Exhibits

The nurse addresses the client's pain and plans interventions to reduce further complications. Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. The nurse monitors the client's
after administering the morphine. The nurse should include
to reduce complications of the client's injury.

Answer and Explanation

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

Respirations: Morphine is an opioid analgesic that can cause respiratory depression, so monitoring the client's respiratory status is crucial after administration.

Ice application to the shoulder: Applying ice can help reduce swelling and inflammation in the injured area. This is important for managing pain and preventing further complications, such as excessive swelling or damage to surrounding tissues.

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Correct Answer is A

Explanation

A. Maintaining strict intake and output is crucial in managing septic shock, as it helps assess kidney function and fluid balance, which are vital in this critical condition.

B. Keeping the head of bed raised can help with respiratory function, but it is not the primary focus in septic shock management.

C. Assessing warmth of extremities is important but does not provide immediate information about the client’s hemodynamic status.

D. Monitoring blood glucose levels is important for overall care, especially if the patient is receiving insulin or has diabetes, but it is not the most critical intervention in the context of septic shock.

A. Right leg externally rotated and shorter than left. B. Wiggles right foes when sole of right foot is tickled. C. Left lower extremity is warm to touch. D. Bilateral pedal pulses present and strong.

Correct Answer is A

Explanation

A. The right leg being externally rotated and shorter than the left is a classic sign of a hip fracture and should be reported for further evaluation and management.

B. The ability to wiggle the right toes indicates that some nerve function is intact and is not a concerning finding in this context.

C. A warm left lower extremity could indicate circulation but is not as urgent as a potential fracture finding.

D. Strong bilateral pedal pulses are a positive sign, suggesting adequate blood flow, and do not require immediate reporting.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

Correct Answer is A

Explanation

An older adult client who fell at the store is admitted with a possible fracture of the right hip. Which assessment finding should the nurse report to the healthcare provider?

Correct Answer is A

Explanation

A client is admitted to the mental health unit for feelings of depression secondary to a positive HIV report. To provide a safe milieu for this client, which action should the nurse take?

A 4-month-old infant is brought to the clinic by a parent with symptoms of a runny nose, a slight fever and cough for the last two days. Which finding should alert the nurse that the child is in acute respiratory distress?

The nurse is teaching dietary modifications to a client with hypertension. Which product is the best selection to include as part of the client's lunch?

A parent brings their 2-month-old infant to the clinic to receive the recommended primary vaccines. Which instruction should the nurse provide the parent about care of the infant after the injections?

A client who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the client, in which sequence should the nurse complete these actions? (Rank the first action at the top with the remainder in descending order.)

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?