A nurse is caring for a group of clients. Which of the following situations requires an incident report?

A client experiences a seizure.

A client vomits after receiving an oral medication.

A client receives their insulin 1 hr before scheduled.

A client receives their meal tray 20 min late.

Answer and Explanation

The Correct Answer is C

Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental

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Correct Answer is B

Explanation

- Theophylline is used in the management of asthma and COPD which present with wheezing and respiratory distress. COPD is characterized by chronic inflammation of the airway and increased mucus secretion leading to obstruction of airflow. Theophylline stimulates the respiratory centers to increase ventilation.

A- No effect on blood pressure C- increases urine output

D-Theophylline is a CNS stimulant

A. Weight gain B. Distended neck veins C. Shortness of breath D. Elevated hematocrit level

Correct Answer is D

Explanation

Fluid deficit causes the loss of the plasma component of blood. The levels of blood cells remain constant despite the loss of plasma resulting in hemoconcentration. Hemoconcentration is observed as an elevated hematocrit level on a full blood count test.

A,B,C- features of fluid overload

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A nurse is caring for a group of clients. Which of the following situations requires an incident report?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

Correct Answer is B

Explanation

A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Correct Answer is D

Explanation

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A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?

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A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?

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