A nurse working in the emergency department (ED) is admitting a client.

Exhibits

The nurse is reviewing the client's medical record. Which of the following conditions should the nurse identify as a risk factor for pneumonia? Select all that apply.

COPD

Hypertension

Dermatitis

Smoking history

Type 2 diabetes mellitus

Hypothyroidism

Answer and Explanation

Correct Answer : A,D,E

A. COPD: Clients with chronic obstructive pulmonary disease (COPD) are at increased risk for pneumonia due to compromised lung function, chronic inflammation, and decreased mucociliary clearance, making it easier for pathogens to infect the lungs.

B. Hypertension: While hypertension is a significant cardiovascular risk factor, it does not directly increase the risk of pneumonia. Therefore, it is not a relevant factor in this case.

C. Dermatitis: Dermatitis is a skin condition and does not affect lung function or immunity in a way that would increase the risk of pneumonia.

D. Smoking history: Smoking damages the respiratory epithelium and impairs the immune defenses of the lungs, making smokers more susceptible to respiratory infections such as pneumonia.

E. Type 2 diabetes mellitus: Diabetes compromises immune function and increases the risk of infections, including pneumonia, due to hyperglycemia impairing neutrophil function and other immune responses.

F. Hypothyroidism: While hypothyroidism may cause some general symptoms such as fatigue, it does not directly compromise respiratory function or immunity in a way that increases the risk of pneumonia.

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Correct Answer is D

Explanation

A. Calcium is essential for bone health but does not directly prevent neural tube defects.

B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.

C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.

D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Seizures: The client's elevated blood pressure, severe headache, and hyperreflexia are indicative of preeclampsia, which can lead to eclampsia and seizures.
Placental abruption: The client's history of preterm birth and current symptoms of severe headache, decreased fetal movement, and proteinuria increase the risk of placental abruption

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not.. I found the title to the car today, signed over to me.
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom. Client reports not wanting to eat anymore. Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

A nurse working in the emergency department (ED) is admitting a client. Exhibits The nurse is reviewing the client's medical record. Which of the following conditions should the nurse identify as a risk factor for pneumonia? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching an adolescent client who is trying to conceive. Which of the following should the nurse identify as a primary intervention to prevent neural tube defects?

Correct Answer is D

Explanation

The nurse is continuing to care for the client. Exhibits Select words from the choices below to fill in each blank in the following sentence. The client is at greatest risk for developing __________ and ________

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

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A nurse working in the emergency department (ED) is admitting a client.

Exhibits

The nurse is reviewing the client's medical record. Which of the following conditions should the nurse identify as a risk factor for pneumonia? Select all that apply.