Exhibits

What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers?

Select all that apply.

Administer antiemetic

Monitor for adverse reaction to antibiotics

Increase IV fluids to 150 mL/hr

Initiate airborne isolation

Repeat CD4+ T-cell count STAT

Answer and Explanation

Correct Answer : A,B,C

A. The client is noted to have emesis which contributes to total fluid loss predisposing the client to acute kidney injury. Antiemetics are important to reduce emesis.
B. Clients with PCP are typically treated with antibiotics, such as trimethoprim-sulfamethoxazole (TMP-SMX), as first-line therapy. Monitoring for adverse reactions to antibiotics, such as hypersensitivity reactions or renal toxicity, is essential for safe medication administration.
Increasing fluid intake prevents and manages acute kidney injury in the client.
C. Increasing intravenous hydration ensures the lost fluid is replaced to prevent acute renal injury that may occur due to hypoperfusion.
D. Pneumocystis pneumonia is caused by the fungus Pneumocystis jirovecii (formerly known as Pneumocystis carinii), and its transmission occurs through the inhalation of airborne fungal spores. However, it is not typically spread from person to person like airborne viral or bacterial infections.
E. Repeating CD4 count is not necessary as it is unlikely to alter the management of the client at this point. This should be after 2-3 weeks.

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Correct Answer is C

Explanation

C. In glaucoma management, the use of topical eye drops to reduce intraocular pressure is a cornerstone of treatment. These medications work to decrease fluid production in the eye or increase fluid drainage, thereby lowering IOP and reducing the risk of optic nerve damage and vision loss. Adherence to the prescribed eye drop regimen is crucial for controlling IOP and preventing further vision deterioration.
A. While wearing prescription glasses may be important for correcting vision problems, such as nearsightedness or farsightedness, they do not directly address the underlying issue of increased intraocular pressure associated with glaucoma.
B. While maintaining a healthy diet rich in nutrients, including carotene, is important for overall eye health, there is no evidence to suggest that it directly affects the progression of glaucoma or intraocular pressure.
D. Regular monitoring of intraocular pressure is an essential part of managing glaucoma. Frequent eye pressure measurements help assess the effectiveness of treatment and detect any changes in intraocular pressure that may indicate progression of the disease.

A. Activity level of bowel sounds. B. Eating patterns of dietary intake. C. Level and amount of physical activity. D. Color and consistency of feces.

Correct Answer is B

Explanation

B. Dietary intake plays a significant role in the management of chronic pancreatitis pain. Certain foods, especially those high in fat, can exacerbate symptoms and trigger pain episodes in clients with pancreatitis.
A. While assessing the activity level of bowel sounds is important for monitoring gastrointestinal function, it is not the most crucial assessment data in this scenario. Bowel sounds may be decreased or absent in clients with severe abdominal pain, but addressing the dietary triggers of chronic pancreatitis pain takes priority.
C. Assessing the level and amount of physical activity is important for overall health and may play a role in managing chronic pancreatitis. However, in the context of persistent gnawing abdominal pain, addressing dietary factors that exacerbate the pain is more immediate and crucial.
D. Assessing the color and consistency of feces is important for monitoring gastrointestinal function and identifying signs of malabsorption or steatorrhea, which can occur in chronic pancreatitis. However, in the context of persistent gnawing abdominal pain, assessing dietary intake and potential triggers of pain is more pertinent to pain management.

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Exhibits What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult client who was recently diagnosed with glaucoma tells the nurse, "It feels like I am driving through a tunnel." The client expresses great concern about going blind. Which nursing instruction is most important for the nurse to provide this client?

Correct Answer is C

Explanation

The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

Correct Answer is B

Explanation

Exhibits What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers? Select all that apply.

The nurse is caring for a client who is receiving teletherapy radiation for a malignant tumor. Which Instruction regarding skin care of the portal site should the nurse provide?

When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of a compromised peripheral arterial circulation of the lower extremity?

A client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning the client, the wound dehisces and eviscerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next?

A client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling experienced worsens at night. Which client teaching should the nurse provide?

A client with a fracture of the right femur has had skeletal traction applied. Which intervention should the nurse include in the client's nursing care plan?

A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client's medical record should the nurse recognize as a contraindication for peritoneal dialysis?

Exhibits

What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers?

Select all that apply.