Exhibits

The healthcare provider places orders to determine the cause of client symptoms.

Use the chart to indicate if the listed symptom or finding is consistent with gastroenteritis, appendicitis, or ectopic pregnancy.

Each row must have at least one, but may have more than one, response option selected.

Fever

Tachycardia

Nausea

Vomiting

Diarrhea

Answer and Explanation

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

Fever is a common symptom that can be present in gastroenteritis, appendicitis, and, less commonly, ectopic pregnancy. Tachycardia may occur in all three conditions but is more commonly associated with ectopic pregnancy, especially if there is internal bleeding. Nausea and vomiting are symptoms that can be seen in gastroenteritis and appendicitis, and occasionally in ectopic pregnancy. Diarrhea is most commonly associated with gastroenteritis.

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

Explanation

A. Stopping the infusions and inserting a new catheter may not be necessary at this point unless complications develop.

B. As long as the catheter is flushing easily and the infusions are not causing complications (such as infiltration), it is appropriate to continue using it.

C. Aspirating and flushing the line until a blood return is obtained may cause damage to the catheter or further complications.

D. Monitoring for signs of infiltration is crucial, as the inability to aspirate a blood return may indicate a partial occlusion or other issues with the PICC line.

E. Replacing the PICC line may not be necessary unless more severe complications are observed.

A. Place an indwelling urinary catheter and institute strict intake and output measurements. B. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting edema. C. Secure client consent for coronary angiography and percutaneous coronary intervention. D. Administer four 81 mg aspirin tablets providing instructions to chew before swallowing.

Correct Answer is D

Explanation

A: An indwelling urinary catheter is unnecessary for monitoring unstable angina and would not address the client’s immediate cardiac concerns.

B: Although evaluating perfusion is important, administering aspirin is a higher priority to prevent further damage from potential myocardial ischemia.

C: Obtaining consent for coronary angiography and percutaneous coronary intervention is important but should follow the administration of aspirin and other emergency interventions.

D: Aspirin is commonly given in suspected ACS to reduce platelet aggregation and prevent further clot formation. Chewing the aspirin improves its absorption and effectiveness in managing the acute event.

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Naxlex Comprehensive Predictor Exams

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

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?

Correct Answer is D

Explanation

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?

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