A nurse is selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?
A client who has ascites and had a paracentesis 4 hr ago
A client who is 6 hr postoperative following a hip arthroplasty
A client who has a blood glucose level of 380 mg/dL and is receiving insulin via IV infusion
A client who has pneumonia and is receiving 100% oxygen via a nonrebreather mask
The Correct Answer is A
This client has undergone a paracentesis for ascites, and since it was done 4 hours ago, they are likely stable and can be considered for discharge.
The client who is 6 hours postoperative following a hip arthroplasty may still require close monitoring and postoperative care. Discharging a postoperative client too early could lead to complications.
The client with a blood glucose level of 380 mg/dL receiving insulin via IV infusion requires ongoing monitoring and management of their diabetes. Discharging this client during an external disaster may not be appropriate due to the need for continued medical intervention.
The client with pneumonia receiving 100% oxygen via a nonrebreather mask likely requires continued medical attention and monitoring. Discharging a client with pneumonia who requires high-flow oxygen can pose risks to their respiratory status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A client who reports experiencing short-term memory loss:
Memory loss is a common issue in older adults and does not necessarily indicate elder abuse. While it is a concern that should be addressed, it may not be related to abuse unless there are specific circumstances suggesting mistreatment.
B. A client who is wearing urine-scented clothing.
Wearing urine-scented clothing can be indicative of neglect, which is a form of elder abuse. Neglect occurs when the basic needs of an older adult, such as hygiene and cleanliness, are not adequately met. The nurse should report this finding to the case manager so that appropriate interventions and assessments can be made to address the potential abuse or neglect.
C. A client who has fingernails that are discolored and broken:
Fingernail issues can have various causes, including medical conditions or self-neglect. Discolored and broken fingernails alone may not be conclusive evidence of elder abuse, and further assessment is needed to determine the cause.
D. A client who provides a detailed description of a recent fall at home:
While falls are a concern, providing a detailed description of a fall is not necessarily indicative of elder abuse. Falls can occur for various reasons, and additional assessment is needed to determine the circumstances surrounding the fall and whether abuse or neglect is involved.
Correct Answer is ["0.71"]
Explanation
To calculate the volume (mL) of the reconstituted medication that the nurse should administer, you can use the following formula:
Volume (mL)=Desired Dose (mg)/Concentration (mg/mL)
In this case:
Volume = 250 mg/350 mg/mL
Now, let's calculate:
Volume = 250 mg/350 mg/mL
Volume=0.71mL
Therefore, the nurse should administer 0.71 mL of the reconstituted ceftriaxone solution to provide the prescribed dose of 250 mg, rounded to the nearest hundredth.
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