A nurse is reviewing the medical records of four clients. The nurse should identify which of the following client findings that requires follow-up care.
A client who received a Mantoux test 48 hr ago and has an induration
A client who is taking bumetanide and has a potassium level of 3.6 mEq/L
A client who is scheduled for a colonoscopy and is taking sodium phosphate
A client who is taking warfarin and has an INR of 1.8
The Correct Answer is D
A. Induration after a Mantoux test is a common response and does not necessarily require follow-up care.
B. A potassium level of 3.6 mEq/L is within the normal range (3.5-5.0 mEq/L).
C. Sodium phosphate is commonly used for bowel preparation before procedures like colonoscopy.
D. Correct. An INR of 1.8 for a client on warfarin is below the therapeutic range (usually 2.0- 3.0 for most indications), indicating that the client's blood may not be adequately anticoagulated. This requires follow-up to adjust the warfarin dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Oxytocin is not typically administered during a nonstress test. Oxytocin is a hormone that induces or augments labor contractions; it is not used in nonstress testing, which monitors fetal heart rate and movement. The administration of oxytocin during nonstress testing would not be appropriate or necessary.
Choice B rationale:
Fasting is not required for a nonstress test. Nonstress testing involves attaching electronic fetal monitors to the mother's abdomen to measure the baby's heart rate and movement. It does not require the patient to abstain from eating or drinking. Imposing unnecessary restrictions on the client's diet could cause discomfort and anxiety, which is not conducive to an accurate assessment.
Choice C rationale:
Nonstress testing is used to evaluate the baby's heart rate response to its own movements. It does not diagnose genetic problems. Genetic testing, such as amniocentesis or chorionic villus sampling, is a different type of test used to detect genetic abnormalities in the fetus. Therefore, this statement does not reflect an understanding of the purpose of nonstress testing.
Choice D rationale:
This is the correct answer. Nonstress testing involves monitoring the baby's heart rate and movement. During the test, the mother pushes a button when she feels the baby move. This allows the healthcare provider to correlate fetal movements with changes in the baby's heart rate. An understanding of this process indicates that the client comprehends the purpose and procedure of the nonstress test.
Correct Answer is D
Explanation
A. Opioid medications can cause constipation, and increasing fluid intake helps prevent dehydration and promotes bowel regularity. However, it does not directly prevent cosntipation.
B. Incorrect. While some laxatives or stool softeners might be recommended, mineral oil is generally not recommended due to its potential to interfere with the absorption of fat-soluble vitamins.
C. Incorrect. Increasing insoluble fiber intake, rather than decreasing it, can help prevent constipation.
D. Increasing exercise is key in preventing constipation caused by opiod analgesics
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