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
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.
Correct Answer is A
Explanation
A. Correct. Chickenpox is contagious until the sores have crusted over, which generally takes about 5-7 days. Visiting after this period reduces the risk of infection.
B. Incorrect. Antibiotics are not effective against viruses; they treat bacterial infections.
C. Incorrect. Handwashing should be done with soap and water for at least 20 seconds, not 10 seconds, to effectively remove germs.
D. Incorrect. Cleaning a cat's litter box during pregnancy is not recommended due to the risk of toxoplasmosis, a parasitic infection.
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