The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

A patient with sinus bradycardia with a heart rate of 53 beats/minute

A patient with premature atrial contractions who is asymptomatic

A patient with atrial fibrillation reporting dyspnea

A patient with sinus tachycardia with a heart rate of 108 beats/minute

Answer and Explanation

The Correct Answer is C

A.   Sinus bradycardia may not require immediate intervention if the patient is asymptomatic and stable.
B.   Asymptomatic premature atrial contractions may not require immediate attention unless they are associated with significant symptoms or hemodynamic instability.
C.   Dyspnea in a patient with atrial fibrillation may indicate heart failure or other complications and requires prompt assessment and intervention.
D.   Sinus tachycardia may not require immediate intervention if the patient is asymptomatic and stable.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Postoperative pain typically resolves after a laparoscopic cholecystectomy since the surgery removes the gallbladder
B. While positioning during surgery can cause discomfort, isolated right shoulder pain is more commonly attributed to the diaphragmatic irritation from residual nitrous oxide in the abdomen.

C. Nitrous dioxide used during laparoscopic procedures is not associated with referred pain to the right shoulder. The pain is due to carbon dioxide gas used during the procedure resulting in the irritation of the diaphragm.
D. This pain is often due to the carbon dioxide used to inflate the abdomen during surgery, which can irritate the diaphragm and refer pain to the shoulder. Ambulation helps to absorb the gas more quickly.

A. Confusion B. Incontinence C. Urinary retention D. Low back pain

Correct Answer is A

Explanation

A. Older adults with UTIs may present with atypical symptoms such as confusion or acute changes in mental status, known as delirium, rather than classic urinary symptoms. This is often referred to as "geriatric UTI syndrome" and can be the only presenting symptom in some cases.
B. Incontinence can occur in individuals of all ages with UTIs and is not unique to older adults.
C. Urinary retention is not typically associated with UTIs in older adults; instead, they may experience urinary frequency and urgency.
D. Low back pain can occur in individuals of all ages with UTIs and is not unique to older adults.

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The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

The nurse is teaching a patient with multiple myeloma how to remain safe in the home. Which problem should be a priority for this patient?

A patient with multiple myeloma develops hypercalcemia. Which intervention can help minimize complications related to hypercalcemia?

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

A client is about to start chemotherapy for acute lymphocytic leukemia. Which of the following statements shows understanding of this phase of treatment? (Select All that Apply.)

The nurse is caring for a patient who has had three or more premature ventricular contractions occurring in a row on the electrocardiogram tracing. The nurse should document this as which of the following?

A nurse is assisting in the care of a client in the emergency department (ED). Exhibits Complete the following sentence by using the list of options. The nurse should first address the client’s followed by the client’s