The nurse is continuing to care for the client.

Exhibits

The nurse is reviewing the assessment findings.

For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

Blood pressure

Elevated alanine aminotransferase (ALT)

Platelet count

Hemoglobin

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"}}

Finding	Preeclampsia	HELLP syndrome
Blood pressure	✓	✓
Elevated alanine aminotransferase (ALT)		✓
Platelet count		✓
Hemoglobin		✓

Rationale:

Preeclampsia: Characterized by hypertension and proteinuria.

HELLP syndrome: A severe form of preeclampsia, characterized by hemolysis, elevated liver enzymes (ALT, AST), and low platelet count.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Assign the AP to ask the client if she has taken her antidiabetic medication today: Incorrect. Assessing medication use is a nursing responsibility and cannot be delegated to an AP.

B. Determine if the AP has the skills to perform the test: The nurse must ensure that the AP is competent to perform the task safely and accurately before delegation, as part of the nurse's responsibility in delegation.

C. Help the AP perform the blood glucose test: Incorrect. The task should be performed independently by the AP if delegated.

D. Have the AP check the medical record for prior blood glucose test results: Incorrect. Reviewing the medical record is a nursing responsibility and not typically delegated to an AP.

A. Pain on inhalation B. Bradycardia C. Friction rub D. Stridor

Correct Answer is A

Explanation

A. Pain on inhalation is a common symptom of pneumothorax due to pleural irritation and collapse of the lung.

B. Tachycardia, not bradycardia, is more likely in a client with a pneumothorax due to hypoxia.

C. A friction rub is associated with pleuritis, not pneumothorax.

D. Stridor is a sign of upper airway obstruction, not pneumothorax.

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The nurse is continuing to care for the client. Exhibits The nurse is reviewing the assessment findings. For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus to an assistive personnel (AP). Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing care for a client following a thoracentesis. If the client develops a pneumothorax, which of the following assessment findings should the nurse expect?

Correct Answer is A

Explanation

A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?

A nurse is caring for a client in an acute care setting. Exhibits Complete the following sentence by using the list of options. The client is at risk for _________ as evidenced by _______.

A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs. Which of the following actions should the nurse plan to take?

A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following knee replacement surgery. Which of the following instructions should the nurse include?

A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hr ago. The nurse notes pink-tinged urine in the drainage bag. Which of the following actions should the nurse take?

A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?

The nurse is continuing to care for the client. Exhibits The nurse is reviewing the assessment findings. For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

The nurse is continuing to care for the client.

Exhibits

The nurse is reviewing the assessment findings.

For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.