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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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. A client with a positive Mantoux test and positive sputum cultures for acid-fast bacillus (AFB) indicates tuberculosis (TB), which requires airborne precautions due to its highly contagious nature. Negative airflow rooms are essential for preventing the spread of TB.

B. Herpes simplex II is transmitted through direct contact and does not require airborne precautions; standard precautions are sufficient.

C. Scarlet fever, while contagious, requires droplet precautions and not airborne precautions, so a negative airflow room is not necessary for these clients.

D. Scabies is transmitted through direct contact and requires contact precautions rather than airborne precautions.

A. Assign the newly hired UAP to clients who require the least complex level of care. B. Review the UAP's skills checklist and experience with the person who hired the UAP. C. Ask the most experienced UAP on the team to partner with the newly hired UAP. D. Evaluate the newly hired UAP's level of competency by observing the UAP deliver care.

Correct Answer is D

Explanation

A. Assigning the UAP to less complex clients may not adequately assess their competencies.

B. Reviewing documentation provides useful background information, but it does not verify actual competency in performing tasks. Direct observation is necessary.

C. While pairing with an experienced UAP may provide guidance, it does not replace the nurse’s responsibility to assess competency and ensure safe care.

D. The nurse is responsible for ensuring that all team members provide safe and appropriate care. Before assigning tasks, the nurse should assess the newly hired UAP’s competency by directly observing them perform client care. This helps determine their skill level and ensures client safety.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A newly hired unlicensed assistive personnel (UAP) is assigned to a home healthcare team along with two experienced UAPs. Which intervention should the home health nurse implement to ensure adequate care for all clients?

Correct Answer is D

Explanation

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAPY?

The nurse is preparing for discharge a client with a history of celiac disease who now has developed multiple sclerosis. Which instruction is most important for the nurse to include in the discharge teaching plan?

A client with septic shock develops disseminated intravascular coagulation (DIC). Which pathophysiologic process should the nurse recognize as the cause of the coagulation problem?

The nurse observes that a client with ascites is dyspneic. Which action should the nurse implement first?

While taking vital signs, a critically ill male client grabs the nurse's hand and asks the nurse not to leave. What action is best for the nurse to take?

A client is admitted with an exacerbation of heart failure secondary to chronic obstructive pulmonary disease (COPD). Which observation(s) by the nurse require immediate intervention to reduce the likelihood of harm to this client? Select all that apply.