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. Canned black beans often contain high levels of sodium, which can contribute to hypertension.
B. Red meat, especially fatty cuts, can raise blood pressure and should be limited in a hypertensive diet.
C. Fish, particularly fatty fish like salmon, is beneficial for individuals with hypertension because it provides omega-3 fatty acids, which can lower blood pressure.
D. Cheese is typically high in sodium and saturated fats, which can exacerbate hypertension.
Correct Answer is B
Explanation
A. Shrimp is not kosher, as shellfish is prohibited in kosher dietary laws.
B. Scrambled eggs and toast with milk is a permissible choice under kosher dietary laws, as eggs and dairy are allowed.
C. Ham is not kosher, and pork is strictly prohibited in kosher diets.
D. Bacon is not kosher, and combining meat and dairy is forbidden in kosher dietary traditions.
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