Try Naxlex NCLEX-RN (Free-Trial)

Exhibits

Click to highlight the findings that indicate the client is stable for discharge.

The client has rested well throughout the night with a continuous positive airway pressure (CPAP) device in place. Sequential devices are in place for venous thromboembolism prevention. The client ambulated 100 yards (91 meters) last night and 200 yards (183 meters) this morning.

She reports pain rating of 2 on 0 to 10 scale, located in the abdomen, described as aching. She has tolerated fluids throughout the night with no nausea or vomiting.

Assessment

Neurological Alert and oriented times 4. Cardiovascular WNL

Respiratory WNL

Gastrointestinal/Genitourinary Voided twice throughout night

ambulated 100 yards (91 meters) last night and 200 yards

pain rating of 2

tolerated fluids

Alert and oriented times 4

Voided twice

Respiratory WNL

Cardiovascular WNL

no nausea or vomiting

Answer and Explanation

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

The client has rested well throughout the night with a continuous positive airway pressure (CPAP) device in place. Sequential devices are in place for venous thromboembolism prevention. The client ambulated 100 yards (91 meters) last night and 200 yards (183 meters) this morning. She reports pain rating of 2 on 0 to 10 scale, located in the abdomen, described as aching. She has tolerated fluids throughout the night with no nausea or vomiting.

Assessment

Neurological Alert and oriented times 4.

Cardiovascular WNL

Respiratory WNL

Gastrointestinal/Genitourinary Voided twice throughout night

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Vitamin D combined with calcium is balanced with phosphorus for absorption for strong bones: While phosphorus is important for bone health, this statement does not specifically address the role of vitamin D in calcium absorption.
B. Calcium uses vitamin D that is produced in the skin by exposure to sunshine: This statement describes the role of sunlight in vitamin D synthesis but does not emphasize the importance of vitamin D supplementation in osteoporosis management.
C. Avoiding the use of sunscreen is important for adequate vitamin D synthesis: While sunscreen can inhibit vitamin D synthesis, this statement does not directly address the importance of
vitamin D supplementation in osteoporosis management.
D. Adding daily Vitamin D with oral calcium supplements promotes absorption of calcium into bone: This statement emphasizes the crucial role of vitamin D in facilitating calcium absorption into bones, which is essential for maintaining bone density and preventing osteoporosis
progression.

A. Raise head of bed until at a 90-degree angle. B. Place bed in reverse Trendelenburg position. C. Reinforce bed rest until analgesic is effective. D. Position bedside table for client to lean across.

Correct Answer is D

Explanation

- A: Raising the head of the bed to a 90-degree angle may help alleviate the client's nausea, but it is not the most comfortable position for someone experiencing epigastric pain due to pancreatitis. This position may also increase pressure on the diaphragm, which can worsen discomfort.
- B: The reverse Trendelenburg position, where the body is inclined with the head higher than the feet, may be used to promote gastric emptying and reduce reflux, but it is not specifically beneficial for relieving epigastric pain or nausea associated with pancreatitis.
- C: Reinforcing bed rest may be seen as ignoring the client's expressed need for a position change to relieve discomfort. While rest is important, the client's request to sit up and lean forward indicates a need for positional relief of pain.
- D: Positioning a bedside table for the client to lean across can provide the support they need to maintain a forward-leaning position, which is known to relieve epigastric pain by reducing tension on the abdominal region. This position is often instinctively chosen by clients with pancreatitis and should be facilitated by the nurse for comfort and pain relief.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with early osteoporosis the importance of including vitamin D with calcium supplements. Which information is most important for the nurse to provide to encourage the client's compliance in the management of progressing osteoporosis?

Correct Answer is D

Explanation

A client diagnosed with pancreatitis is reporting severe epigastric pain and intense nausea. After the nurse administers a narcotic analgesic and an antiemetic, the client insists on sitting up and leaning forward. Which action should the nurse implement?

Correct Answer is D

Explanation

The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?

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 presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the 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?

A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

A client receives a prescription for itraconazole. Which statement made by the client requires additional instruction by the nurse?

The nurse observes an unlicensed assistive personnel (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?