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A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease.

Exhibits
Select the 4 priority findings that require immediate follow-up.

Barrel chest

Shortness of breath

Arterial blood gas results

Electrocardiogram results

Oxygen saturation

Lung sounds

Answer and Explanation

Correct Answer : B,C,D,E

A. Barrel chest
Common chronic COPD finding, not acute or emergent.

B. Shortness of breath
Indicates respiratory compromise that is worsening-urgent.

C. Arterial blood gas results
Indicates respiratory acidosis; pCO₂ is severely elevated.

D. Electrocardiogram results
Needed to assess for cardiac complications due to hypoxia and acidosis.

E. Oxygen saturation
O₂ sat of 83% on room air is critically low and requires intervention.

F. Lung sounds
Wheezing is expected with COPD; less urgent than ABGs or O₂ sat.

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Correct Answer is ["0.25"]

Explanation

Calculation:
5 mg ÷ 20 mg/mL = 0.25 mL

A. Monitoring volume status B. Ensuring proper ventriculostomy transducer levels C. Managing sedation D. Completing hourly endotracheal suctioning E. Elevating the head of the bed 15°

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

Explanation

A. Monitoring volume status
Maintaining adequate fluid balance prevents hypotension and cerebral hypoperfusion, which can worsen ICP.

B. Ensuring proper ventriculostomy transducer levels
Accurate positioning of the transducer at the level of the foramen of Monro (tragus of the ear) ensures valid ICP readings.

C. Managing sedation
Sedation can reduce cerebral metabolism and help control ICP, especially in agitated patients.

D. Completing hourly endotracheal suctioning
Frequent suctioning increases ICP and should only be done as needed with pre-oxygenation.

E. Elevating the head of the bed 15°
The head of the bed should be elevated 30° (not 15°) to promote venous drainage from the brain and reduce ICP.

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A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease. Exhibits Select the 4 priority findings that require immediate follow-up.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

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

Explanation

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A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease.

Exhibits
Select the 4 priority findings that require immediate follow-up.