After a change-of-shift report, which client should the nurse assess first?

A 50-yr-old patient who uses exenatide (Byetta) and is complaining of acute abdominal pain

A 23-yr-old patient with type 1 diabetes who has a blood glucose of 40 mg/dL

A 40-yr-old patient who is pregnant and whose oral glucose tolerance test is 202 mg/dL

A 19-yr-old patient with type 1 diabetes who has a hemoglobin A1C of 12%

Answer and Explanation

The Correct Answer is B

A blood glucose level of 40 mg/dL indicates severe hypoglycemia, which is a medical emergency requiring immediate attention. Hypoglycemia can lead to confusion, altered mental status, seizures, and loss of consciousness if not treated promptly. Therefore, it is crucial to assess and intervene quickly to raise the patient's blood glucose level to a safe range.

While the other clients mentioned also require attention and appropriate care, the severity and immediate risk associated with severe hypoglycemia make it the priority situation. The nurse should initiate appropriate treatment for hypoglycemia, such as administering glucose or glucagon, and closely monitor the patient's response.

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Correct Answer is C

Explanation

Nitroprusside is a potent vasodilator medication used to rapidly reduce blood pressure in hypertensive emergencies. Its primary action is to dilate blood vessels, leading to a decrease in systemic vascular resistance and subsequent reduction in blood pressure.

Monitoring the client's blood pressure is crucial during the administration of nitroprusside to ensure that the medication is achieving the desired effect and that blood pressure is being appropriately controlled. The nurse will assess blood pressure frequently to adjust the infusion rate and titrate the medication to achieve the desired therapeutic effect while avoiding hypotension or other adverse effects.

A. Dietary restrictions to reduce calorie and fat intake to lose weight B. Keep the child in isolation to prevent spread of the infection. C. Control the inflammatory process to reduce or eliminate symptoms. D. Restrict foods containing gluten to control the symptoms

Correct Answer is C

Explanation

Crohn's Disease is an inflammatory bowel disease that can affect any part of the digestive tract. The goal of treatment is to control inflammation, relieve symptoms, and prevent complications. To achieve this, the healthcare provider may prescribe medication such as anti-inflammatory drugs, immunosuppressants, or biologic therapies that target specific inflammatory pathways.

These medications can help reduce inflammation and improve symptoms.

In addition to medication, nutritional therapy may also be recommended to help manage Crohn's Disease. However, dietary restrictions to reduce calorie and fat intake to lose weight or restrict foods containing gluten to control symptoms are not specific treatments for Crohn's Disease.

Keeping the child in isolation to prevent the spread of the infection is not relevant to Crohn's Disease, as it is not contagious.

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After a change-of-shift report, which client should the nurse assess first?

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Naxlex Comprehensive Predictor Exams

The nurse is administering nitroprusside by IV infusion for a client in hypertensive emergency. The nurse knows that the primary assessment will be:

Correct Answer is C

Explanation

Therapeutic management for an adolescent with Crohn's Disease includes which treatment?

Correct Answer is C

Explanation

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