The nurse is caring for clients with spinal deformities. Which type of deformity would have the most significant consequences on the respiratory system?

Lordosis

Kyphosis

Scoliosis

Spinal fusion.

Answer and Explanation

The Correct Answer is C

Explanation: When dealing with a client who has been physically aggressive and is in distress, the best approach for the nurse is to use brief statements and questions to obtain essential information. This approach helps to keep the communication clear, focused, and non-threatening. The nurse should maintain a calm and assertive demeanor while avoiding lengthy discussions that may escalate the client's agitation.

Options not appropriate in this situation:

B. Providing close contact to increase the client's sense of safety may not be safe for the nurse or the client, especially when dealing with someone who has been physically aggressive. It is essential to maintain a safe distance and ensure the safety of everyone involved.

C. Having a sense of humor to show a lack of fear can be misinterpreted by the client and may not be appropriate or therapeutic in this context. The focus should be on establishing a professional and respectful rapport with the client, prioritizing their needs and safety.

Option D may not be the best approach because open-ended questions could lead to lengthy responses, which may not be suitable for a client who is in distress and potentially aggressive. The nurse should aim for concise and clear communication to ensure safety and facilitate a psychiatric assessment efficiently.

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Correct Answer is B

Explanation

During a seizure, the nurse's priority is to ensure the client's safety by protecting them from injury. The nurse should loosen any tight clothing and move furniture or objects that may harm the client. The client should be turned onto their side to prevent aspiration, and suctioning the mouth is not indicated during the seizure. Restraints are not appropriate during a seizure, and inserting a tongue blade between the teeth can cause injury.

A. Administer with low-dose aspirin to prevent clot formation. B. Administer immediately after dialysis. C. Monitor complete blood count prior to dose. D. Schedule injection on nondialysis day.

Correct Answer is D

Explanation

Schedule injection on a nondialysis day. Epoetin is a medication used to stimulate the production of red blood cells. It is important to administer the medication on the day that the client is not receiving dialysis to prevent the medication from being removed from the bloodstream during the dialysis process.

Administering epoetin immediately after dialysis, choice B may result in decreased effectiveness.

Administering with low-dose aspirin, choice A, is not a standard recommendation for the administration of epoetin.

Monitoring the complete blood count prior to the dose, choice C is not the most important consideration when administering epoetin.

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The nurse is caring for clients with spinal deformities. Which type of deformity would have the most significant consequences on the respiratory system?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client that the nurse is caring for experiences a seizure. What would be a priority nursing action?

Correct Answer is B

Explanation

The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?

Correct Answer is D

Explanation

The nurse is caring for a client admitted with a stroke. Imaging studies indicate an occlusion partially obstructing the right carotid artery. What type of stroke does the nurse know the client has?

A client calls the clinic and tells the nurse that he was bitten by a tick and is afraid he has Lyme disease. How long does the nurse understand that the tick must be attached to Lyme disease?

On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope and notes a significant accumulation of cerumen. Which hearing loss type would be most accurate?

A client, who is recovering from bariatric surgery, is returning from the post-anesthesia care unit. Which nursing assessment is of greatest concern in the immediate postoperative period for this client?

A nurse is reviewing the history along with physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom?

The nurse is preparing a client for surgery and observes on the operative permit that the client will be having a double-barrel colostomy. What portion of the large intestine is the nurse aware that this is performed?

A client is suspected of having acromegaly. What definitive diagnostic testing is the most reliable for confirming acromegaly?