The nurse is continuing to assist in the care of the client post-surgery. The test-taker must interpret the following exhibits to answer the question.

The nurse is assisting with evaluating the client’s responses to interventions.

Exhibits
Based on the exhibits and findings, which findings indicate that the client’s condition is improving? Select all that apply

Oxygen saturation

Hemoglobin

Mental status

Urinary output

WBC count

Answer and Explanation

Correct Answer : C,E

Choice A rationale:

Oxygen saturation is not provided in the exhibits, so there is no data available to evaluate if it indicates improvement in the client’s condition. While oxygen saturation is an important indicator of respiratory function and overall oxygenation status, its absence means it cannot be used to assess the client’s progress in this case.

Choice B rationale:

Hemoglobin levels decreased from 14 g/dL on postoperative day 1 to 10.5 g/dL on postoperative day 2. This decline in hemoglobin levels suggests that the client may be experiencing blood loss or anemia, which is not indicative of improvement. Generally, an improvement in the client’s condition would be reflected in stable or increasing hemoglobin levels rather than a decrease.

Choice C rationale:

Mental status is an important indicator of overall recovery and improvement. On postoperative day 2, the client is described as drowsy but alert to voice. This level of responsiveness indicates an improvement in mental status compared to what might be expected immediately post-surgery. A client who is drowsy but still responsive to verbal stimuli is showing signs of regaining consciousness and cognitive function, which is a positive sign of recovery.

Choice D rationale:

Urinary output is not provided in the exhibits, so there is no data available to assess if it indicates improvement. Urinary output is an important measure of kidney function and fluid status, but without specific data, it cannot be used to determine the client’s progress.

Choice E rationale:

The WBC count increased from 7,000/mm³ on day 1 to 8,500/mm³ on day 2, which is within the normal range and indicates a healthy immune response.

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Correct Answer is C

Explanation

Choice A rationale

Keeping unopened insulin vials in the freezer is not recommended. Freezing can disrupt the insulin molecule and affect its efficacy.

Choice B rationale

Planning to eat a snack 6 hours after insulin administration is not a standard recommendation. The timing of meals and snacks should be individualized based on the type of insulin, blood glucose levels, and lifestyle.

Choice C rationale

Storing opened insulin vials at room temperature for up to 4 weeks is a correct practice. Insulin stored at room temperature causes less discomfort on injection than cold insulin.

Choice D rationale

Warming the insulin vial to dissolve any crystals that develop is not a standard practice. Insulin should not be used if it appears cloudy or discolored.

A. “I will choose fortified foods containing vitamin B2.”. B. “I will decrease my fluid intake.”. C. “I will limit my intake of plant-based foods.”. D. “I will decrease my daily intake of protein.”.

Correct Answer is A

Explanation

Choice A rationale

Choosing fortified foods containing vitamin B2 is a good practice. Vitamin B2, also known as riboflavin, is important for energy production and cellular function, and older adults may need more of this nutrient.

Choice B rationale

Decreasing fluid intake is not generally recommended for older adults. Adequate hydration is important for many body functions, including maintaining blood volume and preventing constipation.

Choice C rationale

Limiting intake of plant-based foods is not a healthy practice. Plant-based foods are rich in fiber, vitamins, and minerals, and they can help reduce the risk of chronic diseases.

Choice D rationale

Decreasing daily intake of protein is not generally recommended for older adults. Protein is essential for maintaining muscle mass, which tends to decrease with age.

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a patient about self-administration of regular insulin. Which of the following instructions should be included by the nurse?

Correct Answer is C

Explanation

A nurse is providing dietary education about general nutritional guidelines to a group of older adult patients. Which of the following statements, if made by a patient, would indicate an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse perform first when providing tracheostomy care?

A nurse is reviewing the medical record of a patient who has hypertension and a new prescription for propranolol. What findings should the nurse identify as a contraindication for taking propranolol?

A nurse is assessing a patient who is 8 hours postoperative following abdominal surgery. The patient’s blood pressure is 94/56 mm Hg. What should the nurse do first?

A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hours to an older adult patient who has rhinitis.The available medication is diphenhydramine syrup 12.5 mg/5 mL. How many mL should the nurse administer?

A 45-year-old male client was admitted to the hospital following the surgical removal of an abdominal abscess. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing hypovolemic shock as evidenced by the client&rs dropdown and dropdown.