After receiving morning report about four clients, which client should the nurse attend to first?

An older female client who had a hip replacement yesterday and is notably pale with a Hemoglobin of 10.5 g/dl.

An adult client with osteomyelitis of the ankle who refuses an IV restart that is needed to administer antibiotics.

An elderly client with low back pain who removed the pelvic traction and repeatedly states a strong desire to go home.

A young adult client with a closed reduction of a fractured femur who has been complaining of increasingly severe pain.

Answer and Explanation

The Correct Answer is D

Choice A: The older female client who had a hip replacement yesterday and is notably pale with a hemoglobin of 10.5 g/dl likely needs attention, but the information provided does not indicate an urgent, life-threatening situation. Immediate intervention may not be necessary based on the information given.

Choice B: The adult client with osteomyelitis of the ankle who refuses an IV restart for antibiotics is concerning, but it does not represent an immediate life- threatening situation. The client's refusal should be addressed, but it may not require immediate attention.

Choice C: The elderly client with low back pain who removed pelvic traction and wants to go home may require assessment and intervention, but the information provided does not indicate an urgent, life-threatening situation. It may not be the first priority.

Choice D: The young adult client with a closed reduction of a fractured femur complaining of increasingly severe pain is the most concerning. Pain assessment and management are critical, and uncontrolled pain can lead to complications. This client should be attended to first to assess and address the pain.

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Correct Answer is C

Explanation

Choice A: Partnering with a major pharmaceutical company to provide nebulizers at reduced cost to inner-city children is an example of a secondary prevention strategy aimed at managing asthma symptoms and exacerbations. It does not address primary prevention, which focuses on preventing the development of the condition in the first place.

Choice B: Offering free asthma screening to children at a health fair is a secondary prevention strategy aimed at early detection and management of existing asthma cases. It does not address primary prevention.

Choice C: Informing the city council of the need to strengthen the city's air pollution ordinances is a primary prevention strategy. It aims to address environmental factors (such as air pollution) that can contribute to the development of asthma in children. By reducing exposure to environmental triggers, the goal is to prevent new cases of asthma from occurring.

Choice D: Referring parents of preschoolers with asthma to a support group sponsored by the American Lung Association is a secondary prevention strategy aimed at providing support and education to

A. Pickles, blackberries, seeds. B. Pickled olives, spam, nuts. C. Buttermilk, spinach, milk. D. Cheese spread, processed cheese, cheese. E. Fresh meats, fresh turkey, fresh chicken.

Correct Answer is ["C","D"]

Explanation

Choice A: Pickles, blackberries, and seeds are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice B: Pickled olives, spam, and nuts are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice C: Buttermilk, spinach, and milk are good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice D: Cheese spread, processed cheese, and cheese are also good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice E: Fresh meats, fresh turkey, and fresh chicken are not typically high in calcium and may not significantly contribute to increasing calcium intake.

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After receiving morning report about four clients, which client should the nurse attend to first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is concerned about the incidence of asthma among preschool aged children in a metropolitan area. Which intervention reflects a primary prevention strategy the nurse might initiate to combat this chronic illness?

Correct Answer is C

Explanation

When conducting diet teaching for a client who was diagnosed with hypocalcemia, which foods should the nurse encourage the client to eat? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

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The nurse is planning a fall prevention program for the residents at a long-term care facility. Which intervention is most important in providing a safe environment?

The nurse is admitting an older client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?

The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?

The nurse is assessing the reflexes of a 35-year-old client who came to the clinic for an annual physical exam. When the nurse strikes the patellar tendon, there is no response. What action should the nurse take next?

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?