Exhibits

Select from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
dropdown
and
dropdown
.

Answer and Explanation

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

Quality of life: This involves evaluating how the client's overall well-being has changed with the new interventions. It includes assessing the client's comfort, satisfaction, and ability to engage in meaningful activities.

Functional improvement: This includes monitoring the client's progress in physical and occupational therapy, as well as their ability to perform activities of daily living (ADLs) independently or with less assistance.

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Correct Answer is ["C","D","E"]

Explanation

A. Reports of pain: While pain is a common complaint during labor, especially before the epidural takes effect or if the anesthesia is wearing off, this is not an immediate priority compared to other life-threatening complications like hypotension or fetal decelerations. It can be addressed once the more urgent issues are managed.

B. Nausea: Nausea may occur with epidural anesthesia, often due to hypotension, but it is not as urgent as respiratory distress, hypotension, or fetal decelerations. It can be managed after addressing the more critical symptoms.

C. Difficulty breathing: Difficulty breathing can be an indication of a high epidural block, which can affect the respiratory muscles. This is a serious sign that requires immediate intervention to assess and potentially correct the epidural anesthesia level.

D. Hypotension: Epidural anesthesia can cause hypotension due to sympathetic blockade. Low blood pressure can reduce uteroplacental perfusion and compromise fetal oxygenation, requiring prompt intervention with fluid boluses and/or vasopressors to support maternal and fetal circulation.

E. Fetal decelerations: Fetal heart rate decelerations, particularly late or variable decelerations, may indicate fetal distress, potentially caused by maternal hypotension, uteroplacental insufficiency, or cord compression. These should be promptly assessed and addressed to optimize fetal well-being.

F. Dizziness: Dizziness is often a result of epidural anesthesia-induced hypotension and is an early sign that should be assessed. However, it is not as immediately critical as difficulty breathing or fetal heart rate decelerations and should be addressed once the more urgent concerns are managed.

A. Loss of bone mineral density. B. Infectious process in the synovial fluid. C. Destruction of jolt cartilage. D. Systemic inflammatory response.

Correct Answer is C

Explanation

A. Loss of bone mineral density occurs in osteoporosis, not osteoarthritis.
B. An infectious process in synovial fluid suggests septic arthritis, not osteoarthritis.
C. Osteoarthritis is caused by wear-and-tear destruction of joint cartilage, leading to pain and stiffness.
D. A systemic inflammatory response is characteristic of rheumatoid arthritis, not osteoarthritis.

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Exhibits Select from statement options to complete the sentence. To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's dropdown and dropdown.

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions. Select the 3 findings that would require immediate action from the nurse while the laboring mother is receiving an epidural anesthesia.

Correct Answer is ["C","D","E"]

Explanation

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes which pathology as the cause of the symptoms?

Correct Answer is C

Explanation

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

A client with heart failure (HF) develops cardiac tamponade. The client has muffled, distant heart sounds, and is anxious and restless. After initiating oxygen therapy and IV hydration, which intervention is most important for the nurse to implement?

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

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

Exhibits

Select from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
dropdown
and
dropdown
.