A nurse is caring for a client in an acute care setting.
Complete the following sentence by using the list of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
- Hypostatic pneumonia: The client's immobility due to paraplegia increases the risk of fluid accumulation in the lungs, leading to infection.
- Immobility: Prolonged immobility is a significant risk factor for hypostatic pneumonia, as it impairs normal lung drainage and promotes bacterial growth
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Read medication labels at least two times prior to administration: Labels should be read three times (when retrieving, preparing, and administering).
B. Avoid preparing medications for more than two clients at one time: Reduces the risk of medication errors by minimizing task-switching and confusion.
C. Inform clients about the action of each medication prior to administration: While educating clients is essential, it is not always required before every medication.
D. Complete an incident report if a client vomits after taking a medication: An incident report is typically required only for errors or adverse events.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}
Explanation
- Lithium toxicity: The client's lithium level is significantly elevated at 2.5 mEq/L (normal range is 0.6 to 1.2 mEq/L), and symptoms such as blurred vision, increased urine output, and clonic jerking of the upper extremities are indicative of lithium toxicity2.
- Seizure activity: Lithium toxicity can lead to neurological symptoms, including seizures, which require close monitoring
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