A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options

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

Answer and Explanation

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

Infection (Option 1): The patient's WBC count has decreased from 8,000/mm³ (normal range) to 4,000/mm³ (below normal), indicating leukopenia. This puts the client at increased risk for infections, especially since they are undergoing chemotherapy, which can further suppress the immune system.

WBC count (Option 2): The decreased WBC count is a direct indicator of the risk for infection, as a low white blood cell count reduces the body’s ability to fight off infections.

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Correct Answer is A

Explanation

A. In the three-point gait, weight is borne on the unaffected leg while the client moves the crutches and the affected leg together.

B. Crutches should be positioned a few inches in front and to the side of each foot to maintain balance and prevent falls.

C. Holding the arms straight can cause strain; a slight bend at the elbows is ideal.

D. Crutches should not be at the axillae level to prevent nerve damage. There should be a 1–2 inch gap below the armpit.

A. "A family member will need to witness my signature on my living will." B. 1 need to create advance directives so that I can donate my organs." C. "I can name my sibling as my designee in my durable power of attorney for health care." D. "My advance directives can be enforced once my attorney approves them."

Correct Answer is C

Explanation

A. While a witness may be required, it does not have to be a family member and may vary by state law.

B. Advance directives specify health care preferences, not organ donation, which usually requires a separate directive.

C. Naming a family member, like a sibling, as a designee in a durable power of attorney for health care is appropriate and is part of ensuring that health care decisions align with the client’s wishes if they become unable to communicate.

D. Advance directives do not require an attorney’s approval to be valid; they are enforced based on the client’s wishes as documented.

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A nurse is caring for a client. Exhibits Complete the following sentence by using the list of options The client is at risk for developing ___ as evidenced by the client's ___

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

A nurse is collecting data from a client who has hypomagnesemia. Which of the following findings should the nurse identify as a positive Chvostek's sign?

A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

A nurse is reinforcing a teaching plan regarding proper lifting with a client. Which of the following strategies should the nurse include to prevent back injury when lifting an object?

A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

A nurse is caring for a client who has a new colostomy. The client refuses to participate in her ostomy care, saying, "I'm not touching that thing." Which of the following actions should the nurse take?

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options

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