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

Exhibits

Complete the following sentence by using the lists of options.

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

Answer and Explanation

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

Option 1: Intracranial hemorrhage: The client’s recent fall, worsening headache, unilateral pupil dilation, right-sided weakness, and decreasing Glasgow Coma Scale (GCS) indicate a potential neurological injury, which is concerning for intracranial hemorrhage.

Option 2: Glasgow Coma Scale: The client's GCS has progressively declined (from 15 to 13), indicating a decrease in neurological function, which is critical in assessing intracranial pressure and risk for hemorrhage.

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Correct Answer is C

Explanation

A. A 30° angle is too low and may increase the risk of aspiration; a 90° sitting position is preferred for safe swallowing.

B. Coughing while swallowing is not recommended as it may increase the risk of choking.

C. Tilting the head forward while swallowing helps to close the airway and reduce the risk of aspiration, which is crucial in dysphagia management.

D. Food should be placed on the stronger side to improve control and reduce aspiration risk.

A. Night sweats B. Increased WBC count C. Increased hemoglobin D. Weight gain

Correct Answer is A

Explanation

A. Night sweats are a common symptom in clients with AIDS, often related to opportunistic infections like tuberculosis or certain types of cancers.

B. In HIV/AIDS, WBC counts are often decreased due to immune suppression, so an increased WBC count is not typical.

C. Decreased, rather than increased, hemoglobin levels are often seen in AIDS due to anemia of chronic disease.

D. Weight loss, rather than gain, is more commonly associated with AIDS due to malnutrition and wasting syndrome.

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A nurse is caring for a client on a medical-surgical unit Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown as evidenced by the client's dropdown .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the partner of a client who had a stroke about dysphagia. Which of the following statements by the client's partner should indicate to the nurse that the teaching was effective?

Correct Answer is C

Explanation

Å nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take?

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

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A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information? (Select All that Apply.)

A nurse is reviewing the laboratory results of a client who is postoperative. Which of the following laboratory findings should the nurse identify as an indication of a postoperative infection? (Select All that Apply.)

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

Á nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

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

Exhibits

Complete the following sentence by using the lists of options.

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