A nurse is assisting with the care of a client in an outpatient provider's office.

Exhibits

The nurse should identify that the client is at risk of developing
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and may require further
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

The nurse should identify that the client is at risk of developing heart failure and may require further assessment and intervention.

Heart failure is suggested by the progressive decline in vital signs and laboratory results, such as increasing BUN and creatinine levels, which indicate worsening kidney function and can contribute to heart failure. The client’s fatigue, weakness, bilateral edema, and crackles in the lungs are clinical signs consistent with heart failure. The dry, flaky skin and coarse, thinning hair also reflect systemic issues that could be associated with heart failure and poor nutritional status.

The nurse should focus on further assessment to evaluate the severity of heart failure and intervention to manage symptoms, potentially including medication adjustments, fluid management, and additional diagnostic testing. These steps are crucial to addressing the client’s deteriorating condition and preventing further complications.

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Correct Answer is A

Explanation

A. Correct. A health care surrogate (also known as a health care proxy or agent. is designated by the individual to make medical decisions on their behalf if they are unable to do so. This individual should be someone the client trusts and is aware of the client's preferences.
B. Incorrect. A living will can be changed or updated by the individual at any time if their preferences change. It is important for the client to review and revise their living will as needed.
C. Incorrect. While legal assistance may be helpful, designating a healthcare surrogate does not necessarily require an attorney.
D. Incorrect. The choice of a healthcare surrogate is a personal decision, and the individual can choose any trusted person to fulfill this role, not just a family member.

A. One fingerbreadth of space between the cast and the skin B. Client report of muscle spasms of the left leg C. Diminished pulses on the affected extremity D. Ecchymosis on the inner left thigh

Correct Answer is C

Explanation

A. One fingerbreadth of space between the cast and the skin is important to prevent constriction, but diminished pulses suggest compromised blood circulation, which is a higher priority.
B. Muscle spasms are common and can cause discomfort, but diminished pulses indicate a more serious circulation issue.
C. Correct. Diminished pulses suggest reduced blood flow, which is a serious concern and requires immediate attention.
D. Ecchymosis might be related to the cast application, but it's less urgent than compromised circulation.

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A nurse is assisting with the care of a client in an outpatient provider's office. Exhibits The nurse should identify that the client is at risk of developing dropdown and may require further dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?

Correct Answer is C

Explanation

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A nurse is assisting with the care of a client in an outpatient provider's office.

Exhibits

The nurse should identify that the client is at risk of developing
dropdown
and may require further
dropdown
.