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 D
Explanation
A. Washing the newborn's head under a stream of running water is not recommended, as it could startle the newborn or lead to water entering the ears or eyes. Instead, the head should be washed gently using a damp cloth or sponge.
B. Bathing the newborn within 30 minutes after a feeding is not advisable. This could increase the risk of regurgitation or discomfort during the bath. It is better to bathe the newborn when they are calm and not immediately after feeding.
C. Starting the bath by washing the diaper area first is incorrect. The newborn’s face and head should be washed first to avoid spreading bacteria from the diaper area to other parts of the body.
D. The bath water should be 100 to 103 degrees Fahrenheit, as this is a safe and comfortable temperature for the newborn. It prevents chilling or burns and ensures the bath is soothing for the baby.
Correct Answer is B
Explanation
A. Incorrect. Maintaining the elbow flexed at a 90-degree angle is a general instruction for cane use but may not be applicable to all clients. It depends on individual comfort and the type of cane being used.
B. Correct. Placing the cane on the stronger side of the body helps to provide stability and support during ambulation, especially for clients with rheumatoid arthritis.
C. Incorrect. Placing the cane forward 5 to 10 cm (2 to 4 in) helps ensure proper positioning and support but is not specifically related to the side of placement.
D. Incorrect. Moving the stronger leg forward first is a general instruction for cane use but may not be specific to all clients or situations
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