A nurse is assisting in the care of a client.

Medication Administration Record

Laboratory Results

Hct 47% (379% to 52%)

Hgb 16 g/dL (12 to 18 g/dL)

Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L)

Select the findings that increase the client’s susceptibility to infection. To unselect

Client has a BMI of 16

History of type 2 diabetes mellitus

Client is a nonsmoker

Budesonide 6 mg PO qd

Answer and Explanation

Correct Answer : A,B,D

A.   Low body mass index (BMI) can be associated with malnutrition, which may compromise the immune system and increase susceptibility to infection.
B.   Diabetes can weaken the immune system and increase the risk of infections.
C.   Smoking is a risk factor for various health issues, but it is not a direct factor that increases susceptibility to infection in this context. The client is a non-smoker.
D.   Budesonide is a corticosteroid, and prolonged use of corticosteroids can suppress the immune system, making the individual more susceptible to infections.

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Correct Answer is B

Explanation

A. Continuous passive motion (CPM) machines are typically used after joint surgeries, not thoracic surgeries.
B. A chest tube is often used postoperatively after a lobectomy to drain excess air, fluid, or blood from the pleural space.
C. A three-way urethral catheter may be used for urinary drainage, but it is not specific to thoracic surgery.
D. Electroencephalography (EEG) monitoring wires are used for monitoring brain activity and are not typically used in the postoperative care of a client following a lobectomy.

A. Visualize the red reflex of the eye. B. Examine the eye with a penlight. C. Lightly touch the eye with a wisp of cotton. D. instill drops of dye into the eye.

Correct Answer is C

Explanation

A. This is a technique used for assessing the fundus and is not related to corneal reflexes.
B. This is used for general eye examination but does not specifically test corneal reflexes.
C. This tests the corneal reflex, where a blink response indicates the reflex is intact.
D. This is used for assessing corneal abrasions or ulcers but is not a method to test corneal reflexes.

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A nurse is assisting in the care of a client. Medication Administration Record Laboratory Results Hct 47% (379% to 52%) Hgb 16 g/dL (12 to 18 g/dL) Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L) Select the findings that increase the client’s susceptibility to infection. To unselect

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has lung cancer and is scheduled for a lobectomy. The nurse should instruct the client to expect the use of which of the following equipment postoperatively?

Correct Answer is B

Explanation

A nurse is collecting data from a client who was involved in a motor-vehicle crash.Which of the following techniques should the nurse use to test for corneal reflexes?

Correct Answer is C

Explanation

A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

A nurse is preparing to administer hydroxyzine HCL 50 mg PO. Available is hydroxyzine oral suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reinforcing teaching with a client who has gout. Which of the following dietary restrictions should the nurse include in the teaching?

A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

A nurse is collecting data from a client following a bee sting. Which of the following findings can indicate an anaphylactic reaction to the venom?

A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain assessment scales should the nurse use to determine the infant’s pain level?

A nurse is assisting in the care of a client.

Medication Administration Record

Laboratory Results

Hct 47% (379% to 52%)

Hgb 16 g/dL (12 to 18 g/dL)

Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L)

Select the findings that increase the client’s susceptibility to infection. To unselect