Exhibits

After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure.

For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.

I can show my child a movie or read him a book during the procedure.

The echocardiogram is a painful procedure.

Echocardiography uses soundwaves to produce images.

The echocardiogram will produce an image of the structure of the heart.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

I can show my child a movie or read him a book during the procedure.

Correct Answer: Understanding

Rationale: Echocardiograms are non-invasive and do not require the patient to remain still, so activities like watching a movie or reading a book can be comforting and are often encouraged to help the child stay calm during the procedure.

The echocardiogram is a painful procedure.

Correct Answer: No understanding

Rationale: Echocardiograms are painless tests that use ultrasound (sound waves) to capture images of the heart. It involves no needles or incisions, and there should be no pain associated with the procedure itself.

Echocardiography uses soundwaves to produce images.

Correct Answer: Understanding

Rationale: Echocardiography, indeed, uses high-frequency sound waves to create detailed images of the heart and its structures, allowing for the assessment of heart function and the detection of abnormalities.

The echocardiogram will produce an image of the structure of the heart.

Correct Answer: Understanding

Rationale: The primary purpose of an echocardiogram is to provide a visual representation of the heart's structure and function, including the chambers, valves, and major blood vessels, to aid in diagnosis and monitoring of heart conditions.

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Correct Answer is ["B","E"]

Explanation

A. Blood urea nitrogen (BUN) is not typically monitored to evaluate the effectiveness of antibiotics in treating respiratory tract infections. It is more commonly monitored to assess renal function and hydration status.
B. White blood cell (WBC count is monitored to evaluate the body's response to infection and the effectiveness of antibiotic therapy. A decrease in the WBC count can indicate resolution of the infection.
C. Red blood cell (RBC count is not directly related to the evaluation of antibiotic effectiveness in treating respiratory tract infections.
D. Urinalysis is not typically monitored to evaluate the effectiveness of antibiotics in treating respiratory tract infections unless there are specific indications of urinary tract involvement.
E. Sputum culture and sensitivity testing is important to identify the causative organism of the respiratory tract infection and determine its susceptibility to antibiotics. Monitoring the results of sputum culture and sensitivity helps ensure appropriate antibiotic selection.
F. Serum potassium levels may be monitored for clients receiving certain antibiotics, such as some types of penicillins or fluoroquinolones, due to the potential for electrolyte disturbances.
However, it is not a direct measure of antibiotic effectiveness in treating respiratory tract infections.

A. Determine the last time the client had a bowel movement. B. Inquire if the client has taken regularly scheduled medications. C. Ask if the client has an allergy to shellfish. D. Find out if the client can lie prone for the x-ray.

Correct Answer is C

Explanation

A. Determine the last time the client had a bowel movement: While bowel movements may affect imaging studies of the abdomen, knowing the timing of the last bowel movement is not directly related to the safety or effectiveness of an IV pyelogram.
B. Inquire if the client has taken regularly scheduled medications: While it's important to know about medications, especially if they might interfere with the test or need to be temporarily
discontinued, the presence of an allergy to shellfish is more critical for IV pyelogram preparation.
C. Ask if the client has an allergy to shellfish: IV pyelogram contrast dye contains iodine, and some clients may be allergic to iodine-containing substances, including shellfish. An allergic reaction to the contrast dye could lead to serious complications.
D. Find out if the client can lie prone for the x-ray: While positioning is important for imaging studies, it's not as critical as ensuring the client does not have an allergy to the contrast dye.

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Exhibits After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure. For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, what laboratory value(s) should the nurse monitor? Select all that apply.

Correct Answer is ["B","E"]

Explanation

A client is scheduled for an IV pyelogram today. The nurse instructs the client that the x-ray visualizes the kidneys, ureters, and bladder. Which information is most important for the nurse to gather before the client goes for the x-ray?

Correct Answer is C

Explanation

A client with a history of unstable angina presents to the emergency department with constant chest pressure that is unrelieved with rest. The client appears anxious, pale, and diaphoretic. After obtaining the client's vital signs, which action should the nurse take next?

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. Which action should the nurse take first?

Exhibits The nurse reviews the assessment findings along with the physician orders. Which immediate interventions would the nurse initiate? Select all that apply

A client with a history of rheumatic fever is diagnosed with mitral valve stenosis. The client has shortness of breath with exertion and fatigue. Which assessment finding warrants immediate intervention by the nurse?

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

The nurse is developing a plan of care for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

Exhibits

After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure.

For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.