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

A.

Vital signs on admission and every 4 hr

B.

NPO

C.

Complete blood count

D.

Basic metabolic profile

E.

Arterial blood gases

F.

Hemoccult stool

G.

Stool culture and sensitivity

H.

Urine culture and sensitivity

I.

Sitz baths up to 3 times daily PRN

J.

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

K.

Metoclopramide 10 mg IV every 6 hr PRN nausea/vomiting

L.

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.


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

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

Rationale:
A. Baked potato is low in sodium if prepared without added salt, making it safe for a client on a diuretic.
B. Milkshake is generally safe unless it contains added sodium; in most cases, it is allowed.
C. Ham is high in sodium, which is contraindicated for a client taking bumetanide, a loop diuretic, as high sodium intake can counteract the diuretic effect and worsen fluid retention.
D. Stewed tomatoes can be included if unsalted; they are generally safe in moderation.

Correct Answer is D

Explanation

Rationale:
A. Serum calcium levels are often decreased in acute pancreatitis due to fat saponification, not increased.

B. Serum lipase is typically elevated, not decreased, in acute pancreatitis, and is often more specific than amylase for pancreatic injury.

C. WBC count usually increases due to inflammation and possible infection; a decreased WBC is not expected.

D. Increased serum amylase is a hallmark laboratory finding in acute pancreatitis. Amylase is released from damaged pancreatic cells into the bloodstream. Levels typically rise within 6–12 hours of onset of symptoms and remain elevated for 3–5 days. Monitoring amylase, along with lipase (which remains elevated longer), helps confirm the diagnosis and assess the severity of pancreatic inflammation. Elevated amylase, in the context of abdominal pain radiating to the back, nausea, and vomiting, supports the provider’s suspicion of acute pancreatitis.

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

Register