A nurse on a medical unit is admitting a client.
Select the 5 prescriptions the nurse should anticipate from the provider.
Chest x-ray
Basic metabolic profile (BMP)
12-lead ECG
Doppler studies of lower extremities
Brain natriuretic peptide (BNP) level
Echocardiogram
Correct Answer : A,B,C,E,F
A. Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B. Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C. 12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D. Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.
E. Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F. Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Vomiting is not a common adverse effect of electroconvulsive therapy (ECT). Nausea may occur, but vomiting is less common.
B. Confusion is a common adverse effect of ECT, especially immediately following the procedure. It typically resolves within a short time after the treatment.
C. Incontinence is not typically associated with ECT. However, urinary retention may occur in some cases.
D. Tinnitus (ringing in the ears) is not a common adverse effect of ECT. However, some clients may experience temporary hearing disturbances immediately following the procedure.
Correct Answer is A
Explanation
A. Disposing of insulin needles in a puncture-proof container is a safe practice to prevent accidental needle sticks and transmission of infections.
B. Opened insulin vials should be stored at room temperature, not in the refrigerator, to prevent insulin from crystallizing or becoming too cold for injection.
C. Shaking the insulin vial before drawing it into the syringe can cause air bubbles to form, leading to inaccurate dosing.
D. Regular insulin should appear clear, not cloudy. Cloudiness may indicate contamination or degradation of the insulin, and the client should not use it.
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