The nurse is continuing to care for the client.
Vital Signs.
Day 1, 0900:. Temperature (oral) 36.9° C (98.4° F). Heart rate 72/min.
Respiratory rate 16/min.
BP 162/112 mm Hg. Day 1, 0930:. Oxygen saturation 97% on room air.
Temperature (oral) 37.1° C (98.8° F). Heart rate 84/min.
Respiratory rate 18/min.
BP 166/110 mm Hg. Oxygen saturation 99% on room air.
Drag words from the choices below to fill in each blank in the following.
sentence.
The client is at greatest risk for developing Target 1 and Target 2. Conditions.

Placental abruption.

Cervical insufficiency.

Seizures.

Hypoglycemia.

Heart failure.

Answer and Explanation

Correct Answer : C,E

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Correct Answer is B

Explanation

B) Speak in a neutral tone when addressing the client.

When creating a plan of care for a client with paranoid personality disorder who refuses to take their medication, it's essential to approach the client in a way that fosters trust and reduces anxiety. Speaking in a neutral, non-confrontational, and non-threatening tone can help build rapport and facilitate communication with the client.

The other options are not appropriate interventions:

A) Mixing medication with the client's food without their consent can be seen as a breach of trust and may worsen the client's paranoia.

C) Limiting the client's opportunities to socialize with others can lead to increased isolation and potentially exacerbate the client's paranoid tendencies.

D) Rotating staff members caring for the client may also contribute to feelings of mistrust and may not be conducive to establishing a therapeutic nurse-client relationship. Consistency in care can be more helpful for individuals with paranoid personality disorder.

A. 12-lead ECG. B. PT and INR. C. Serum potassium. D. Chest x-ray.

Correct Answer is A

Explanation

Choice A rationale:

A 12-lead ECG (electrocardiogram) is the priority diagnostic test for a patient with symptoms suggestive of chest pain and a potential cardiac event. Chest pain and a feeling of heaviness on the chest can be indicative of various cardiac conditions, including myocardial infarction (heart attack). A 12-lead ECG provides valuable information about the heart's electrical activity, helping healthcare providers assess for signs of ischemia, arrhythmias, or myocardial infarction. Early detection and intervention are crucial in cardiac emergencies, making

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is caring for a client who has pneumonia and tells the nurse, "I feel like an elephant is sitting on my chest." The client is weak and unable to walk.After the nurse initiates chest pain protocol, which of the following is the priority diagnostic test?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of a newborn about newborn genetic screening.Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke.Which of the following actions by the nurse best promotes communication among staff caring for the client?

A nurse in a long-term care facility is providing care for a client who has been receiving donepezil.Which of the following findings indicates that the medication is effective?

A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter. Which of the following actions should the nurse take when working with the interpreter?

A nurse is caring for a client who is receiving intermittent enteral tube feedings.Which of the following factors places the client at risk for aspiration?

A nurse is caring for a client on a psychiatric unit. Exhibits For each potential action, click to specify if the action is indicated or. contraindicated for the client.

A nurse is preparing to initiate intravenous fluids via infusion pump for a client.Which of the following actions should the nurse take?

A nurse is taking care of a client who is cognitively impaired. The nurse recognizes that which of the following rooms will provide a therapeutic environment for this client?