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.

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Correct Answer is A

Explanation

A. In the Islamic perspective, committing suicide is considered as a grave sin, and Muslims are clearly instructed in several verses in the Holy Quran to avoid killing one another or killing one’s self.
B. Organ donation is prohibited. This is incorrect. Organ donation is generally permissible in Islam if it helps save lives, though beliefs and practices can vary among individuals and cultural interpretations.
C. There are spiritual gods to protect him during the process of dying. In Islam, there is a belief in one God (Allah). The concept of multiple spiritual gods is not consistent with Islamic teachings.
D. Final decisions about death are made by the provider. This is incorrect. In Islam, the belief is that Allah ultimately controls life and death, though healthcare providers play a crucial role in caring for the dying.

A. "I should drink enough fluids throughout the day to have pale yellow urine." B. "I should void every 2 to 4 hours during the day." C. "I should use mild soap when cleaning the perineal area." D. "I should void immediately after intercourse." E. "I should apply a thin layer of talcum powder after each void."

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

Explanation

A. "I should drink enough fluids throughout the day to have pale yellow urine." Adequate hydration helps flush bacteria out of the urinary tract and dilute urine, which can reduce the risk of infection. Pale yellow urine typically indicates proper hydration.
B. "I should void every 2 to 4 hours during the day." Frequent voiding helps to flush out any bacteria that may be present in the bladder, reducing the risk of infection.
C. "I should use mild soap when cleaning the perineal area." Mild soap is less likely to irritate the urethra and surrounding tissues, which can help prevent UTIs. Harsh soaps can disrupt the natural flora and cause irritation.
D. "I should void immediately after intercourse." Voiding after intercourse helps to flush out any bacteria that may have entered the urethra during sexual activity, reducing the risk of infection.
E. "I should apply a thin layer of talcum powder after each void." Talcum powder is not recommended as it can irritate the urethra and perineal area, and particles can enter the urinary tract, potentially increasing the risk of infection.

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is dying and practices Islam. The nurse should expect that the client has which of the following religious beliefs about death and dying?

Correct Answer is A

Explanation

A nurse is teaching a female client about urinary tract infection prevention. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)

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

Explanation

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 charge nurse is teaching a group of newly licensed nurses about manifestations of urinary tract infections in older adult clients. Which of the following manifestations should the nurse include in the teaching?

A nurse in a pediatric intensive care unit is admitting a toddler who has bacterial meningitis. Which of the following isolation precautions should the nurse implement?

A nurse is reviewing laboratory reports of an older adult client who is postoperative. Which of the following laboratory results should indicate to the nurse that the client is at risk for delayed wound healing?

An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

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 planning care for a client who practices Seventh-day Adventism. Which of the following dietary provisions should the nurse include in the plan of care?

A nurse is planning a community educational program promoting dietary guidelines to help achieve the national health care goals of Healthy People 2020. Which of the following information should the nurse include in this program?