A nurse is caring for a client.
Complete the following sentence by using the lists of options.
The client is at risk of developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
The client has dark red vaginal bleeding and low hemoglobin (8.1 g/dL) and hematocrit (24%), which indicate significant blood loss.
The low blood pressure (95/62 mm Hg) and tachycardia (104 bpm) are signs of the body's response to blood loss, which can lead to hypovolemic shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will monitor the client’s blood glucose level every 8 hours": Incorrect. Blood glucose should be monitored more frequently, typically every 4-6 hours, due to the risk of hyperglycemia.
B. "I will hang a new bag of TPN and IV tubing every 24 hours": This practice reduces the risk of infection associated with TPN, which is a high-risk therapy.
C. "I will increase the rate of the TPN infusion to ensure the correct amount is given": Incorrect. The TPN infusion rate should not be adjusted without a provider's order, as it can cause hyperglycemia or fluid overload.
D. "I will obtain the client’s weight every other day": Incorrect. Daily weights are necessary to monitor fluid status and nutritional effectiveness.
Correct Answer is D
Explanation
A. Hemoglobin and hematocrit are important but not the focus in Alzheimer’s care unless anemia is suspected.
B. Liver function tests are not typically monitored unless the client is on hepatotoxic medications.
C. Kidney function tests are essential if there are concerns about hydration or medication clearance but are not routine in Alzheimer's care.
D. Monitoring serum sodium and potassium is critical as imbalances can lead to confusion, agitation, and worsening cognitive symptoms.
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