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A nurse is caring for a client.

Medication Administration Record:

Budesonide 6 mg PO daily.

Laboratory Results:

Hematocrit (Hct): 47% (Normal range: 37% to 52%)

Hemoglobin (Hgb): 16 g/dL (Normal range: 12 to 18 g/dL)

Potassium: 3.6 mEq/L (Normal range: 3.5 to 5.0 mEq/L)

History and Physical:

BMI: 16 (Reference Range:18.5 - 24.9)

History of type 2 diabetes mellitus.

Nonsmoker.

New diagnosis of Crohn's disease.

Click to highlight the findings that increase the client's susceptibility to infection.

To deselect a finding, click on the finding again.

Budesonide 6 mg PO daily

BMI: 16

History of type 2 diabetes mellitus

New diagnosis of Crohn's disease

Hematocrit (Hct): 47%

Hemoglobin (Hgb): 16 g/dL

Potassium: 3.6 mEq/L

Answer and Explanation

The Correct Answer is ["A","B","C","D"]

Findings that Could Increase Susceptibility to Infection:

Budesonide 6 mg PO daily:
- Explanation: Budesonide is a corticosteroid used to reduce inflammation, often prescribed for conditions like Crohn's disease. While it helps manage inflammation, corticosteroids also suppress the immune system. This immunosuppressive effect can increase the client's susceptibility to infections.
BMI of 16:
- Explanation: A BMI of 16 is considered underweight. Malnutrition or being underweight can weaken the immune system, making a person more susceptible to infections because their body lacks the necessary nutrients and energy to support immune function.
History of Type 2 Diabetes Mellitus:
- Explanation: Diabetes, particularly if not well-controlled, can impair the immune system and increase the risk of infections. High blood sugar levels can hinder the function of immune cells, making it easier for infections to develop and harder for the body to fight them.
New Diagnosis of Crohn's Disease:
- Explanation: Crohn's disease is an inflammatory bowel disease that causes inflammation of the digestive tract. This chronic inflammation can affect the body's ability to absorb nutrients, leading to nutritional deficiencies that impair the immune system. Additionally, the disease itself, especially when active, can increase the risk of infection.

Findings That Do Not Increase Susceptibility to Infection:

Hematocrit (Hct) of 47%:
- Explanation: The Hct level is within the normal range of 37% to 52%. It measures the percentage of red blood cells in the blood. Since it's normal, it does not indicate an increased risk of infection.
Hemoglobin (Hgb) of 16 g/dL:
- Explanation: The Hgb level is also within the normal range of 12 to 18 g/dL. Hemoglobin is a protein in red blood cells that carries oxygen. This normal level does not suggest a higher risk of infection.
Potassium level of 3.6 mEq/L:
- Explanation: Potassium levels are within the normal range of 3.5 to 5.0 mEq/L. This electrolyte level is unrelated to infection risk in the context provided.

Nursing Test Bank

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Correct Answer is B

Explanation

Choice A rationale:

The nurse should not inform the client of the need to pre-pay for the consent of authorization. Precertification for surgery is related to obtaining approval from the client's insurance provider and not about pre-payment.

Choice B rationale:

Contacting the client's insurance carrier to obtain authorization is the correct action to take when obtaining precertification for surgery. Many insurance companies require pre-authorization for surgical procedures to ensure coverage and to confirm that the procedure is medically necessary. This step is essential to prevent financial burdens on the client and ensure they have coverage for the surgery.

Choice C rationale:

Notifying the provider to obtain approval for the surgery is not the nurse's responsibility in the context of precertification. The primary responsibility lies with obtaining approval from the client's insurance carrier.

Choice D rationale:

Witnessing the client sign the surgical consent form is an essential step in the surgical preparation process but is not the same as obtaining precertification. Precertification involves confirming insurance coverage and approval for the surgery, which is the responsibility of the insurance carrier, not the client's consent.

A. Standards of care for monitoring clients who have a history of blood pressure elevation. B. A critical pathway for clients who have had a stroke. C. Acute care facility protocol for clients who are experiencing a hypertensive crisis. D. Clinical practice guidelines for the management of high blood pressure.

Correct Answer is D

Explanation

Choice A rationale:

Standards of care for monitoring clients with a history of blood pressure elevation are important, but they are not the best resource for health promotion activities for clients with hypertension. This choice is more focused on monitoring and care standards.

Choice B rationale:

A critical pathway for clients who have had a stroke is specific to a different condition and not related to health promotion for clients with hypertension. It does not provide the information needed for the presentation.

Choice C rationale:

Acute care facility protocol for clients experiencing a hypertensive crisis is important for managing emergencies, but it is not the best resource for health promotion activities. It deals with crisis management rather than prevention.

Choice D rationale:

Clinical practice guidelines for the management of high blood pressure are the most appropriate resource for the nurse's presentation on health promotion activities for clients with hypertension. These guidelines provide evidence-based recommendations for managing and preventing high blood pressure, making them the best choice for the presentation. .

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Findings that Could Increase Susceptibility to Infection:

Findings That Do Not Increase Susceptibility to Infection:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is scheduling a client for surgery.Which of the following actions should the nurse take to obtain precertification for the client to have surgery?

Correct Answer is B

Explanation

A nurse is planning a presentation on health promotion activities for clients who have hypertension.Which of the following should the nurse utilize as a resource for this information?

Correct Answer is D

Explanation

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? rounded off to the nearest hundredth

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