg/kg IV bolus every 4 hr. The client weighs 41 kg (92 lb). How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse from the State Health Department is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention?

A nurse is caring for a client who has meningitis. Which of the following assessments should the nurse perform?

An occupational health nurse at a group of health care clinics is planning activities to prevent and control the spread of communicable disease. The nurse should identify that which of the following activities is a secondary level of prevention?

The nurse reviews the client's laboratory results.

Exhibits

SELECT words from the choices below to fill in each blank in the following sentence.

The nurse should anticipate a provider's prescription for

and
___
.