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Exhibits

Which prescriptions would the nurse question? Select all that apply.

Enalapril 10 mg every morning

Chest x-ray now

Admit to the medical floor

Vital signs every 4 hours

Send blood for a complete blood count, electrolytes

Supplemental oxygen 10 L/min via nasal cannula

Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater than 100.5° F (38.0° C)

Continuous pulse oximetry

Answer and Explanation

Correct Answer : A,F,G

A. Enalapril can potentially cause hyperkalemia and hypotension, which could be detrimental to a client with pneumonia. The prescription should be questioned due to these risks.
B. A chest X-ray may be necessary to assess the extent of pneumonia; thus, it is appropriate and should not be questioned.
C. Admission to the medical floor is necessary for monitoring the client's condition due to pneumonia, so this prescription is appropriate.
D. Monitoring vital signs every 4 hours is essential for assessing the client's condition, making this prescription appropriate.
E. Sending blood for a complete blood count and electrolytes is important to evaluate the patient's infection status and metabolic balance, so this is appropriate.
F. Changing the supplemental oxygen from a face mask to a nasal cannula may compromise oxygenation and should be questioned.
G. Administering ibuprofen could mask fever and may not be advisable in the presence of pneumonia, so this prescription should be questioned.
H. Continuous pulse oximetry is crucial for monitoring the patient's oxygen saturation, especially given the pneumonia diagnosis, making this prescription appropriate.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

Tachypnea refers to an increased respiratory rate, which is noted as 29 breaths per minute in this client. Normal respiratory rates typically range from 12 to 20 breaths per minute.
Bradycardia typically refers to a slower than normal heart rate; however, in this context, the client’s heart rate is actually elevated at 104 beats per minute, which is not bradycardic. Thus, this term does not accurately apply to the client’s condition.

A. Apply sterile foam dressing over wound bed B. Maintain clean medical asepsis C. Gather materials to change soiled items only D. Thoroughly clean wound using normal saline prior to redressing E. Apply sterile gloves prior to changing F. Place sterile gauze directly on wound bed

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

Apply sterile foam dressing over wound bed is indicated because the dressing helps to keep the wound bed moist and protected.
Maintain clean medical asepsis is not indicated for wound care requiring sterile technique. Pressure wound care should maintain sterile technique to prevent infection.
Gather materials to change soiled items only is not indicated since all necessary supplies for the wound change should be prepared in advance.
Thoroughly clean wound using normal saline prior to redressing is indicated to remove debris and promote healing.
Apply sterile gloves prior to changing is indicated to ensure the wound area is not contaminated during dressing changes.
Place sterile gauze directly on wound bed is not indicated; a foam dressing is being used, not gauze.

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Exhibits Which prescriptions would the nurse question? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits According to the client's vital signs, he is experiencing dropdownanddropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

Exhibits The wound care nurse is preparing to change the client's dressing. For each technique item, click to indicate whether the technique is indicated or not indicated. Each row must have one option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?

Exhibits The nurse is preparing to set up the oxygen administration and apply the simple face mask. Which should the nurse do before applying the face mask? Select that apply.

A client with chronic cirrhosis has esophageal varices. It is most important for the nurse to monitor the client for the onset of which problem?

The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

Exhibits

Which prescriptions would the nurse question? Select all that apply.