Exhibits

A nurse on an antepartum unit is caring for a client who is at 15 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Hgb

Urinalysis results

Intake

Temperature

Answer and Explanation

The Correct Answer is B

A. Hgb: A hemoglobin level of 11.1 mg/dL is lower than normal, indicating anemia, which could be concerning but might not be the most urgent issue compared to other findings.
B. Urinalysis results: Positive urine ketones indicate ketonuria, which is significant in the context of hyperemesis gravidarum and may reflect severe dehydration or malnutrition. This finding should be reported to the provider.
C. Intake: The client’s intake of 50% of the meal without emesis is a relevant detail but does not indicate a severe immediate issue compared to the urinalysis results.
D. Temperature: A temperature of 37.2° C (99° F) is slightly elevated but not extremely concerning in this context compared to other findings like ketonuria.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. "Take meperidine 30 minutes before aerobic activity." Meperidine (Demerol) is not recommended for long-term use in older adults due to its side effects and potential for dependence. It is not an appropriate medication for managing rheumatoid arthritis or exercise-related pain.
B. "Take a 2-hour nap in the afternoon." While short naps can be beneficial, a 2-hour nap might interfere with nighttime sleep, exacerbating fatigue. Naps should be limited to 20-30 minutes.
C. "Avoid exercising on days when you feel tired." Regular, gentle exercise is beneficial for managing rheumatoid arthritis and fatigue. It helps maintain joint function and reduce stiffness. Avoiding exercise altogether can lead to increased stiffness and fatigue.
D. "Plan your daily schedule in advance." Planning activities in advance can help manage energy levels and avoid overexertion, which is crucial for managing fatigue in rheumatoid arthritis.

A. "Why don't I get the chaplain to come and pray with you?" B. "I'll come back at a time when I can spend more time with you." C. "Maybe it would be better if we read a passage from the Bible." D. "Do you have a preference about how we pray together?"

Correct Answer is D

Explanation

A. "Why don't I get the chaplain to come and pray with you?" This response might make the client feel dismissed.
B. "I'll come back at a time when I can spend more time with you." This does not address the client's immediate need for spiritual support.
C. "Maybe it would be better if we read a passage from the Bible." Assuming the client wants to read the Bible may not be appropriate.
D. "Do you have a preference about how we pray together?" This response shows respect for the client's spiritual needs and preferences.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an older adult client who has rheumatoid arthritis and reports fatigue. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has just learned of her poor prognosis. The client asks the nurse to pray with her. Which of the following therapeutic responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has limited mobility and is experiencing urinary incontinence. Which of the following actions should the nurse take to prevent skin breakdown?

A nurse is preparing a teaching program for the parents of a toddler who has a new diagnosis of cystic fibrosis. From which of the following sources should the nurse obtain information?

A nurse is developing a plan of care for a client who has a latex allergy and is to undergo surgery. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a female client who practices Islam. Which of the following client preferences should the nurse expect when providing care?

A nurse is assessing a client's wound in the stages of healing. Which of the following areas of the wound represents granulation tissue? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A nurse is transcribing several telephone prescriptions into a client's medical record. Which of the following entries should the nurse make?

A home health nurse is providing teaching to a client who is to start using an IV infusion pump for antibiotic therapy. Which of the following safety instructions should the nurse include?

A nurse manager is planning an in-service for a group of staff nurses about documentation guidelines in The Joint Commission's National Patient Safety Goals. Which of the following examples should the nurse manager include when discussing error-prone abbreviations?