Try Naxlex NCLEX-RN (Free-Trial)

A nurse is admitting a client from a provider's office.

Exhibits
Click to highlight the provider prescriptions the nurse should implement first.

Vital signs on admission and every 4 hr

NPO

Complete blood count

Basic metabolic profile

Arterial blood gases

Hemoccult stool

Stool culture and sensitivity

Urine culture and sensitivity

Sitz baths up to 3 times daily PRN

Medications:

Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr

Metoclopramide 10 mg IV every 6 hr PRN nausea/vomiting

Ciprofloxacin 400 mg IV every 12 hr

Vital signs on admission and every 4 hr

NPO

Complete blood count

Basic metabolic profile

Arterial blood gases

Hemoccult stool

Stool culture and sensitivity

Urine culture and sensitivity

Sitz baths up to 3 times daily PRN

Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr

Metoclopramide 10 mg IV every 6 hr PRN nausea/vomiting

Ciprofloxacin 400 mg IV every 12 hr

Answer and Explanation

The Correct Answer is ["A","B","J"]

Rationale

Vital signs on admission and every 4 hr → establish baseline and monitor for instability.
NPO → prevent worsening GI distress and prepare for possible procedures.
Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr → correct fluid volume deficit and dehydration.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:
A. Replacing lost blood components requires blood products, not isotonic crystalloids.
B. Isotonic crystalloid fluids (e.g., 0.9% sodium chloride, lactated Ringer’s) are administered to restore extracellular fluid volume in clients with fluid volume deficit.
C. While isotonic solutions contain electrolytes, their primary purpose is volume replacement, not rapid electrolyte correction.
D. Correcting metabolic acidosis may require specific interventions; isotonic fluids alone do not address acid-base imbalances.

A. Family history B. Smoking history C. Alcohol use D. Adalimumab use E. NSAID use F. Positive for Helicobacter pylori

Correct Answer is ["B","E","F"]

Explanation

Rationale:
A. Family history increases risk for heart disease and arthritis but is not a direct risk factor for peptic ulcer disease.
B. Smoking increases gastric acid secretion, reduces mucosal healing, and significantly raises PUD risk.
C. Alcohol use is denied by the client and therefore is not a contributing factor in this case.
D. Adalimumab use (an immunosuppressant for rheumatoid arthritis/psoriasis) does not directly increase PUD risk.
E. NSAIDs inhibit prostaglandin synthesis, reducing the gastric mucosal barrier and predisposing to ulcer formation.
F. H. pylori infection is a primary cause of peptic ulcers due to its damaging effect on gastric mucosa.

View Question and Answer

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary reason for administering isotonic crystalloid IV fluids to a client with fluid volume deficit?

Correct Answer is B

Explanation

A nurse in a provider's office is caring for a client. Exhibits Select the 3 findings from the client's medical record that increase their risk for peptic ulcer disease (PUD).

Correct Answer is ["B","E","F"]

Explanation

A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

Which electrolyte imbalance is most commonly associated with refeeding syndrome?

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect?

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?

A nurse on the day shift is preparing to change a client's total parenteral nutrition (TPN) solution, but the new TPN solution has not arrived from the pharmacy. The client receives additional IV fat emulsion during the night shift. Which of the following actions should the nurse take?

What is the primary cause of refeeding syndrome in TPN patients?