Timothy, 10, frequently falls and has a waddling gait. His creatine kinase is 4,000 U/L (normal is 22-198 U/L). Echocardiogram reveals early signs of cardiomyopathy. What is the most urgent nursing priority?

Start a cardiac rehabilitation program.

Scoliosis screening

Administer pain management protocols

Respiratory assessment

Answer and Explanation

The Correct Answer is D

A.   While cardiac rehabilitation may be necessary for Timothy in the future due to his cardiomyopathy, his current symptoms and elevated creatine kinase levels warrant immediate attention to other potential complications.

B.   While scoliosis screening may be necessary given Timothy's symptoms, it is not the most urgent priority.
C.   Pain management may be necessary for Timothy, but his respiratory status should be assessed first to ensure adequate oxygenation.
D.   Given Timothy's symptoms and potential complications such as respiratory muscle weakness associated with his elevated creatine kinase levels, a respiratory assessment is the most urgent priority to ensure proper oxygenation and ventilation

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Correct Answer is C

Explanation

A. Wearing sunglasses is not relevant to the side effects or precautions associated with ciprofloxacin.
B. Ciprofloxacin does not cause artificial tanning.

C. Ciprofloxacin can increase sensitivity to sunlight, leading to sunburn. Using sunscreen with a high SPF can help prevent sunburn while taking this medication.
D. Sun exposure does not typically affect the effectiveness of ciprofloxacin, but it can increase the risk of sunburn due to photosensitivity.

A. Diffusion of gases will be enhanced B. Pulmonary blood supply is compromised C. Ventilation is likely efficient D. Work of breathing will be increased

Correct Answer is D

Explanation

A. Decreased lung compliance doesn't directly enhance gas diffusion; it may impair it due to decreased lung expansion.

B. Decreased lung compliance doesn't necessarily indicate compromised pulmonary blood supply; it's more related to the lung's ability to expand and contract.
C. Decreased lung compliance suggests that ventilation may be impaired because the lungs are less able to expand and contract effectively.
D. Decreased lung compliance means the lungs are stiffer, requiring more effort to breathe, thus increasing the work of breathing.

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Timothy, 10, frequently falls and has a waddling gait. His creatine kinase is 4,000 U/L (normal is 22-198 U/L). Echocardiogram reveals early signs of cardiomyopathy. What is the most urgent nursing priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Thomas, 42, with a past history of kidney stones, has been prescribed ciprofloxacin for a UTI. Lab values indicate normal renal function. What should be included in the teaching plan?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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