A nurse in the emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

A client who has Clostridium difficile and a temperature of 38.6° C (101.5° F)

A client who has a complete femur fracture and reports a pain level of 7 on a scale from 0 to 10

A client who has left shoulder pain and S-T elevation on a 12-lead ECG

A client who has orthostatic hypotension and 4+ pitting edema in the lower extremities

Answer and Explanation

The Correct Answer is C

A.   While a temperature elevation in a client with Clostridium difficile requires assessment, it is not as urgent as potential cardiac ischemia.
B.   Pain assessment in a client with a femur fracture is important but does not take priority over potential cardiac issues.
C.   Left shoulder pain with S-T elevation on an ECG can indicate myocardial infarction (MI), a life-threatening condition requiring immediate assessment and intervention.
D.   Orthostatic hypotension and pitting edema, while concerning, do not indicate an acute, life-threatening condition that requires immediate assessment in this scenario.

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Correct Answer is B

Explanation

A. Epoetin alfa does not directly affect platelet count.

B. Epoetin alfa is a medication used to stimulate red blood cell production in patients with anemia. A therapeutic response to epoetin alfa would include an increase in hemoglobin level, indicating improved oxygen-carrying capacity of the blood.
C. Epoetin alfa does not directly affect neutrophil count.

D. Erythrocyte sedimentation rate is a nonspecific marker of inflammation and is not directly affected by epoetin alfa.

A. "This type of seizure lasts 30 to 60 seconds." B. "The child usually has an aura prior to onset." C. "This type of seizure can be mistaken for daydreaming." D. "This type of seizure has a gradual onset."

Correct Answer is C

Explanation

A. Absence seizures typically last only a few seconds, not as long as 30 to 60 seconds, so this statement is incorrect.
B. Absence seizures typically occur without warning or aura, so this statement is incorrect.
C. Absence seizures often manifest as brief episodes of staring or blank expression, which can be mistaken for daydreaming or inattention. Educating parents about this characteristic helps them recognize and appropriately respond to absence seizures in their child.
D. Absence seizures have a sudden onset and offset without warning, so this statement is incorrect.

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A nurse in the emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

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Naxlex Comprehensive Predictor Exams

A nurse is evaluating the laboratory values of a client who is receiving epoetin alfa. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer is B

Explanation

A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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