Patient Data

Exhibits

Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

The client will be afebrile for 24 hours

The client will have quit smoking

The client will report pain less than 3 on a pain scale of 0 to 10.

The client will remain free of skin breakdown

The client will maintain oxygen saturation of 96% without supplemental oxygen

Answer and Explanation

Correct Answer : A,B,E

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Correct Answer is A

Explanation

A. Muscle pain can be a sign of rhabdomyolysis, a serious side effect of lovastatin that requires immediate evaluation and intervention.

B. Altered taste is a less serious side effect and does not require urgent follow-up.

C. Diarrhea and flatulence are common and less urgent side effects of lovastatin.

D. Abdominal cramps are uncomfortable but less critical compared to muscle pain associated with potential rhabdomyolysis.

A. Initiate bilateral intermittent sequential pneumatic compression devices. B. Raise the head of the bed to 30 degrees keeping head and neck in neutral alignment. C. Maintain elevated positioning of the dependent joints on affected side. D. Obtain a focused history to determine recent bleeding and use of anticoagulants.

Correct Answer is B

Explanation

A. Initiating sequential pneumatic compression devices is not immediately relevant to managing acute stroke symptoms.

B. Raising the head of the bed to 30 degrees and keeping the head and neck in neutral alignment helps reduce intracranial pressure and facilitates venous drainage, which is crucial in managing potential stroke patients.

C. Elevating the dependent joints on the affected side is not immediately necessary and does not address the acute neurological symptoms.

D. While obtaining a focused history is important, it should follow after initial stabilization measures such as positioning and securing immediate diagnostic tests.

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Patient Data Exhibits Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

Twelve hours after experiencing a traumatic closed fracture of the lower left tibia, a client reports pain, tingling, and diminished toe movement in the left foot. Which nursing problem has the highest priority based on this information?

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.

Exhibits The nurse is considering the possible etiology of the client's symptoms. Click to indicate if the listed assessment findings are consistent with benign prostate hyperplasia, urinary tract infections, or prostatitis. Each column must have at least one response option selected.

The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?

The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information verbalized by the client indicates understanding?

Patient Data

Exhibits

Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?