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Exhibits

Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Acknowledge feelings of anxiety.

Weigh the client twice weekly.

Encourage exercise.

Provide family education on the condition.

Monitor trips to the restroom.

Allow for menu deviations.

Set precise mealtimes.

Answer and Explanation

Correct Answer : A,B,D,E,G

A. Acknowledge feelings of anxiety: The client's neurological assessment indicates agitation, and acknowledging this can help in addressing any underlying anxiety.
B. Weigh the client twice weekly: Given the client's low BMI and the mother's concern about her weight, regular monitoring is necessary.
C. Encourage exercise: While exercise is generally healthy, the client's current bradycardia and low BMI suggest that immediate physical exertion may not be advisable without medical
supervision.
D. Provide family education on the condition: The client's mother's concern and the client's defensiveness about her weight indicate a need for family education.
E. Monitor trips to the restroom: Monitoring is important to ensure the client is not engaging in behaviors that could further compromise her health, such as purging.
F. Allow for menu deviations is incorrect. Allowing menu deviations can enable the client to avoid certain foods, which reinforces disordered eating behaviors. Structured, balanced meals are essential for recovery.

G. Set precise mealtimes is correct because establishing structured mealtimes promotes consistency and reduces anxiety related to eating. This helps the client develop healthier eating patterns and decreases the urge to binge or purge.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Observing the color of urine is crucial when monitoring for adverse effects of prasugrel, as one of the potential adverse effects is bleeding. Hematuria (blood in the urine) can indicate
bleeding complications, which require immediate attention.
B. Assessing skin turgor is not directly related to monitoring for adverse effects of prasugrel.
Skin turgor assessment is typically used to assess hydration status.
C. Measuring body temperature is important for monitoring for signs of infection or inflammation but is not directly related to monitoring for adverse effects of prasugrel.
D. Checking for pedal edema is not directly related to monitoring for adverse effects of
prasugrel. Pedal edema may indicate issues such as fluid overload or venous insufficiency.

A. Monitor and document strict intake and output. B. Assess the serum potassium level every 4 hours. C. Obtain a 12-lead electrocardiogram daily. D. Evaluate glucose levels before and after meals.

Correct Answer is C

Explanation

A. Monitor and document strict intake and output: While monitoring intake and output is
important in managing fluid balance, it may not directly address the potential complications associated with hyperkalemia and hyperglycemia.
B. Assess the serum potassium level every 4 hours: While monitoring potassium levels is important, obtaining a 12-lead electrocardiogram provides immediate information about the cardiac effects of hyperkalemia, which can be life-threatening.
C. Obtain a 12-lead electrocardiogram daily: Hyperkalemia can lead to serious cardiac arrhythmias, including bradycardia, heart block, and ventricular fibrillation. Daily
electrocardiograms can help detect these changes early.
D. Evaluate glucose levels before and after meals: While monitoring glucose levels is important, the immediate concern in this scenario is the potential cardiac effects of hyperkalemia.

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Exhibits Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this client's plan of care?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

Exhibits Review H and P and laboratory results. What item(s) should be included in the treatment regimen for this client? Select all that apply.

Exhibits The nurse reviews the post catheterization orders. Which two orders would the nurse question?

The nurse is teaching a client with early osteoporosis the importance of including vitamin D with calcium supplements. Which information is most important for the nurse to provide to encourage the client's compliance in the management of progressing osteoporosis?

The health care provider prescribes a placebo instead of pain medication. Which intervention should the nurse implement?

The nurse observes an unlicensed assistive personnel (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

Exhibits What should the nurse include in post discharge care education? Select all that apply.

Exhibits What can the nurse do to help the parents to decrease their anxiety? Select all that apply.

Exhibits

Which interventions are indicated to promote positive outcomes for the client? Select all that apply.