A nurse is preparing to administer medications to a female client.

Exhibits

The nurse has reviewed the client’s medical record. Based on the findings, complete the following sentence by using the list of options.

The nurse should clarify the prescription for
dropdown
due to the client’s
dropdown

Answer and Explanation

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

Rationale

Furosemide is a loop diuretic that promotes the excretion of potassium, which can lead to hypokalemia. The client’s potassium level on Day 2 is 2.8 mEq/L, which is significantly below the normal range of 3.5 to 5 mEq/L. Administering furosemide without addressing this hypokalemia could worsen the potassium deficiency, increasing the risk of complications such as arrhythmias.

Potassium chloride is prescribed to help replenish potassium levels, but the current dose may not be sufficient to counteract the effects of furosemide. Therefore, the nurse should clarify the prescription for furosemide to prevent further potassium depletion.

Sodium, BUN, and fasting blood glucose levels are within normal ranges and do not necessitate clarification of the furosemide prescription. Other medications on the client’s list do not directly exacerbate the low potassium levels, making furosemide the medication of concern in this context.

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Correct Answer is D

Explanation

A. Dry brown eschar is a sign of necrotic tissue, which indicates that the wound is not healing properly. Eschar needs to be removed for proper healing to occur.

B. Wound tissue firm to palpation is not a typical sign of healing. Healing tissue tends to be softer, while firm tissue could indicate fibrosis or an abnormal healing process.

C. Light yellow exudate can indicate the presence of infection or the early stages of healing, but it is not as specific a sign of healing as granulation tissue. Granulation tissue is a more definitive sign of healing.

D. Dark red granulation tissue is a sign of healthy healing tissue. It consists of new blood vessels and is an indication that the wound is in the proliferative phase of healing, which is a positive sign.

A. "I apply a lubricating lotion to the cracked areas on the soles of my feet every morning." B. "I rest in my recliner with my feet elevated for about an hour every afternoon." C. "I soak my feet in hot water before trimming my toenails." D. "I use my heating pad on a low setting to keep my feet warm."

Correct Answer is A

Explanation

A. Applying a lubricating lotion to cracked areas is appropriate for clients with peripheral arterial disease (PAD). This helps to prevent further skin breakdown and maintain skin integrity, which is crucial since clients with PAD have poor circulation and are at risk for ulcers and infections.

B. Resting with feet elevated is not recommended for clients with PAD. Elevating the feet can further reduce blood flow to the lower extremities. Instead, the client should avoid elevating the legs and should consider positioning the feet at heart level or in a dependent position to promote circulation.

C. Soaking feet in hot water is not recommended for clients with PAD because they may have reduced sensation and are at risk for burns. Additionally, hot water can exacerbate circulation problems and increase the risk of injury.

D. Using a heating pad is not recommended for clients with PAD because they may have impaired sensation in their feet. The heating pad could cause burns or other injuries due to the lack of feeling in the affected areas.

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A nurse is preparing to administer medications to a female client. Exhibits The nurse has reviewed the client’s medical record. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription for dropdowndue to the client’sdropdown

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a pressure injury. Which of the following findings should the nurse expect as an indication the wound is healing?

Correct Answer is D

Explanation

A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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A nurse is preparing to administer medications to a female client. Exhibits The nurse has reviewed the client’s medical record. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription for dropdowndue to the client’sdropdown

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