Patient Data

Exhibits

The nurse has identified the priority problem for the client and now must determine proper care interventions.

Based on the client's history and the assessment data, what action(s) should the nurse anticipate? Select all that apply.

Administer medications as ordered.

Provide client teaching.

Place the client in Trendelenburg position

Ask the client for a list of current medications.

Notify the healthcare provider of the client's need for intubation

Apply oxygen via nasal cannula

Answer and Explanation

Correct Answer : A,B,D,F

A The use of short acting beta agonists and oral steroids is key during an asthmatic attack to prevent respiratory failure.
D The nurse should also rule out the use of medications such as beta blockers which may predispose to asthmatic attack due to bronchospasms.
F Oxygen therapy should be initiated to prevent hypoxemia due to impaired ventilation. At this point, intubation may not be necessary until first line interventions have been attempted.
B Client teaching on proper inhalation technique is key. The client should also be advised on avoidance of triggers to prevent recurrence of the asthmatic attack. This, however, should be done after the client is stabilized.

Incorrect;

The Trendelenburg position is not recommended. Instead, sitting upright or in a semi-upright position can help expand the chest and improve lung expansion. This position allows the diaphragm to move more freely and can facilitate easier breathing. Leaning forward slightly may also help reduce the feeling of chest tightness.

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Correct Answer is B

Explanation

B. Thrombocytopenia, or low platelet count, increases the risk of spontaneous bleeding, which can manifest as occult blood in the urine or stool. Regular monitoring allows for early detection of bleeding complications, prompting timely intervention and preventing further complications.
A. While using a large gauge IV catheter may be appropriate to minimize trauma and bleeding risk during blood sampling in a client with thrombocytopenia, it is not the highest priority intervention.
C. Removing cold and frozen foods from dietary trays may be advised in clients with thrombocytopenia to minimize the risk of cold-induced platelet aggregation and potential vascular occlusion, known as cold agglutinin disease. However, this intervention is not directly related to preventing bleeding complications associated with thrombocytopenia.
D. Wrapping bruised areas with elastic bandage dressings may provide support and protection but is not the most appropriate intervention for managing thrombocytopenia-related bleeding complications.

A. Methotrexate has less harmful side effects than aspirin. B. Methotrexate helps to reduce the side effects of the aspirin therapy. C. Methotrexate enhances the effectiveness of the aspirin. D. Methotrexate slows the disease progression while aspirin controls the symptoms.

Correct Answer is D

Explanation

D Methotrexate is a disease-modifying antirheumatic drug (DMARD) commonly used in the treatment of RA to slow down the progression of joint damage and reduce inflammation. Aspirin, on the other hand, is often used to manage symptoms such as pain and inflammation. Combining these two medications addresses both the underlying disease process and symptom control, respectively, in the management of RA
A While both methotrexate and aspirin have potential side effects, they affect different aspects of rheumatoid arthritis treatment. Methotrexate is primarily used to slow disease progression, while aspirin is used for symptom management.
B Methotrexate and aspirin do not directly interact to reduce each other's side effects.
C While both methotrexate and aspirin have their own roles in the treatment of rheumatoid arthritis, there is no evidence to suggest that methotrexate enhances the effectiveness of aspirin. They work through different mechanisms and target different aspects of RA management.

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Patient Data Exhibits The nurse has identified the priority problem for the client and now must determine proper care interventions. Based on the client's history and the assessment data, what action(s) should the nurse anticipate? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Methotrexate is prescribed for a client with rheumatoid arthritis (RA) who is also taking aspirin. Which is the best explanation for the nurse to provide as to why a second medication has been added?

Correct Answer is D

Explanation

Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

Patient’s Data Exhibits Select the 3 dietary choices that are not part of the recommended diet gout.

A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse implement?

The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important for the nurse to report which assessment finding to the healthcare provider?

Patient Data

Exhibits

The nurse has identified the priority problem for the client and now must determine proper care interventions.

Based on the client's history and the assessment data, what action(s) should the nurse anticipate? Select all that apply.