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Patient Data

Exhibits

Which 2 prescriptions should the nurse complete first?

Acetaminophen 650 mg PO every 6 hours for temperature greater than 101.0° F (38.3° C)

Start a peripheral IV

Chest x-ray

NPO

Start oxygen 3 L/minute via nasal cannula

Sputum culture

Place the client on a cardiorespiratory monitor

Run 0.9% sodium chloride IV infusion at 150 mL/hour

Answer and Explanation

Correct Answer : B,E

A. Acetaminophen 650 mg PO every 6 hours for temperature greater than 101.0° F (38.3° C): While managing fever is important, it is not as immediate a priority as ensuring the client's breathing and hydration.

B. Start a peripheral IV: Establishing a peripheral IV line is crucial for administering medications and fluids. This is essential for the client's hydration and potential intravenous medication needs.

C. Chest x-ray: Although a chest x-ray is important for diagnosing the cause of the symptoms, it can be done after the client’s immediate needs for oxygen and IV access are addressed.

D. NPO: Keeping the client NPO is necessary, but it doesn't require immediate action compared to oxygenation and IV access.

E. Start oxygen 3 L/minute via nasal cannula: The client is experiencing difficulty breathing, so providing supplemental oxygen is a priority to ensure adequate oxygenation and alleviate respiratory distress.

F. Sputum culture: Obtaining a sputum culture is important for diagnosis, but it can wait until after the client is stabilized with oxygen and IV access.

G. Place the client on a cardiorespiratory monitor: Monitoring the client's cardiac and respiratory status is important, but ensuring oxygenation and IV access takes precedence.

H. Run 0.9% sodium chloride IV infusion at 150 mL/hour: While starting the IV infusion is important, it follows the establishment of the IV line and oxygen administration.

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Correct Answer is B

Explanation

A. Increased fatigue is a common side effect of many medications and illnesses but is not as immediately concerning.

B. Watery diarrhea can indicate a serious side effect such as Clostridium difficile-associated diarrhea, which requires prompt medical attention.

C. Nausea and headache are common side effects but are generally not urgent.

D. Yellow-tinged sputum can indicate infection but is not as critical as the potential for a serious gastrointestinal issue.

A. Urinate every 4 to 6 hours or when you first feel the urge. B. Decrease fluid intake to lessen the severity of symptoms. C. Limit your intake of alcohol and caffeine. D. Refrain from exercise because it can lead to incontinent episodes. E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine. F. Schedule yearly prostate-specific antigen blood test.

Correct Answer is ["A","C","E"]

Explanation

A. Urinate every 4 to 6 hours or when you first feel the urge: Regular urination helps prevent bladder overdistention and can reduce the risk of urinary retention and incontinence episodes.

B. Decrease fluid intake to lessen the severity of symptoms: While it might seem logical to reduce fluid intake to decrease urinary frequency, it is essential to maintain adequate hydration. Instead, fluid intake should be managed appropriately, avoiding large volumes at one time, particularly in the evening.

C. Limit your intake of alcohol and caffeine: Alcohol and caffeine can irritate the bladder and increase urinary frequency and urgency, exacerbating BPH symptoms.

D. Refrain from exercise because it can lead to incontinent episodes: Exercise is beneficial for overall health and can help manage weight, which is important for BPH management. Clients should be encouraged to exercise regularly.

E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine: These medications can constrict the urethra, worsening urinary retention and other BPH symptoms.

F. Schedule yearly prostate-specific antigen blood test: While monitoring PSA levels can be part of managing prostate health, it is not specific to daily living with symptomatic BPH and thus not one of the top three areas of education in this context.

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Patient Data Exhibits Which 2 prescriptions should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is B

Explanation

Exhibits The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.

Correct Answer is ["A","C","E"]

Explanation

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Patient Data

Exhibits

Which 2 prescriptions should the nurse complete first?