Exhibits
Click to indicate which client goal is being met by each of the client data. Each column must have at least one response selected.
Blood pressure 112/77 mmHg
Capillary refill 2 seconds
pH 7.40
PaCO2 42 mmHg
Surgical dressing dry and intact
Pain 0 on a scale of 0 to 10
Temperature 98.1 oF (27.4 oC)
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"D"},"F":{"answers":"C"},"G":{"answers":"D"}}
Blood pressure 112/77 mmHg: Indicates adequate perfusion and stabilized blood pressure, which is a sign of successful hypovolemia management after trauma and fluid resuscitation.
Capillary refill 2 seconds: A normal capillary refill time suggests that peripheral circulation is stable, which helps in managing hypovolemia and maintaining adequate tissue perfusion.
pH 7.40: A normal pH supports the concept of ventilation support being effective and adequate. A normal pH indicates appropriate respiratory function and acid-base balance.
PaCO2 42 mmHg: A normal PaCO2 suggests that the client’s ventilation is adequate and CO2 is being eliminated appropriately, which is part of ventilation support.
Surgical dressing dry and intact: This observation indicates that there is no significant infection risk at the incision site. Keeping surgical dressings dry and intact helps prevent infection.
Pain 0 on a scale of 0 to 10: The client reports no pain, which indicates effective pain and anxiety control, providing comfort and minimizing stress.
Temperature 98.1°F (36.7°C): A normal body temperature indicates that there is no active infection or fever, supporting the goal of infection prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Muscle strengthening exercises may be appropriate, but vitamin D3 is a more immediate concern for addressing bone and muscle symptoms.
B. Clients with extensive burns may have vitamin D deficiencies due to changes in metabolism, diet, or lack of sunlight exposure. Vitamin D3 is essential for calcium absorption and bone health, which is why this client’s symptoms of bone pain and muscle weakness suggest a need for supplementation.
C. Progressive range of motion exercises are beneficial for mobility but should not be prioritized over addressing nutritional deficiencies.
D. Skin exposure to sunlight without sunscreen is not recommended for this client due to their burn history and potential for further skin damage.
Correct Answer is ["121"]
Explanation
1. Convert pounds to kilograms:
160 pounds / 2.2 pounds/kg = 72.7 kg (approximately 73 kg)
2. Calculate the total daily dose:
Total daily dose = 5 mg/kg/day * 72.7kg = 363.6mg/day
3. Calculate the single dose:
Since the medication is to be administered every 8 hours (three times a day), divide the total daily dose by 3:
Single dose = 363.6mg/day / 3 doses = 121.2mg/dose
4. Round to the nearest whole number:
Single dose = 121mg
Therefore, the nurse should administer 121mg of gentamicin with each dose.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
