Read and understand each item. Note that
Read and understand each item. Note that the answers are already given. Research on the rationale for EACH of the choices to justify the reason for being an incorrect option and reason for being the correct answer. Ensure to cite your source(s) and page(s). For example: 1. A middle-aged female client with a history of atherosclerosis is admitted with complaints of abdominal tenderness during deep palpation. The nurse notices a pulsating mass in the periumbilical area. Which of the following does the nurse suspect? a. Appendicitis Incorrect: Signs of appendicitis include loss of appetite, nausea, vomiting, fever, board-like abdominal rigidity, and increasingly severe abdominal spasm. b. Abdominal aortic aneurysm Correct: Signs of abdominal aortic aneurysm include asymptomatic pulsating mass in the periumbilical area, possible systolic bruit over the aorta on auscultation, possible abdominal tenderness on deep palpation, and lumbar pain that radiates to the flank and groin (imminent rupture). c. Acute cholecystitis Incorrect: Signs of acute cholecystitis include midepigastric or right upper quadrant pain radiating to the back or referred to the right scapula. d. Paralytic ileus Incorrect: Signs of paralytic ileus include severe abdominal distention, vomiting, and severe constipation. Reference: Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video Tutorials + Mobile (Kaplan Test Prep) (p. 568). Kaplan Publishing. Kindle Edition. 1. The nurse has prepared medications for a 75-year-old client with hypertension. The nurse notes that the client has an elevated serum potassium level. Which medication is most important for the nurse to address with the healthcare provider before administration? a. Lisinopril 40 mg oral tablet (correct answer) Correct: b. Metoprolol 25 mg oral tablet Incorrect: c. Atorvastatin 20 mg oral tablet Incorrect: d. Sertraline 25 mg oral tablet Incorrect: 2. At 0745 hours, the nurse is informed by the healthcare provider that a cardiac catheterization is to be completed on the client at 1400 hours. Which intervention should be the nurse’s priority? a. Place the client on NPO status (correct answer) Correct: b. Teach the client about cardiac catheterization. Incorrect: c. Start an IV infusion of 0.9 NaCl. Incorrect: d. Witness the client’s signature on the consent form. Incorrect: 3. Which arterial blood gasses (ABGs) values should the nurse anticipate in the client with a nasogastric tube attached to continuous suction? a. pH 7.25, PCO2 55, HCO3 24 Incorrect: b. pH 7.30, PCO2 38, HCO3 20 Incorrect: c. pH 7.48, PCO2 30, HCO3 23 Incorrect: d. pH 7.49, PCO2 38, HCO3 30 (correct answer) Correct: SCIENCE HEALTH SCIENCE NURSING 4Y1 NCMB418
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