Exhibits
Click to highlight the findings that would indicate the client is progressing as expected.
The nurse assesses the client. The client reports he was able to sleep through the night. The client notes continued numbness in his left arm, along with a tingling sensation, and is not able to move his fingers. The client reports mild nausea and has no desire to eat breakfast. There is a 1.18 in (3 cm) by 1.97 in (5 cm) area of blood noted on the bandage. The left arm is warm to touch. The client's left shoulder and collarbone are symmetric.
The client reports he was able to sleep through the night
The left arm is warm to touch. The client's left shoulder and collarbone are symmetric
The client reports mild nausea and has no desire to eat breakfast
The Correct Answer is ["A","B"]
The client reports he was able to sleep through the night: This indicates pain management may be effective, allowing the client to rest, which is a positive sign of progress.
The left arm is warm to touch: This suggests good circulation in the injured limb, which is crucial for healing.
The client’s left shoulder and collarbone are symmetric: Symmetry suggests that the alignment of the shoulder and collarbone is stable, which indicates no further dislocation or misalignment post-injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nitroglycerin should be withheld because it can cause severe hypotension when administered to a client who has recently taken sildenafil, which also causes vasodilation.
B. Aspirin is generally safe to administer and can help with chest pain, especially if a myocardial infarction is suspected.
C. Heparin is an anticoagulant used for treating various conditions and is not contraindicated in this scenario.
D. Morphine can be administered to manage severe chest pain, as it is not contraindicated in this situation.
Correct Answer is ["0.75"]
Explanation
To determine the correct dosage, the nurse should use the concentration of the reconstituted solution which is 0.25 mg per 1 mL. Since the prescribed dose is 0.1875 mg, the nurse needs to calculate the volume of the reconstituted solution that contains this dose. By dividing the prescribed dose (0.1875 mg) by the concentration of the solution (0.25 mg/mL), the result is the volume to administer. Therefore, the nurse should administer 0.75 mL of the reconstituted solution.
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