Exhibits
The nurse is obtaining the client's vital signs prior to an endoscopy.
Complete the following sentence by using the list of options.
The nurse should first anticipate the need to
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
The nurse should first anticipate the need to Obtain IV access then Prepare to administer IV fluids.
Rationale
First Anticipated Step: Obtain IV Access:
In a client with hypotension and anemia, immediate IV access is crucial to administer fluids or blood
products to stabilize the client’s condition before the endoscopy. Given the client’s low blood pressure and heart rate, they may need IV fluids (such as saline or Ringer's lactate) to help improve circulation and maintain perfusion. This is essential before proceeding with further interventions like the planned endoscopy.
Second Anticipated Step:
Prepare to administer IV fluids:
The client's low blood pressure and the potential for significant blood loss suggest that IV fluids will be necessary to restore blood volume and improve hemodynamic stability before endoscopy. Normal saline or Lactated Ringer's are commonly used for volume resuscitation in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hand washing for at least 20 seconds with warm water and soap is recommended to prevent infection, not just 10 seconds.
B. Pregnant women should avoid cleaning the cat's litter box due to the risk of toxoplasmosis.
C. Chickenpox is contagious until all lesions have crusted, so visiting a person with chickenpox is only safe 5 days after the lesions crust over.
D. Antibiotics are not effective for viral infections and should not be taken unless prescribed for a bacterial infection.
Correct Answer is B
Explanation
A. Hypertension is not a contraindication for acupuncture, and it can be used to help manage pain related to various conditions, including osteoarthritis.
B. Herpes zoster (shingles) is a contraindication for acupuncture, especially if the lesions are present, as needling over or near the affected area may worsen the condition.
C. Obesity is not a contraindication for acupuncture, though the client may need to discuss their treatment goals with the practitioner.
D. Hypothyroidism is not a contraindication for acupuncture, as acupuncture can be used to manage symptoms of hypothyroidism.
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