The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

sodium 142 mEq/L.

potassium 3.2 mEq/L.

hematocrit 44%.

chloride 100 mEq/L

Answer and Explanation

The Correct Answer is B

Choice A rationale: A sodium level of 142 mEq/L is within the normal range.

Choice B rationale: A potassium level of 3.2 mEq/L is below the normal range, indicating potential hypokalemia and requiring attention, especially if the client is on a diuretic.

Choice C rationale: A hematocrit level of 44% is within the normal range.

Choice D rationale: A chloride level of 100 mEq/L is within the normal range.

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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale: Instructing the client to shift their weight at least every 15 minutes helps prevent pressure injuries.

Choice B rationale: Keeping the head of the bed raised at 45 degrees at all times is not a typical practice for preventing pressure injuries.

Choice C rationale: Massaging over bony prominences every hour while awake may not be recommended, as this can cause friction and shear, contributing to skin breakdown. Choice D rationale: Applying moisture barrier cream to perineal skin helps protect against skin breakdown from urinary incontinence.

Choice E rationale: Consulting with the wound care nurse about the use of a specialty mattress can provide additional support and help prevent pressure injuries.

A. Acetaminophen 500 mg PO q4h PRN headache B. Dulcolax suppository one per rectum PRN C. Aspirin 10 mg PO crush and put in apple sauce D. Fentanyl 25 mcg/h via transdermal patch daily E. Morphine 0:4 mg IV q4h PRN severe pain

Correct Answer is ["B","D","E"]

Explanation

Choice A rationale: Acetaminophen 500 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.

Choice B rationale: Dulcolax suppository is not subject to the first pass effect as it is administered rectally.

Choice C rationale: Aspirin 10 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.

Choice D rationale: Fentanyl 25 mcg/h via transdermal patch avoids the first pass effect as it is absorbed through the skin.

Choice E rationale: Morphine 0.4 mg IV avoids the first pass effect as it is administered intravenously.

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The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D","E"]

Explanation

The nurse is administering medications to a client who has severe liver damage. Which medications, as ordered below, will avoid the first pass effect? (SELECT ALL THAT APPLY)

Correct Answer is ["B","D","E"]

Explanation

A client is admitted to the hospital with a diagnosis of R/O appendicitis. Which abbreviation would describe the location of a client's appendix?

The nurse is assessing a client who exhibits positive Trousseau's and Chvostek's signs. What laboratory value would validate these clinical findings? A serum:

A client is diagnosed with chronic constipation. The nurse is given an order by the physician to administer a glycerin suppository. What abbreviation will be written in the physician's order for the administration route for the suppository?

It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

The nurse is performing a dressing change for a patient and notices white skin around the wound edges. The nurse is aware that:

The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:

The client asks the nursing student to crush her medications and put them in apple sauce. Even before the student researches the medications, he knows that the tablet he cannot deliver in this manner is:

The best way for the nurse to assess a client's level of dyspnea is to: