The nurse has reviewed the Provider Prescriptions at 1355, Laboratory Results at 1450, and Diagnostic Results at 1525.

Exhibits

Complete the following sentence by using the lists of options.

The client is most likely experiencing
dropdown
as evidenced by
dropdown
and
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}

Rationale for correct choices

• deep vein thrombosis (DVT): The client displays classic findings of DVT, including unilateral leg swelling, warmth, inflammation, and increased calf circumference. These findings, paired with a sedentary lifestyle and recent trauma to the leg, strongly indicate development of a thrombus in the affected extremity.

• Unequal leg circumference: The right calf measures 45.72 cm while the left measures 40.64 cm, showing significant unilateral swelling. A difference greater than 3 cm is strongly associated with DVT due to venous obstruction and impaired return, causing fluid accumulation and increased limb girth.

• Ultrasound results: The duplex ultrasound shows loss of venous compressibility and a thrombus in the right leg. These findings are diagnostic for DVT, confirming venous obstruction and establishing the cause of the client’s symptoms and leg swelling.

Rationale for incorrect choices

• undiagnosed fracture: A fracture would typically produce severe pain, deformity, or inability to bear weight, none of which are strongly present. The ultrasound confirms thrombosis, and the symptoms align more with venous obstruction than bone injury.

• cellulitis of a leg bone: Cellulitis usually presents with diffuse skin redness, warmth, and often fever. Although the leg is warm and inflamed, the presence of a venous thrombus on ultrasound and significant calf size difference more accurately support DVT rather than an infectious process.

• Difficulty walking: Difficulty walking can occur from many causes, such as arthritis or recent injury, and is not specific enough to confirm DVT. Objective findings like limb circumference and ultrasound imaging better demonstrate the underlying condition.

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Correct Answer is A

Explanation

Rationale:

A. Respiratory therapist: A respiratory therapist is essential in arranging home oxygen by evaluating the client’s respiratory needs, determining appropriate oxygen flow rates, and ensuring proper use of equipment. They also provide education on safety and maintenance, which is critical for clients newly diagnosed with COPD who must manage oxygen therapy at home.

B. Physical therapist: A physical therapist focuses on mobility and strength training, which can benefit clients with COPD but is not directly responsible for arranging or coordinating home oxygen therapy. Their role becomes more relevant after respiratory support is established and the client begins working on endurance and safe activity levels.

C. Social worker: A social worker assists with social support, financial resources, and coping needs but is not typically involved in arranging clinical respiratory equipment. Their involvement may be helpful later if the client requires community services, but they are not the primary referral for initiating oxygen therapy.

D. Case manager: A case manager plays a key role in long-term discharge planning and may eventually coordinate services, but the immediate need for oxygen setup requires a respiratory therapist’s specialized assessment. Once the respiratory plan is initiated, the case manager can support broader continuity of care needs.

A. Wear a dosimeter film badge to measure exposure. B. Place a caution sign on the client's door. C. Don a lead apron when providing care. D. Discard bed linens from the client's room at the end of each day. E. Instruct visitors to remain 61 cm (2 feet) away from the client.

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

Explanation

Rationale:

A. Wear a dosimeter film badge to measure exposure: Nurses providing care to clients with sealed radiation implants must monitor cumulative radiation exposure. Wearing a dosimeter badge ensures safety and compliance with occupational exposure limits.

B. Place a caution sign on the client's door: Posting a radiation warning sign alerts staff and visitors to the presence of a radioactive source. This precaution helps prevent accidental exposure and ensures that only authorized personnel enter the room.

C. Don a lead apron when providing care: Lead aprons reduce radiation exposure when performing close-contact procedures or bedside care. Using personal protective equipment is essential for minimizing occupational risk.

D. Discard bed linens from the client's room at the end of each day: Sealed radiation implants emit low levels of radiation and do not contaminate linens. Routine disposal of linens is unnecessary and could generate unnecessary waste. Standard laundering procedures are sufficient.

E. Instruct visitors to remain 61 cm (2 feet) away from the client: Visitors are generally instructed to maintain a greater distance, typically at least 6 feet (1.8 meters), and limit time in the room to reduce exposure. A distance of 2 feet is insufficient for safety.

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The nurse has reviewed the Provider Prescriptions at 1355, Laboratory Results at 1450, and Diagnostic Results at 1525. Exhibits Complete the following sentence by using the lists of options. The client is most likely experiencing dropdown as evidenced by dropdown and dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discharge a client who has a new diagnosis of COPD and will require home oxygen. Which of the following members of the health care team should the nurse consult?

Correct Answer is A

Explanation

A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take? (Select all that apply.)

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

Explanation

A nurse is preparing to administer a subcutaneous injection to a client. Which of the following sites should the nurse choose?

A nurse is planning care for a client who is returning to the unit following open gastric bypass surgery. Which of the following interventions should the nurse include in the client's plan of care?

A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?

A nurse is teaching a client who has a new prescription for an MAOI. Which of the following foods is contraindicated with this medication?

A nurse is preparing to irrigate an adult client's ear due to cerumen accumulation. Which of the following actions should the nurse take?

A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?

A school nurse is developing a program to promote healthy eating in school-age children. Which of the following interventions should the nurse include? (Select all that apply)

Exhibits A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

The nurse has reviewed the Provider Prescriptions at 1355, Laboratory Results at 1450, and Diagnostic Results at 1525.

Exhibits

Complete the following sentence by using the lists of options.

The client is most likely experiencing
dropdown
as evidenced by
dropdown
and
dropdown
.