Nokea
A client with a history of alcohol abuse is admitted with acute pancreatitis. Which laboratory result requires immediate intervention?
- A. Amylase of 120 U/L.
- B. Lipase of 150 U/L.
- C. Calcium of 8.5 mg/dL.
- D. Blood glucose of 250 mg/dL.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The occupational heal th nurse is completing a yearly sel f-evaluation. Which activity shoul d the nurse document as an example of profi cient performance criteria i n professionalism?
- A. contri butesmoney to a professional society or organizati on
- B. mai ntai ns chai rmanship of the hospital nursi ng council
- C. documents t he nursi ng process in care care management
- D. develops pol icy i niti ati ves that impact occupati onal heal th and safety -
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?
- A. Hold the medication.
- B. Call the healthcare provider.
- C. Administer the medication.
- D. Check the blood pressure.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?
- A. Continue the heparin infusion as prescribed.
- B. Decrease the heparin infusion rate.
- C. Increase the heparin infusion rate.
- D. Stop the heparin infusion and notify the healthcare provider.
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.
During a follow-up home visit, the nurse observes that a client with chronic obstructive pulmonary disease (COPD) is using accessory muscles to breathe and has a pulse oximetry reading of 88%. What action should the nurse take first?
- A. Administer a prescribed bronchodilator
- B. Increase the oxygen flow rate
- C. Instruct the client to perform pursed-lip breathing
- D. Notify the healthcare provider immediately
Correct Answer: C
Rationale: In this situation, the nurse should first instruct the client to perform pursed-lip breathing. Pursed-lip breathing helps improve oxygenation and decrease the work of breathing in clients with COPD. Administering a bronchodilator or increasing the oxygen flow rate may be necessary interventions but addressing the breathing technique through pursed-lip breathing is the initial action to optimize oxygenation. Notifying the healthcare provider immediately is not the first action indicated in this scenario; the nurse should intervene promptly to assist the client in improving breathing before escalating the situation.
A public health nurse is planning a smoking cessation program for a local community. Which component is most important to include in the program?
- A. information on the health risks of smoking
- B. strategies for coping with withdrawal symptoms
- C. testimonials from former smokers
- D. distribution of nicotine replacement therapy
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.