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 C

Explanation

A. Cleaning a cat's litter box can expose pregnant individuals to toxoplasmosis, a risk factor for congenital birth defects.
B. Antibiotics are not effective against viral infections and should not be used unnecessarily.
C. Waiting until the chickenpox sores have crusted reduces the risk of transmission, indicating an understanding of infection prevention. This statement reflects appropriate knowledge about infectious disease control during pregnancy.
D. While handwashing is important, the recommended duration is at least 20 seconds, and hot water is not necessary for effective hand hygiene.

Correct Answer is ["2"]

Explanation

To convert the prescribed dose of levothyroxine from micrograms to milligrams, we need to remember that 1 milligram (mg) is equal to 1000 micrograms (mcg). Therefore, 50 micrograms is equal to 0.050 mg. The available medication is 0.025 mg per tablet. To find out how many tablets the nurse should administer, we divide the prescribed dose in milligrams by the strength of the available tablets: 0.050 mg divided by 0.025 mg/tablet equals 2.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer levothyroxine 50 micrograms to a client. Available is levothyroxine 0.025 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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