A nurse is caring for a 43-year-old female client who reports abdominal pain.

Exhibits

For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.

Begin broad spectrum IV antibiotics.

Transfuse 1 unit of packed red blood cells.

Prepare client for endoscopic retrograde cholangiopancreatography.

Administer morphine sulfate IV push for pain.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"}}

1.   Begin Broad Spectrum IV Antibiotics Anticipated
The client's symptoms, including right upper quadrant pain, nausea, vomiting, jaundice, fever, and elevated white blood cell count, suggest a potential infection or inflammation in the abdominal area, possibly related to the biliary system (e.g., cholecystitis or cholangitis). Broad-spectrum antibiotics are commonly used to treat infections that could be causing these symptoms, especially if the exact pathogen is not yet identified. The elevated white blood cell count further supports the likelihood of an infection.
2.   Transfuse 1 Unit of Packed Red Blood Cells Contraindicated
There is no indication from the provided information that the client has anemia or a significant drop in hemoglobin that would necessitate a blood transfusion. The hemoglobin level is 15.1 g/dL, which is within normal limits. Blood transfusion would typically be considered if there was evidence of significant blood loss or anemia, neither of which is indicated by the client’s current lab results.
3.   Prepare Client for Endoscopic Retrograde Cholangiopancreatography (ERCP) Anticipated
The symptoms described, including right upper quadrant pain radiating to the right shoulder, jaundice, and the dark amber urine, are suggestive of biliary tract involvement, such as gallstones causing obstruction or infection. ERCP is a diagnostic and therapeutic procedure used to visualize and treat conditions of the bile ducts and pancreatic ducts. Given the symptoms and clinical presentation, preparing the client for an ERCP to assess and potentially address issues in the biliary system is appropriate.

4.   Administer Morphine Sulfate IV Push for Pain Contraindicated
The client has a documented allergy to morphine. Administering morphine could lead to an allergic reaction and is therefore contraindicated. Alternative pain management options should be considered, such as non-opioid analgesics or other opioid medications that the client is not allergic to.

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Correct Answer is D

Explanation

A. This statement is relevant to the patient's health but does not indicate a need for further action by the nurse. Omeprazole is a common medication for acid reflux.
B. This statement is appropriate for patients with asthma. Fluticasone is a maintenance inhaler used to prevent asthma attacks, and taking it regularly as prescribed is important.
C. This statement is correct. Albuterol is a quick-relief inhaler used to treat asthma attacks.
D. This statement indicates a potential interaction with the patient's asthma medications. Beta-blockers like metoprolol can worsen asthma symptoms in some patients. The nurse should discuss this with the patient's doctor to determine if the benefits of metoprolol outweigh the risks for this individual.

A. Gallstones B. Urinary tract infection C. Hypotension D. Osteoporosis

Correct Answer is B

Explanation

A. Gallstones are formed in the gallbladder and are not directly related to PKD.

B. Polycystic kidney disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys. These cysts can obstruct the flow of urine, making it easier for bacteria to grow and cause a urinary tract infection (UTI).
C. Hypotension is low blood pressure. While PKD can lead to kidney failure, which can cause hypotension, it is not a common complication.
D. Osteoporosis is a condition characterized by weak bones. While PKD can lead to kidney failure, which can affect calcium metabolism and contribute to osteoporosis, it is not a common complication.

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A nurse is caring for a 43-year-old female client who reports abdominal pain. Exhibits For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is reviewing the home medications of client who has a history of asthma, and who is at the clinic to have a routine annual physical. Which statement made by the patient would indicate a need for further action by the nurse?

Correct Answer is D

Explanation

Which of the following is a common complication of polycystic kidney disease?

Correct Answer is B

Explanation

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A nurse is caring for a 43-year-old female client who reports abdominal pain.

Exhibits

For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.