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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

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Free Nursing Study Resources

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

Explanation

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.

A. Decreased bilirubin B. Decreased chloride C. Elevated blood urea nitrogen (BUN) D. Elevated HbA1c

Correct Answer is C

Explanation

Rationale:
A. Decreased bilirubin is unrelated to digestion of blood in the GI tract.
B. Chloride levels do not indicate blood digestion.
C. When a client with esophageal varices bleeds into the GI tract, the digestion and absorption of blood proteins lead to increased nitrogen load, reflected as elevated BUN.
D. HbA1c reflects long-term blood glucose control, not acute digestion of blood.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?

Correct Answer is C

Explanation

Which electrolyte imbalance is most commonly associated with refeeding syndrome?

Which dietary advancement should be made first after the return of bowel sounds postoperatively?

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?

A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Which type of enema is typically used to relieve constipation by instilling and retaining fluid for a short period before expelling?

A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home. Which of the following instructions should the nurse include? (Select all that apply.)