A nurse is collecting data on a client who has an infection. Which of the following findings is a manifestation of sepsis?

Vomiting Hypoglycemia

Hypertension

Altered mental status

Elevated WBC’s count

Answer and Explanation

The Correct Answer is C

A.   Vomiting is not a specific manifestation of sepsis.
B.   Hypertension is not a typical finding in sepsis; hypotension is more common.
C.   Altered mental status, such as confusion or lethargy, can be a sign of sepsis- induced organ dysfunction.
D.   While an elevated white blood cell (WBC) count is often seen in infection, it alone does not indicate sepsis. The key in sepsis is the body's dysregulated response to infection leading to organ dysfunction.

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Correct Answer is D

Explanation

A. These symptoms are more commonly associated with gastrointestinal side effects of chemotherapy.
B. These symptoms are common due to the impact of chemotherapy on the gastrointestinal system.
C. Hair loss is a common side effect of chemotherapy, but it is not associated with myelosuppression.
D. Myelosuppression can lead to decreased platelet production, resulting in an increased risk of bleeding, including gum bleeding.

A. Use honey on toast. B. Use milk instead of water in recipes. C. Increase fluids during meals. D. Substitute salad dressing for mayonnaise on sandwiches E. Top yogurt with granola.

Correct Answer is ["A","B","D","E"]

Explanation

A. Using honey on toast adds calories and sweetness.
B. Use milk instead of water in recipes increases the caloric content of the meal.
C. While important for hydration, it does not directly increase caloric intake.
D. Mayonnaise has more calories.
E. Topping yogurt with granola adds calories and texture to increase caloric intake.

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A nurse is collecting data on a client who has an infection. Which of the following findings is a manifestation of sepsis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client receiving chemotherapy. The nurse should identify that a client who has myelosuppression is at risk for which of the following conditions?

Correct Answer is D

Explanation

A nurse at a provider’s office is reinforcing teaching with a client who is being treated with chemotherapy and is losing weight. Which of the following instructions should the nurse give to increase the client’s caloric intake? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is collecting data from a client who is receiving chemotherapy and is showing manifestations of malnutrition. Which of the following indicates a Vitamin C deficiency?

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

A nurse is preparing to administer amitriptyline 150 mg PO. The amount available is amitriptyline 75 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?