The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

AWhite blood cell count.

Capillary glucose.

Sputum culture and sensitivity.

Prothrombin time.

Urinalysis.

Serum potassium

Answer and Explanation

Correct Answer : A,C

A.   Monitoring the white blood cell count helps assess the body's response to the infection and the effectiveness of the antibiotic treatment.
B.   Capillary glucose monitoring is typically associated with diabetes management and might not directly reflect antibiotic effectiveness in a respiratory tract infection.
C.   Sputum culture and sensitivity assist in identifying the specific organism causing the respiratory tract infection and determining antibiotic effectiveness.
D.   Prothrombin time is more related to clotting factors and might not directly reflect antibiotic effectiveness in a respiratory tract infection.
E.   Urinalysis might not directly reflect the effectiveness of antibiotic treatment for a respiratory tract infection.
F.   Serum potassium might not directly reflect the effectiveness of antibiotic treatment for a respiratory tract infection.

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Correct Answer is B

Explanation

A. Sodium level of 130 mEq/L is slightly below the lower limit of the reference range but might not have as immediate an impact on safety as a critically low hemoglobin level.
B. Hemoglobin of 8.9 grams/dL is significantly below the normal range and indicates a substantial drop in red blood cells, which can lead to impaired oxygen transport and potentially severe postoperative complications like inadequate tissue perfusion and oxygenation.
C. Potassium level of 3.4 mEq/L is slightly below the lower limit of the reference range but might not pose an immediate threat compared to a critically low hemoglobin level.
D. Blood urea nitrogen (BUN) of 20 mg/dL is at the upper limit of the reference range but might not have an immediate implication for client safety compared to a critically low hemoglobin level.

A. Include guidelines for coping in the discharge plan. B. Call dietary and ask them to send plastic utensils. C. Inform the family of the client's statement. D. Inform the healthcare provider who discharged the client.

Correct Answer is D

Explanation

A. Including guidelines for coping in the discharge plan might be important but doesn’t address the immediate concern of the client having access to a potential means of self-harm.
B. Calling dietary for plastic utensils might help remove the immediate risk of harm, but informing the healthcare provider takes priority.
C. Informing the family is essential for support but doesn’t directly address the current risk.
D. Informing the healthcare provider who discharged the client is crucial as they need to reassess the discharge plan in light of the client's current statement and remove the potential means of self-harm.

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The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A female client who is scheduled to be discharged within several hours shows the practical nurse (PN) a knife on her tray and states that she could use it to cut herself. What intervention is most important for the PN to implement?

Correct Answer is D

Explanation

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