A nurse in the emergency department (ED) is admitting a 46-year-old client.

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing
dropdown
evidenced by the client's
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Encephalopathy is a common complication of severe alcohol withdrawal, characterized by altered mental status, confusion, and other neurological symptoms.
Ammonia levels are often elevated in patients with alcohol withdrawal syndrome, and high ammonia levels can contribute to encephalopathy.

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Correct Answer is A

Explanation

A. Levothyroxine is used to replace thyroid hormone in hypothyroidism. Symptoms like tremors, nervousness, and insomnia can indicate that the dose is too high, suggesting possible hyperthyroidism.
B. Weight loss alone is not a primary indicator for adjusting levothyroxine. It is more important to monitor for symptoms of overdosage, such as those described in option A.
C. Levothyroxine does not increase the risk of bleeding. Monitoring is typically focused on thyroid hormone levels rather than bleeding risks.
D. Levothyroxine increases thyroid hormone levels, not decreases them. It is used to supplement the deficient hormone in hypothyroidism.

A. Placing the client on a ventilator to remove carbon dioxide (CO2) B. Advising the client to use their call light to reduce the risk of falls C. Providing the client a high protein diet D. Administering antibiotics and maintaining the mean arterial pressure (MAP) at least 65 mm Hg

Correct Answer is D

Explanation

A. Placing the client on a ventilator to remove CO2 is not directly related to preventing the development of MODS. While ventilation might be necessary for respiratory support, it does not address the systemic infection and inflammation that contribute to MODS.
B. Advising the client to use their call light to reduce the risk of falls is important for general safety but does not address the critical factors involved in preventing MODS in the context of SIRS.
C. Providing a high protein diet can support overall nutrition and healing but is not the primary intervention for preventing MODS. Managing the infection and maintaining hemodynamic stability are more critical.
D. Administering antibiotics to treat the bacterial infection and maintaining a mean arterial pressure (MAP) of at least 65 mm Hg are essential interventions. Effective antibiotic therapy addresses the infection, and maintaining MAP ensures adequate organ perfusion, both of which help prevent the progression to MODS.

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A nurse in the emergency department (ED) is admitting a 46-year-old client. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown evidenced by the client's dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about levothyroxine to a client diagnosed with primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

Correct Answer is A

Explanation

A client is diagnosed with systemic inflammatory response syndrome (SIRS) as a result of a bacterial infection. Which nursing intervention may prevent the development of multiple-organ dysfunction syndrome (MODS)?

Correct Answer is D

Explanation

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A nurse in the emergency department (ED) is admitting a 46-year-old client.

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing
dropdown
evidenced by the client's
dropdown