Exhibits
What laboratory specimens would the nurse expect for the provider to order? Select all that apply.
Blood culture
Prothrombin time
Hemoglobin and hematocrit
Type and screen
Albumin
Lipid panel
Correct Answer : A,B,C,D
A. Blood culture is essential to identify any potential infection that the patient may have, which is a common complication after trauma.
B . Prothrombin time is crucial for assessing the blood's clotting ability, especially since the patient has a suspected fracture and could be at risk of bleeding.
C . Hemoglobin and hematocrit are fundamental tests to evaluate for anemia or blood loss, which is particularly relevant given the patient's fall and the possibility of internal injuries. D . Type and screen is necessary in case the patient requires a blood transfusion due to the injuries sustained from the fall.
E . Albumin is not typically a priority in acute trauma settings and would not necessarily be expected as an immediate test.
F . Lipid panel is not relevant in the acute management of trauma and is not typically ordered in the emergency setting
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Involve your mother in the decision-making process promotes autonomy and shared responsibility, helping the caregiver feel less burdened and improving the client’s satisfaction and participation in care.
B. Moving your mother into a care facility will show her that you do not love her increases caregiver guilt and stress rather than helping them cope.
C.Normalizing mixed emotions acknowledges that caregivers may feel frustration or emotional fatigue without judgment, helping reduce guilt and emotional distress.
D. You made a promise to your mother that you need to keep reinforces obligation and may increase feelings of guilt and pressure.
E. Take time for yourself and the other relationships that you care about is essential for preventing burnout, maintaining personal time and social connections, and supporting the caregiver’s ability to provide care effectively.
F.Labeling refusal as selfish increases guilt and pressure, which worsens caregiver strain and is not supportive communication.
G. Helping your mother should be easier than raising a child can increase stress and feelings of inadequacy by creating unrealistic expectations about caregiving.
Correct Answer is D
Explanation
A. Administer aspirin to prevent further clot formation and platelet clumping. While aspirin may be indicated in the treatment of ischemic stroke, it is not the immediate priority. The client requires further assessment and diagnostic evaluation before initiating specific treatments.
B. Raise the head of the bed to 30 degrees keeping head and neck in neutral alignment.
Positioning the client is important for maintaining airway patency, but it is not the priority when assessing and managing acute stroke. Immediate interventions to address potential thrombolytic therapy take precedence.
C. Begin continuous observation for transient episodes of neurologic dysfunction. Continuous observation is important for monitoring the client's neurological status, but it is not the first action to take. The client requires urgent diagnostic imaging to confirm the diagnosis and
determine eligibility for thrombolytic therapy.
D. Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy. This is the priority action. IV access is crucial for administering medications and fluids, and reviewing the inclusion criteria for IV fibrinolytic therapy is essential to determine if the client meets the
criteria for this time-sensitive intervention.
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