A nurse is caring for a client in an acute care setting.

Exhibits

Complete the following sentence by using the list of options.

The client is at risk for
dropdown
as evidenced by the client's
dropdown

Answer and Explanation

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

The client is at risk for hypostatic pneumonia as evidenced by the client's immobility

Rationale

The combination of paraplegia (which leads to limited mobility) and symptoms such as productive cough, tachycardia, and confusion suggest a respiratory issue, likely hypostatic pneumonia.

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Correct Answer is D

Explanation

A. Frequent nosebleeds are not typically associated with coarctation of the aorta.
B. Upper extremity hypotension is unlikely; the condition usually leads to higher blood pressure in the upper extremities.
C. Increased intracranial pressure is not a direct result of coarctation of the aorta.
D. Weak femoral pulses are a common finding due to the narrowing of the aorta, which limits blood flow to the lower extremities.

A. A client who received a pain medication 30 min ago for postoperative pain B. A client who was just given a glass of orange juice for a low blood glucose level C. A client who has 100 mL of fluid remaining in his IV bag D. A client who is scheduled for a procedure in 1 hr

Correct Answer is B

Explanation

A. A client who has recently received pain medication should be assessed for effectiveness but is not in immediate danger.
B. A client who received orange juice for a low blood glucose level needs to be assessed for a return to normal glucose levels as hypoglycemia is a priority concern.
C. A client with 100 mL of fluid remaining in the IV bag can wait for assessment as their fluid needs can be managed once the infusion is complete.
D. A client scheduled for a procedure in 1 hour is important to assess, but their immediate clinical needs may be less critical than a client with hypoglycemia.

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A nurse is caring for a client in an acute care setting. Exhibits Complete the following sentence by using the list of options. The client is at risk for dropdownas evidenced by the client's dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

Correct Answer is D

Explanation

A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?

Correct Answer is B

Explanation

A nurse at a community health clinic is planning care for an adolescent who recently learned that she is pregnant and is concerned about her ability to afford and care for her baby. Which of the following actions should the nurse take?

A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?

A charge nurse is delegating care for a group of clients. Which of the following tasks should the charge nurse assign to a licensed practical nurse?

A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs. Which of the following laboratory findings should the nurse expect following the transfusion?

A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions should the nurse anticipate?

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?

A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?

The client is at risk for developing which of the following 2 complications? Select 2 complications the client is at risk for developing.

A nurse is caring for a client in an acute care setting.

Exhibits

Complete the following sentence by using the list of options.

The client is at risk for
dropdown
as evidenced by the client's
dropdown