Which of the following findings indicate a potential complication that requires immediate follow-up? (Select All that Apply.)

Neurological assessment

Basic metabolic panel

Blood pressure/heart rate

Abdominal assessment

Complete blood count

Pain assessment

Answer and Explanation

Correct Answer : A,B,C,E,F

A. Neurological assessment is critical in identifying potential complications, especially in cases of head injury, infection, or brain-related conditions. A change in mental status or neurological findings (e.g., confusion, loss of consciousness) warrants immediate follow-up.

B. Basic metabolic panel provides key information on electrolyte imbalances, kidney function, and acid-base status. Imbalances or abnormalities, such as hyperkalemia or hyponatremia, can indicate life-threatening conditions.

C. Blood pressure/heart rate is crucial to monitor because abnormalities in these vital signs can indicate cardiovascular instability, shock, or autonomic dysfunction. Significant changes require immediate intervention.

D. Abdominal assessment is important but not always immediately urgent unless signs of acute abdominal issues (e.g., severe pain, distention, or bleeding) are present.

E. Complete blood count is essential for monitoring for signs of infection, anemia, or bleeding disorders. Abnormalities such as low hemoglobin or a high white blood cell count require further investigation.

F. Pain assessment is important but may not always indicate an immediate life-threatening issue. However, uncontrolled pain or new-onset severe pain can signal a complication, such as infection or tissue damage, which needs prompt attention.

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Correct Answer is A

Explanation

A. This statement is incorrect because processed foods can contain gluten even if they don't have visible flour. Gluten can be found in many processed foods as an additive or stabilizer, such as in sauces, soups, and processed meats. It's important to always check food labels for gluten ingredients.

B. This is correct. Barley and rye are sources of gluten and must be avoided in a gluten-free diet for those with celiac disease.

C. This is correct. Foods like bread, pasta, and cereal commonly contain gluten and need to be avoided by individuals with celiac disease.

D. This is correct. Using separate serving utensils for gluten-free foods helps prevent cross-contamination, which is critical for managing celiac disease.

A. Hematuria B. Hemarthrosis C. Hemoptysis D. Hematemesis

Correct Answer is B

Explanation

A. Hematuria (blood in the urine) can occur in some conditions, but it is not a primary complication of hemophilia. Hemophilia more commonly leads to bleeding into joints and muscles rather than the urinary tract.

B. Hemarthrosis (bleeding into the joints) is a common complication of hemophilia. It occurs due to the lack of clotting factors, which prevents normal blood clotting and allows bleeding into joints, causing pain, swelling, and long-term joint damage.

C. Hemoptysis (coughing up blood) is not a typical complication of hemophilia, though it can occur in various respiratory conditions, such as infections or lung issues.

D. Hematemesis (vomiting blood) is a serious condition but is not commonly associated with hemophilia. Hemophilia's major complications are related to joint and muscle bleeding.

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Which of the following findings indicate a potential complication that requires immediate follow-up? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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