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 ["A","B","C","E"]

Explanation

A. This an example of a health care-associated infections (HAIs), which are infections that patients acquire during the course of receiving health care treatment for other conditions. The patient acquired the pneumonia after being in a ventilator.
B. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
C. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
D. This is not an example of a health care-associated infection (HAI), because it is not acquired during the course of receiving health care treatment. This is an example of a community-acquired infection, which is an infection that a person gets from contact with people or sources outside of a health care setting.
E. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.

A. I am thinking of getting a second opinion. B. This is not working, and I plan to stop treatment. C. I am hoping this will help relieve my discomfort. D. This is making me stronger every day.

Correct Answer is C

Explanation

A. Seeking a second opinion suggests the client may be exploring different treatment options, indicating some level of hope for improvement.
B. Expressing plans to stop treatment may indicate frustration or dissatisfaction but does not necessarily reflect acceptance of the prognosis.
C. Expressing a desire for symptom relief (in this case, discomfort) is indicative of an understanding and acceptance of palliative care.
D. Stating that the treatment is making the client stronger every day may reflect a positive attitude but does not necessarily indicate acceptance of the prognosis.

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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 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?

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

Correct Answer is C

Explanation

A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

A nurse is reinforcing teaching with a client who has frequent urinary tract infections (UTIs). The nurse should identify that the client can use which of the following herbal supplements to help prevent UTIs?

A nurse is collecting data from a client who fell at home and reported a brief loss of consciousness. Which of the following findings should the nurse immediately report to the charge nurse?

A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?

A nurse in a community center is assisting with an educational session for caregivers of older adult clients who have dementia. Which of the following topics should the nurse include in the teaching session? (Select all that apply.)

A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

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