A night nurse is preparing a client for a liver biopsy the next morning at 8:00 AM.
Which data is the most important for the nurse to report to the healthcare provider? The client:.

Has had nothing by mouth (NPO) since 2300.

Is having pain in the left lower quadrant, no BM for 24 hours.

Received a dose of clopidogrel at 2200.

Has an allergy.

Answer and Explanation

The Correct Answer is C

The client received a dose of clopidogrel at 2200. Clopidogrel is an antiplatelet drug that increases the risk of bleeding during and after a liver biopsy. The healthcare provider should be informed of this medication and decide whether to postpone the biopsy or administer reversal agents.

Choice A is wrong because being NPO since 2300 is a standard preparation for a liver biopsy.

Choice B is wrong because pain in the left lower quadrant and constipation are not related to the liver biopsy and do not pose an immediate risk.

Choice D is wrong because having an allergy is not relevant to the liver biopsy unless it is an allergy to the local anesthetic or contrast agent used.

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Correct Answer is ["A","C","D"]

Explanation

These are natural respiratory defense mechanisms that help defend against infection.

Choice A is correct because cilia lining the respiratory tract sweep debris upward in mucus to be swallowed.

This prevents pathogens and particles from reaching the lungs.

Choice B is wrong because the respiratory tract does not cool and dry the air being inhaled. In fact, the respiratory tract warms and humidifies the air to facilitate gas exchange.

Choice C is correct because cells in the respiratory tract secrete lysozymes that can destroy certain bacteria.

Lysozymes are enzymes that break down the cell walls of bacteria.

Choice D is correct because macrophages engulf and destroy bacteria found in the alveoli. Macrophages are a type of white blood cell that act as scavengers of foreign invaders.

Choice E is wrong because high concentrations of oxygen and carbon dioxide do not aid the defense mechanisms.

On the contrary, high levels of these gases can impair gas exchange and cause acid-base imbalance.

A. Insulin aspart (Novo Log). B. Insulin glargine (Lantus). C. Insulin lispro (Humalog). D. Insulin regular (Humulin-R).

Correct Answer is D

Explanation

Insulin regular (Humulin-R) is the only form of insulin that is safe for intravenous administration. This is because it is a short-acting insulin that has a rapid onset and peak time, and does not contain any additives or suspensions that could interfere with the infusion.

Choice A is wrong because insulin aspart (Novo Log) is a rapid-acting insulin that is usually taken right before a meal. It is not suitable for intravenous use because it has a different amino acid sequence than human insulin.

Choice B is wrong because insulin glargine (Lantus) is a long-acting insulin that covers insulin needs for about a full day. It is not suitable for intravenous use because it forms micro-precipitates under the skin that release insulin slowly and steadily.

Choice C is wrong because insulin lispro (Humalog) is a rapid-acting insulin that is usually taken right before a meal. It is not suitable for intravenous use because it has a different amino acid sequence than human insulin.

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A night nurse is preparing a client for a liver biopsy the next morning at 8:00 AM. Which data is the most important for the nurse to report to the healthcare provider? The client:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client at risk for a respiratory infection. Which of the following natural respiratory defense mechanisms help defend against infection? (Select all that apply).

Correct Answer is ["A","C","D"]

Explanation

A client who has a blood glucose level of 800 mg/dL is to receive insulin intravenously. Which form of insulin is safe for intravenous administration?

Correct Answer is D

Explanation

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A night nurse is preparing a client for a liver biopsy the next morning at 8:00 AM.
Which data is the most important for the nurse to report to the healthcare provider? The client:.