Exhibits

According to the lab values, the client has
dropdown
related to
dropdown
or
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"B"}

The client has a history of trauma with abdominal injury (lacerations to the liver and spleen) and blood in the peritoneum, indicating significant internal bleeding.

Hypovolemia (low blood volume) occurs due to blood loss from the injured organs, leading to low blood pressure (90/79 mmHg) and tachycardia (HR 128 bpm). The low hemoglobin (9.3 g/dL) and low hematocrit (30%) are consistent with either acute blood loss or hemodilution due to intravenous fluid resuscitation, which can temporarily dilute blood components. The normal clotting times (PT 11.5 sec, PTT 64 sec) do not indicate disseminated intravascular coagulation (DIC), and there is no evidence of acidosis in the provided data.

Nursing Test Bank

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Correct Answer is D

Explanation

A. Determining the diameter and depth of a dermal ulcer requires clinical assessment and should be done by a nurse (RN or PN).

B. Evaluating a client's mobility progress requires clinical judgment to assess the effectiveness of interventions, which is the responsibility of a nurse.

C. Titrating oxygen involves adjusting the oxygen flow based on clinical criteria, which is a nursing responsibility requiring assessment skills and judgment.

D. Procure platelet products from the blood bank is within the scope of practice for UAPs, as it involves logistical tasks that do not require clinical judgment or assessment.

A. Assisting with pushing efforts B. Administering IV fluids C. Urinary drainage D. Monitoring blood pressure E. Side positioning F. Administering bolus fluids G. Augmentation of labor

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A,B"},"E":{"answers":"A,B"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

Maternal Interventions:

Assisting with pushing efforts is a maternal intervention that supports the mother during the second stage of labor and leading to the fetus delivery.

Administering IV fluids and bolus fluids: These are essential to maintain blood pressure and prevent hypotension following epidural anesthesia.

Urinary drainage: Epidural anesthesia can cause urinary retention, so inserting a catheter ensures the bladder remains empty and prevents complications.

Monitoring blood pressure: Epidural anesthesia can cause a decrease in maternal blood pressure, which needs to be carefully monitored to prevent complications like fetal hypoxia.

Side positioning: Lateral positioning can optimize uterine and placental perfusion, preventing hypotension and ensuring that the fetus continues to receive adequate oxygenation.

Augmentation of labor: This assists with speeding up labor especially when the mother is experiencing prolonged or stalled labor.

Fetal Interventions:

Assisting with pushing efforts is a maternal intervention that supports the mother during the second stage of labor and leading to the fetus delivery.

Administering IV fluids and bolus fluids: Ensure maternal blood pressure remains stable, thus maintaining uterine and placental blood flow, which supports fetal oxygenation.

Monitoring blood pressure: Any maternal hypotension can decrease placental perfusion, which may affect fetal well-being, so it is important to monitor closely.

Side positioning: Helps improve placental blood flow by preventing hypotension and optimizing maternal circulation.

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Exhibits According to the lab values, the client has dropdownrelated to dropdownordropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse assign to the UAP?

Correct Answer is D

Explanation

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A,B"},"E":{"answers":"A,B"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

The nurse is caring for a client who reports running out of aspirin 1 week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?

Patient Data Exhibits Select the 4 assessment findings that require immediate follow up.

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

A client who fell and broke a wrist is admitted for 24 hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

Patient Data Exhibits The nurse reviews the prescriptions and plans initial steps for caring for the client. Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.

The nurse is completing the admission assessment of a client with multiple sclerosis (MS). Which finding(s) should be reported to the healthcare provider immediately? Select all that apply.

Exhibits

According to the lab values, the client has
dropdown
related to
dropdown
or
dropdown
.