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 ["B","D","E"]

Explanation

A. Intravenous bicarbonate is not typically indicated in the management of COPD because it can cause metabolic alkalosis and paradoxical intracellular acidosis.
B. Mechanical ventilation improves her gas exchange and correct her acid-base imbalance.
C. Reducing the dose of tiotropium is not appropriate because it is a long-acting bronchodilator that can help prevent bronchospasm and improve airflow in COPD patients.
D. Sarah's low PaO2 indicates hypoxemia, and supplemental oxygen is essential for correcting this. However, in COPD patients, oxygen therapy should be administered cautiously to avoid worsening hypercapnia.
E. Intravenous corticosteroids would reduce the inflammation and mucus production in her airways.

A. Patient Alpha: Involved in a car accident. B. Patient Beta: Has a history of mechanical ventilation. C. Patient Gamma: Came in with an open chest wound. D. Patient Delta: Experienced blunt force trauma to the chest

Correct Answer is A, B, C, D

No explanation

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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

Sarah, a 45-year-old woman with a 10-year history of COPD, presents with a pH of 7.30, PaO2 of 50, and PaCO2 of 60. She is currently taking tiotropium bromide. Which Interventions are most appropriate? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

Nurse Lisa is reading the history of incoming patients. Match the causes or events leading to their injuries with the most likely thoracic conditions.

Correct Answer is A, B, C, D

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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?