A client is brought to the emergency department after falling from of a ladder and is showing signs of confusion and disorientation. The spouse states the client appeared to have lost consciousness. The nurse is provided with a list of current medications and healthcare power of attorney. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?
Currently prescribed medications.
Falling from a ladder as reason for admission.
Increasing confusion of the client.
Client's healthcare power of attorney.
The Correct Answer is C
A. Currently prescribed medications are important information, but in this emergent situation, the nurse should first report on the client's condition and immediate concerns.
B. Falling from a ladder as the reason for admission is relevant information, but it does not address the immediate clinical concern of the client's altered mental status.
C. Reporting the increasing confusion of the client is the priority as it highlights the acute change in neurological status, which may indicate a more critical issue such as intracranial injury or neurological impairment.
D. The client's healthcare power of attorney is important for long-term care planning, but it is not the immediate concern when the client presents with altered mental status and potential head
trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.2"]
Explanation
Step-by-step Calculation:
- We need to find the volume (in mL) of teriparatide that contains the desired dose of 60 mcg.
- Set up the proportion:dose (mcg) / concentration (mcg/mL) = volume (mL)
- Fill in the known values:
- Dose (mcg): 60 mcg (as given in the problem)
- Concentration (mcg/mL): 750 mcg/2.4 mL (from the medication label)
- Solve for the volume:
- Multiply both sides of the proportion by the concentration to isolate the volume on the left:
- dose (mcg) = volume (mL) concentration (mcg/mL)
- Substitute the known values:
- 60 mcg = volume (mL) (750 mcg / 2.4 mL)
- Calculate the volume:
-
- Divide both sides by the concentration to solve for the volume:
- volume (mL) = 60 mcg / (750 mcg / 2.4 mL)
- Simplify:
- volume (mL) = (60 mcg 2.4 mL) / 750 mcg
- volume (mL) = 0.192 mL (approximately)
- Rounding (optional): The problem specifies rounding to the nearest tenth. Since 0.192 is closer to 0.2 than 0.1, the rounded volume is:
- volume (mL) = 0.2 mL (rounded to one decimal place)
Therefore, the nurse should administer 0.2 mL of teriparatide.
Correct Answer is A
Explanation
A. Serum potassium. Insulin therapy causes potassium to move into cells, which can lead to hypokalemia. Monitoring serum potassium is critical because significant drops can lead to cardiac arrhythmias and other complications.
B. Urine ketones. While monitoring ketones is important for assessing the resolution of DKA, it is not as immediately critical as monitoring potassium levels.
C. Serum sodium. Sodium levels are important but typically do not change as rapidly as potassium levels during DKA treatment.
D. Blood urea nitrogen (BUN). BUN levels provide information about kidney function and hydration status but are less immediately critical than potassium levels in the context of insulin therapy for DKA.
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.
