Patient Data

Exhibits

The nurse reviews the prescriptions and plans initial steps for caring for the client.

Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.

Inspect the bandage for drainage

Perform range of motion.

Administer ondansetron 4 mg IV.

Provide morphine 2 mg IV.

Check capillary refill on bilateral upper extremities

Palpate and compare radial pulses.

Answer and Explanation

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

Inspect the bandage for drainage: This is a standard post-injury assessment to monitor for excessive bleeding or other complications.

Perform range of motion: Range of motion exercises are contraindicated in cases of fractures, as movement could worsen the injury.

Administer ondansetron 4 mg IV: Ondansetron is an antiemetic that can help relieve the nausea the client is experiencing.

Provide morphine 2 mg IV: Morphine is indicated for pain management, especially since the client is experiencing significant pain.

Check capillary refill on bilateral upper extremities: This is important to assess circulation and ensure there is no vascular compromise.

Palpate and compare radial pulses: This assesses circulation and can help identify any vascular injury or compromise due to the humeral fracture.

Nursing Test Bank

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Correct Answer is ["B","C"]

Explanation

A. Immediate notification of the healthcare provider is not warranted unless there are signs of complications, such as excessive bleeding or infection.

B. Applying a cold pack to the scrotal and penile areas can help reduce swelling and discomfort after TURP.

C. Putting a pillow under the buttocks can help reduce pressure on the surgical site and may improve comfort and circulation.

D. The indwelling catheter should not be removed unless there is a medical reason or complication that requires it.

E. A urinalysis is generally not needed unless there are signs of infection or hematuria.

A. Measure body temperature. B. Check for pedal edema. C. Observe color of urine. D. Assess skin turgor.

Correct Answer is C

Explanation

A. While measuring body temperature is important for infection monitoring, it is not the primary concern after prasugrel administration.
B. Pedal edema is not a common side effect of prasugrel and does not directly relate to its adverse effects.
C. Prasugrel is an antiplatelet medication that increases the risk of bleeding. Monitoring for signs of bleeding, such as blood in the urine (hematuria), is important to assess for adverse effects.
D. Assessing skin turgor is important for hydration status but does not address bleeding risks associated with prasugrel.

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Patient Data Exhibits The nurse reviews the prescriptions and plans initial steps for caring for the client. Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

Correct Answer is ["B","C"]

Explanation

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 clients plan of care?

Correct Answer is C

Explanation

The nurse observes an unlicensed assistive personnel (UAP) begin to provide oral care to an unresponsive client who is at risk for aspiration as seen in the picture. Which instruction(s) should the nurse provide the UAP? Select all that apply.

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

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?

The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

Patient Data

Exhibits

The nurse reviews the prescriptions and plans initial steps for caring for the client.

Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.