Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

Ask about numbness or tingling of the hands and arms.

Suggest the patient alternate use of heat and cold to the neck.

Provide information about therapeutic neck exercises.

Teach about the use of nonsteroidal anti-inﬂammatory drugs (NSAIDs).

Answer and Explanation

The Correct Answer is A

Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.

Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.

Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.

Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.

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Correct Answer is D

Explanation

Choice A reason: An INR of 0.9 is within the normal range (0.8-1.2) and does not support the presence of bruising or bleeding disorders.

Choice B reason: A hematocrit level of 28% is below the normal range (36%-50% for women, 40%-54% for men), indicating anemia, but it does not directly explain bruising or petechiae.

Choice C reason: A WBC count of 4500 is within the normal range (4500-11000), suggesting that there is no active infection or leukocytosis that would explain the bruising.

Choice D reason: A platelet count of 60000 is below the normal range (150000-450000), which can lead to easy bruising and petechiae, supporting the nurse's observation.

Correct Answer is ["82.5"]

Explanation

The general rule of thumb for urine output is 0.5 mL/kg/hour.

Step 1: Convert the patient's weight from pounds to kilograms.

We know that 1 kg = 2.2 lbs.

So, we have:

363 lbs ÷ 2.2 = 165 kg (rounded to the nearest whole number)

Step 2: Calculate the urine output using the rule of 0.5 mL/kg/hour. So, we have:

165 kg × 0.5 mL/kg/hour = 82.5 mL/hour

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Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

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Naxlex Comprehensive Predictor Exams

A nurse observes reddish-purple spots and areas of purple bruising on a newly admited patient. Which laboratory results support this assessment finding?

Correct Answer is D

Explanation

You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.

Correct Answer is ["82.5"]

Explanation

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