A nurse is assisting with the care of a client

Exhibits

Select the 3 findings that require immediate follow-up.

Breath sounds at 1600

Temperature

Urticaria

Blood pressure at 1630

Report of dysphagia

Answer and Explanation

Correct Answer : C,D,E

A.   Bilateral breath sounds clear and present throughout at 1600 are normal findings and do not require immediate follow-up.
B.   The temperature at both 1600 (37.6°C) and 1630 (37.5°C) is slightly elevated but not critically high. It does not require immediate follow-up unless it worsens significantly or is accompanied by other concerning symptoms.
C.   Urticaria (hives) over the chest and trunk, along with itching and difficulty swallowing (dysphagia), are signs of an allergic reaction, which requires immediate follow-up and assessment.
D.   The blood pressure decreased to 78/52 mm Hg at 1630 from 110/58 mm Hg at 1600. This significant drop indicates hypotension and requires immediate follow-up.
E.   Difficulty swallowing (dysphagia) reported by the client suggests a potential airway compromise and requires immediate follow-up to assess the severity and intervene accordingly.

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Correct Answer is D

Explanation

A. Distribution refers to the movement of medication throughout the body.
B. Excretion is the elimination of medications from the body, primarily through the kidneys.
C. Absorption is the process by which medications enter the bloodstream from the site of administration.
D. Impaired liver function can affect the metabolism of medications, potentially leading to altered drug levels and effects in the body, making metabolism the critical process to monitor.

A. Maintain a steady intake of green, leafy vegetables B. Change positions slowly when rising from a chair C. Take this medication in the evening D. Consume no more than 1 L/day of fluid

Correct Answer is C

Explanation

A. Green, leafy vegetables do not need to be restricted with simvastatin; this advice is more relevant to medications like warfarin.
B. Changing positions slowly is important for medications that affect blood pressure, but simvastatin does not typically cause orthostatic hypotension.
C. Simvastatin is most effective when taken in the evening because the body's production of cholesterol is higher at night.
D. There is no specific fluid restriction required for simvastatin; hydration should be maintained according to individual needs.

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A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with impaired liver function and is jaundice. The nurse needs to make more focused assessments when administering medications to this patient because the patient may experience problems with the process of:

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

A nurse is assisting with the care of a client

Exhibits

Select the 3 findings that require immediate follow-up.