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A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first?

A client who is post-coronary artery bypass graft (CABG), has total cholesterol of 318 mg/dL, and is prescribed atorvastatin

A client who has pneumonia, a WBC count of 11,500/mm³, and is prescribed piperacillin

A client who has renal failure, a serum potassium of 5.8 mEq/L, and is prescribed sodium polystyrene sulfonate

A client who has anemia, hemoglobin of 11 g/dL, and is prescribed epoetin alfa

Answer and Explanation

The Correct Answer is C

Choice A Reason: This is incorrect because a client who is post-CABG and has high cholesterol is not in immediate danger, as atorvastatin is a long-term medication that lowers cholesterol and prevents cardiovascular complications.

Choice B Reason: This is incorrect because a client who has pneumonia and a slightly elevated WBC count is not in immediate danger, as piperacillin is an antibiotic that treats bacterial infections.

Choice C Reason: This is correct because a client who has renal failure and a high serum potassium level is in immediate danger, as sodium polystyrene sulfonate is an emergency medication that lowers potassium and prevents cardiac arrhythmias.

Choice D Reason: This is incorrect because a client who has anemia and a mild hemoglobin deficiency is not in immediate danger, as epoetin alfa is a long-term medication that stimulates red blood cell production and improves oxygen delivery.

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Correct Answer is C

Explanation

Choice A Reason: This is incorrect because hypertension is a condition of high blood pressure. A client who has hypovolemic shock is more likely to have hypotension, which is a condition of low blood pressure, due to ﬂuid loss and reduced cardiac output.

Choice B Reason: This is incorrect because bradypnea is a condition of slow breathing. A client who has hypovolemic shock is more likely to have tachypnea, which is a condition of fast breathing, due to hypoxia and increased respiratory demand.

Choice C Reason: This is correct because oliguria is a condition of low urine output. A client who has hypovolemic shock may have oliguria due to decreased renal perfusion and activation of the renin-angiotensin-aldosterone system, which causes sodium and water retention.

Choice D reason: This is incorrect because ﬂushing of the skin is a condition of redness and warmth of the skin. A client who has hypovolemic shock may have pallor and coolness of the skin due to vasoconstriction and reduced blood ﬂow.

A. "That's a hurtful thing to say." B. "Why would you say such a thing?" C. "Well, that's your opinion." D. "Tell me more about that."

Correct Answer is D

Explanation

Choice A Reason: This choice is incorrect because it reﬂects the nurse's feelings rather than focusing on the client's needs. Saying "That's a hurtful thing to say" may make the client feel guilty or defensive, and it does not address the underlying cause of the client's anger or frustration.

Choice B Reason: This choice is incorrect because it sounds accusatory and confrontational rather than empathetic and supportive. Asking "Why would you say such a thing?" may make the client feel judged or criticized, and it does not explore the client's feelings or concerns.

Choice C Reason: This choice is incorrect because it dismisses the client's feelings rather than acknowledging them. Saying "Well, that's your opinion" may make the client feel ignored or invalidated, and it does not show respect or compassion for the client.

Choice D Reason: This choice is correct because it invites the client to express their feelings and concerns rather than shutting them down. Saying "Tell me more about that" may make the client feel heard and understood, and it may help to identify the source of their anger or frustration. The nurse can then use therapeutic communication skills such as active listening, reﬂecting, clarifying, or validating to establish rapport and trust with the client.

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A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

Correct Answer is C

Explanation

A client who is having burn debridement states, "You are the worst nurse I have ever seen. All you do is hurt me." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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