Exhibits
Review H and P, nurse's notes, laboratory results, flow sheet, and orders.
Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.
Heart rate 77 bpm
400 mL Urine Output
Bicarbonate 22 mEq/L (22 mmol/L)
Blood pressure 113/72 mmHg
pH 7.35
Sodium 152 mEq/L (152 mmol/L)
Capillary refill 2 seconds
The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}
Heart rate 77 bpm: Unrelated finding
400 mL Urine Output: Therapeutic result (indicating improved renal function)
Bicarbonate 22 mEq/L (22 mmol/L): Therapeutic result (indicating correction of acid-base imbalance)
Blood pressure 113/72 mmHg: Unrelated finding (within normal range)
pH 7.35: Therapeutic result (indicating improvement in acid-base balance)
Sodium 152 mEq/L (152 mmol/L): Therapeutic result (indicating improved electrolyte balance)
Capillary refill 2 seconds: Therapeutic result (indicating improved perfusion)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Breastfeeding is not recommended while taking this medication:
While it's important to avoid breastfeeding while taking isotretinoin due to potential risks to the infant, the priority in this scenario is preventing exposure to the medication during pregnancy.
The most important information for the nurse to provide to a young adult female client planning to become pregnant while taking isotretinoin for cystic acne is:
B. Discontinue this medication one month before attempting to conceive.
Explanation: Isotretinoin (commonly known as Accutane) is a teratogenic medication, which means it can cause severe birth defects if taken during pregnancy. Therefore, it is crucial for the client to discontinue this medication well before attempting to conceive. The recommended time frame to wait after stopping isotretinoin before attempting conception varies but is generally at least one month. The specific duration should be discussed with the healthcare provider.
C. Do not take multiple vitamins that contain vitamin A while taking this drug:
Avoiding excessive vitamin A intake is important to prevent vitamin A toxicity, but it is not the most critical piece of information for a client planning to become pregnant while on isotretinoin.
D. Baseline liver function results must be obtained during therapy:
Monitoring liver function is important during isotretinoin therapy, but the priority in this scenario is preventing fetal exposure to the medication by discontinuing it before attempting pregnancy.
Correct Answer is D
Explanation
A) Taking the tablet with a daily multivitamin may not be necessary and could potentially cause excess iron intake, which can be harmful.
B) Bedtime is not necessarily the best time to take the tablet; it's usually recommended to take it on an empty stomach, as mentioned above.
C) Crushing enteric-coated tablets and mixing them with pudding is not recommended. These tablets have a special coating that helps protect the stomach from irritation and crushing them may affect their effectiveness and cause gastric discomfort.
The information the nurse should include in the discharge instructions for an older adult with iron deficiency anemia taking ferrous sulfate enteric-coated tablets is:
D) Wait 2 hours after meals to take the tablet.
Explanation:
Ferrous sulfate is an iron supplement used to treat iron deficiency anemia. Taking it on an empty stomach (usually 1 to 2 hours before meals or 2 hours after meals) enhances its absorption in the small intestine. It's best absorbed in an acidic environment, so it's often recommended to take it with a small amount of vitamin C-rich food or juice (like orange juice) to improve absorption.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.