A nurse is collecting data from a client whose Hgb is 8.8 mg/dL. Which of the following statements should the nurse expect?

"I feel tired all the time."

"I have noticed that my fingernails are becoming thicker."

"I have to go to the bathroom all the time."

"I notice that my hands are always shaky."

Answer and Explanation

The Correct Answer is A

A.   Fatigue is a common symptom of anemia, which can result from a low hemoglobin level.
Decreased oxygen-carrying capacity leads to feelings of tiredness.
B.   Thickened fingernails are not typically associated with low hemoglobin levels. This symptom is more commonly seen in conditions such as fungal infections or psoriasis.
C.   The need to go to the bathroom frequently is not directly related to low hemoglobin levels. It may be indicative of other conditions such as urinary tract infections or diabetes.
D.   Shaky hands are not typically associated with low hemoglobin levels. This symptom may be seen in conditions such as essential tremor or Parkinson's disease.

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Correct Answer is C

Explanation

A. "You can take your child to stores on weekends." Neutropenic clients are at increased risk of infection, so avoiding crowded places like stores is advisable.
B. "You should inspect your child's mouth weekly for ulcers." Neutropenic clients are at risk of developing oral mucositis, so mouth inspections should be performed daily, not weekly.
C. "You should notify your provider if your child has a fever." Neutropenic clients are at high risk of infection-related complications, and fever can be an early sign of infection. Prompt notification of healthcare providers is essential for timely intervention.
D. "You can give your child fresh fruit for snacks." Neutropenic clients should avoid fresh fruits and vegetables that cannot be peeled or cooked, as they may harbor bacteria that can cause infection.

A. Increased heart rate B. Increased cardiac output C. Decreased urinary output D. Decreased potassium level

Correct Answer is B

Explanation

A. Incorrect. Digoxin typically decreases heart rate by increasing vagal tone and reducing the conduction velocity through the atrioventricular node.
B. Correct. Digoxin is a positive inotrope, meaning it increases the force of myocardial contraction, leading to increased cardiac output.
C. Incorrect. Decreased urinary output is not a common effect of digoxin.
D. Incorrect. Digoxin can lead to hyperkalemia, not hypokalemia, as it competes with potassium at the cellular level.

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A nurse is collecting data from a client whose Hgb is 8.8 mg/dL. Which of the following statements should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with the guardian of a client who is neutropenic. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following should the nurse include as an expected effect of this medication?

Correct Answer is B

Explanation

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