A nurse is caring for a client on a medical-surgical unit.

Exhibits

Click to highlight the findings below of the prescriptions that the nurse should clarify with the provider prior to administering the medications. To deselect a finding, click on the finding again.

1300:

Potassium Chloride 20 mEq PO daily

HCTZ 25mg QD

Amlodipine 10 mg QOD

Clonidine .1 mg PO TID PRN blood pressure > 180 systolic

HCTZ 25mg QD

QOD

.1 mg

> 180 systolic

Amlodipine

Answer and Explanation

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

When analyzing cues, the nurse should identify HCTZ, QD, QOD .1 mg, and >180mg systolic as error-prone abbreviations. Medications names, such as hydrochlorothiazide, should be spelled out. QD should be written as daily and QOD should be written as every other day. Decimal points should be written using a leading zero and greater than and less than should be written out rather than using symbols.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Increase in subcutaneous tissue. Aging is associated with a decrease in subcutaneous fat, especially in the face, hands, and lower extremities, leading to thinner and more fragile skin.

B. Decrease in pigmentation. While some areas may lose pigmentation (e.g., hair turning gray), the skin often develops age spots or hyperpigmentation due to prolonged sun exposure.

C. Increase in moisture levels. Aging skin produces less sebum, leading to dryness rather than increased moisture.

D. Decrease in elasticity. Collagen and elastin fibers in the skin break down over time, leading to decreased skin elasticity, which contributes to wrinkles and sagging.

A. Document shiny, taut skin as an expected finding. B. Perform palpation after auscultation. C. Listen for 1 min before documenting absent bowel sounds. D. Perform auscultation immediately after the client has consumed a meal.

Correct Answer is B

Explanation

A. Document shiny, taut skin as an expected finding. Shiny, taut skin may indicate ascites or fluid retention, which are abnormal findings.

B. Perform palpation after auscultation. Palpation should always follow auscultation to avoid altering bowel sounds.

C. Listen for 1 min before documenting absent bowel sounds. Bowel sounds are considered absent only after listening for at least 5 minutes in each quadrant.

D. Perform auscultation immediately after the client has consumed a meal. Post-meal auscultation may result in altered bowel sounds, making the assessment unreliable.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of assistive personnel about the expected Integumentary changes in older adult clients. Which of the following findings should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is preparing to perform a routine abdominal assessment for a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is monitoring a client who has been receiving intermittent enteral feedings which of the following findings should the nurse identify as an indication of intolerance to the feeding?

A charge nurse is preparing a teaching session for a group of newly licensed nurses about the general principles of Immunity. Which of the following statements should the nurse plan to include in the teaching?

A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing dyspnea. Which of the following findings should the nurse expect?

A nurse is assessing the pain level of a client who has dementia and difficulty communicating. Which of the following pain assessment techniques should the nurse use?

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