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 D

Explanation

A. These symptoms are more commonly associated with gastrointestinal side effects of chemotherapy.
B. These symptoms are common due to the impact of chemotherapy on the gastrointestinal system.
C. Hair loss is a common side effect of chemotherapy, but it is not associated with myelosuppression.
D. Myelosuppression can lead to decreased platelet production, resulting in an increased risk of bleeding, including gum bleeding.

A. Distraction B. Biofeedback C. Guided imagery D. Meditation

Correct Answer is A

Explanation

A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A. Listening to music is a form of distraction, diverting the client's attention away from pain.
B. Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C. Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D. Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.

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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 caring for a client receiving chemotherapy. The nurse should identify that a client who has myelosuppression is at risk for which of the following conditions?

Correct Answer is D

Explanation

A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

Correct Answer is A

Explanation

A nurse is reinforcing nutrition teaching with a client who has osteoporosis. Which of the following food selections should the nurse recommend to increase calcium in the client’s diet?

A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)

A nurse is collecting data for a client who has malnutrition resulting from a chronic illness. Which of the following manifestations should the nurse expect to find?

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 caring for a client who is experiencing hypovolemic shock. Which of the following of the following findings should the nurse expect?

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?

A nurse is using evidence-based practice (EBP) to decrease the incidence of catheter- associated urinary tract infections (CAUTIS) on a unit. Which of the following actions should the nurse take first?

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