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To calculate the weight loss percentage, divide the weight lost by the original weight: 6.8/90.7 X 100 = 7.497% = 7.5 % (Rounded off to the nearest tenth)

To calculate the weight loss percentage, divide the weight lost by the original weight: 6.8/90.7 X 100 = 7.497% = 7.5 % (Rounded off to the nearest tenth)

To calculate the weight loss percentage, divide the weight lost by the original weight: 6.8/90.7 X 100 = 7.497% = 7.5 % (Rounded off to the nearest tenth)

While a cooling blanket may be indicated to reduce fever associated with a thyroid storm, the priority lies in monitoring the cardiac rhythm for potential life-threatening complications such as tachycardia or arrhythmias.

Administering IV fluids may be necessary to address dehydration, but it is not the priority over monitoring the cardiac rhythm.

While monitoring blood glucose levels is important, it is not the immediate priority in managing a thyroid storm.

Dry cough is not typically associated with sertraline, and its inclusion in the education may confuse the client and undermine the credibility of the nurse's teaching.

Increased urinary frequency is not commonly reported with sertraline use; therefore, including it in the client education may lead to misinformation.

A metallic taste in the mouth is not a commonly reported adverse effect of sertraline and should not be included in the client education as it may cause unnecessary concern or confusion.

While documentation of sensitive material may be a responsibility of the charge nurse, it does not directly relate to educating a newly licensed nurse about the facility's computerized documentation system.

While password change frequency is an important aspect of maintaining system security, it is not the most critical information to convey to a newly licensed nurse regarding the documentation system. Most facilities require more frequent password changes to enhance security, such as every 60 to 90 days, to mitigate the risk of unauthorized access and potential breaches.

Providing access to all client records would violate privacy and security protocols and is not an accurate representation of how the documentation system operates.

While completing an incident report is important for addressing the medication error and implementing corrective actions, the immediate priority is to assess the client's condition for signs of bleeding, which could be life-threatening.

Monitoring aPTT levels is important to assess the client's response to heparin therapy, but it does not address the immediate risk of bleeding from the overdose.

Notifying the risk manager is essential for reporting the medication error and implementing strategies to prevent future occurrences, but the nurse's first action should be to assess the client's condition for any indications of bleeding.

Borderline personality disorder is characterized more by unstable and intense interpersonal relationships rather than clinginess.

While some individuals with borderline personality disorder may exhibit manipulative behaviors, this does not universally manifest as seductiveness.

Borderline personality disorder is not typically associated with excessive concern about minor details; instead, it's marked by a pattern of instability in mood, self- image, and behavior.

The infants’s head should not be covered while receiving phototherapy, as the skin needs to be exposed to the therapy. However, it is essential to ensure that the infant's eyes are protected from the light.

Applying lotion may interfere with the effectiveness of phototherapy by blocking the light’s effects and is unnecessary for managing jaundice in newborns.

Giving glucose water is unnecessary and may interfere with the infant's hydration and nutritional needs during phototherapy.

In the elderly, skin turgor assessment on the abdomen can be influenced by factors such as adipose tissue and may not provide as reliable an indicator.

The shoulder is not commonly used for assessing skin turgor and may not provide reliable results.

The neck is not typically used for assessing skin turgor and may not provide an accurate reflection of hydration status.

Milk products can exacerbate symptoms of irritable bowel syndrome in some individuals, especially those with lactose intolerance, and are generally not recommended.

Foods sweetened with fructose corn syrup may exacerbate symptoms of irritable bowel syndrome in some individuals and are best avoided.

Gluten-containing foods may trigger symptoms in individuals with irritable bowel syndrome, particularly those with gluten sensitivity or celiac disease, and should be limited or avoided as appropriate.

Changing a dressing on an implanted central venous access device involves a sterile procedure and assessment, requiring the skills and knowledge of a licensed nurse.

Removing an NG tube is a task beyond an AP’s scope and requires the specialized skills of a registered nurse.

Suctioning a tracheostomy requires specialised training and skill to perform safely and should not be delegated to assistive personnel.

While hospice care may be appropriate for the client, it does not directly address the client's reported depression.

Discussing advance directives is important for end-of-life care planning, but it may not address the client's current emotional needs.

Offering medication without further assessment or exploration of the client's feelings may not be the most therapeutic response to the reported depression.

Chronic kidney disease often results in metabolic acidosis, leading to decreased bicarbonate levels rather than increased.

Chronic kidney disease commonly leads to hyperphosphatemia and hypocalcemia due to impaired renal excretion of phosphate and decreased activation of vitamin D, resulting in decreased calcium levels.

Chronic kidney disease often results in anemia due to decreased production of erythropoietin, leading to decreased hemoglobin levels rather than increased.

A blood pressure reading of 150/92 mm Hg is indicative of hypertension, a symptom of preeclampsia, but it is not a therapeutic effect of magnesium sulfate.

A flushed face is not a therapeutic effect of magnesium sulfate and may indicate adverse effects such as magnesium toxicity.

A pulse rate of 100/min is within the normal range and is not a specific therapeutic effect of magnesium sulfate.

Administering oral acetaminophen would not be effective for hyperthermia caused by non-infectious factors, such as heat exposure or medications. Acetaminophen lowers the body temperature by reducing the hypothalamic set point, which is not altered in hyperthermia. Additionally, oral medications may be difficult to swallow or absorb in a hyperthermic patient.

Submerging the feet in ice water is not recommended as it can cause vasoconstriction and shivering, which may increase the body temperature. Instead, tepid sponging and providing a cool environment can be beneficial.

Covering the adolescent with a thermal blanket would retain body heat and exacerbate hyperthermia, counteracting efforts to lower the body temperature.

While simvastatin can cause adverse effects such as myopathy and rhabdomyolysis, edema is not a common side effect associated with this medication.

Weight loss is not typically associated with simvastatin use and is not a common side effect that requires monitoring and reporting.

Fever is not a common side effect of simvastatin and is not typically associated with its use.

Directing statements to the interpreter rather than the client can create a communication barrier and undermine the client's autonomy and involvement in the conversation.

Pausing in the middle of sentences can disrupt the flow of communication and make it difficult for the interpreter to accurately translate the message.

While gestures can complement verbal communication, relying solely on gestures may lead to misinterpretation or misunderstanding, especially if cultural differences exist between the nurse, client, and interpreter.

This response deflects the client's feelings and does not acknowledge the client's frustration.

While it is important to encourage the client's progress, this response does not directly address the client's expressed emotions.

Suggesting that the client call their partner may not address the underlying feelings of frustration and may overlook the opportunity for therapeutic communication.

Making the child NPO is not necessary for an EEG procedure.

There is no need to restrict the child from sun exposure following an EEG procedure.

Acetaminophen is not typically indicated for pain relief following an EEG procedure, as it is non-invasive and generally well-tolerated.

Adding medication directly to enteral feeding can cause clogging of the tube and interfere with medication absorption.

Flushing with only 5 mL of water is insufficient. Typically, the tube should be flushed with 15-30 mL of water before and after administering each medication to ensure the tube is clear and to prevent clogging.

Dissolving medications together may lead to drug interactions or alterations in drug absorption and should be avoided.