Select words from the choices below to fill in each blank in the following sentence.
To further evaluate the client, the nurse anticipates the client will need
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
B. A chest X-ray: The client’s symptoms (cough, blood-tinged sputum, night sweats, fever, and weight loss) are concerning for tuberculosis (TB) or another pulmonary infection. A chest X-ray is a key diagnostic tool to assess for lung abnormalities, including TB infiltrates or cavitations.
D. A Mantoux test: The Mantoux tuberculin skin test (TST) is used to screen for Mycobacterium tuberculosis infection. Given the client’s recent travel to South Africa, a high TB prevalence area, and their symptoms, TB testing is crucial.
Incorrect:
A. A pulmonary function test: This evaluates chronic respiratory conditions like asthma or COPD, but is not a first-line test for an acute cough with systemic symptoms.
C. A nasopharyngeal swab: This is used for diagnosing viral infections like influenza or COVID-19, which are less likely given the client’s blood-tinged sputum and prolonged systemic symptoms.
E. Blood cultures: These are used to detect bacteremia or sepsis, but there is no indication of systemic bacterial infection (e.g., hemodynamic instability, severe leukocytosis).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.25"]
Explanation
Identify the desired dose:
The doctor has ordered 0.5 mg of haloperidol.
Identify the available medication concentration:
The available haloperidol oral concentrate is 2 mg/mL.
Set up the calculation:
We need to find out how many mL are needed to administer 0.5 mg of the medication. We can use the following formula:
(Desired dose) / (Concentration) = Volume to administer
Plug in the values and calculate:
(0.5 mg) / (2 mg/mL) = 0.25 mL
Correct Answer is D
Explanation
A) "Relax your arm across your chest and I will test your elbow extension.": This instruction is not relevant to testing the plantar Babinski reflex. The Babinski reflex involves the lower extremities, specifically the foot, not the arm or elbow. This instruction pertains to testing the upper extremity and is incorrect for this context.
B) "Place your foot in my hand and I will tap the back of your heel.": This is not the correct method for testing the plantar Babinski reflex. The Babinski reflex is tested by stroking the sole of the foot, not by tapping the back of the heel. The test is designed to elicit a response from the foot, not by applying pressure to the heel.
C) "Sit on the edge of the bed while I tap your knee.": This instruction relates to testing the patellar reflex (knee jerk), not the plantar Babinski reflex. The Babinski reflex involves stroking the bottom of the foot, not tapping the knee, so this is not appropriate for the test in question.
D) "Lie down and I will stroke the bottom of your foot.": This is the correct instruction for testing the plantar Babinski reflex. The client should be in a comfortable position, typically lying down, and the nurse should gently stroke the sole of the foot from the heel to the toes to assess the reflex. A normal response in adults is for the toes to curl downward, while an abnormal response (Babinski sign) would be the extension of the big toe and fanning of the other toes.
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