The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?- Nurselytic

Question 1 of 5

The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?

A. The client's BP is 110/70 B. The client's potassium level is 3.4 mEq/L C. The client has a barky cough D. The client's apical pulse is 56

Correct Answer: D

Rationale: The correct answer is D. A beta blocker should be withheld if the apical pulse is below 60, as it can further decrease the heart rate. Choice A is not a reason to question administering the medication as the blood pressure is within a normal range for a client with essential hypertension. Choice B is not directly related to the administration of a beta blocker. Choice C suggests a potential side effect of an ACE inhibitor, not a beta blocker.

Question 2 of 5

Which laboratory data indicate the client's pancreatitis is improving?

A. The amylase and lipase serum levels are decreased B. The white blood cell count (WBC) is decreased C. The conjugated and unconjugated bilirubin levels are decreased D. The blood urea nitrogen (BUN) serum level is decreased

Correct Answer: A

Rationale: The correct answer is A. Amylase and lipase are specific markers for pancreatitis. A decrease in their serum levels indicates improvement in pancreatitis. Choice B, a decreased white blood cell count (WBC), is more indicative of an improvement in infection rather than pancreatitis. Choices C and D, decreased bilirubin levels and blood urea nitrogen (BUN) levels respectively, are not specific markers for pancreatitis improvement.

Question 3 of 5

How do the automated data processing systems in the medical C4I headquarters aid in various aspects?

A. Maintaining patient accountability B. Tracking patient movement C. Managing health service logistics systems D. All of the above

Correct Answer: D

Rationale: The automated data processing systems in the medical C4I headquarters play a crucial role in maintaining patient accountability by tracking patient movement and aiding in the management of health service logistics systems. Therefore, the correct answer is D. Option A is incorrect because the systems do more than just maintaining patient accountability. Option B is incorrect as it focuses solely on tracking patient movement, missing the broader scope. Option C is also incorrect as it only addresses the management of health service logistics systems and overlooks the other functionalities provided by the systems.

Question 4 of 5

The nurse instructs a client 5 days after a lumbar laminectomy with spinal fusion about how to move from a supine position to standing at the left side of the bed with a walker. Which of the following directions by the nurse is BEST?

A. Raise the head of the bed so you are sitting straight up, bend your knees, and swing your legs to the side and then to the floor B. Rock your body from side to side, going further each time until you build up enough momentum to be lying on your right side, and then raise your trunk toward your toes C. Reach over to the left side rail with your right hand, pull your body onto its side, bend your upper leg so the foot is on the bed, and push down to elevate your trunk D. Focus on using your arms, the left elbow as a pivot with the left hand grasping the mattress edge and the right hand pushing on the mattress above the elbow, then slide your legs over the side of the mattress

Correct Answer: C

Rationale: Choice C is the best direction provided by the nurse. This method involves reaching over to the left side rail with the right hand, pulling the body onto its side, bending the upper leg so the foot is on the bed, and pushing down to elevate the trunk. This approach helps maintain spinal alignment while moving from a lying to a standing position, reducing strain on the back. Choices A, B, and D involve movements that are not suitable for a client recovering from a lumbar laminectomy with spinal fusion and could potentially cause harm or discomfort.

Question 5 of 5

The nurse instructs a client 5 days after a lumbar laminectomy with spinal fusion about how to move from a supine position to standing at the left side of the bed with a walker. Which of the following directions by the nurse is BEST?

A. Raise the head of the bed so you are sitting straight up, bend your knees, and swing your legs to the side and then to the floor B. Rock your body from side to side, going further each time until you build up enough momentum to be lying on your right side, and then raise your trunk toward your toes C. Reach over to the left side rail with your right hand, pull your body onto its side, bend your upper leg so the foot is on the bed, and push down to elevate your trunk D. Focus on using your arms, the left elbow as a pivot with the left hand grasping the mattress edge and the right hand pushing on the mattress above the elbow, then slide your legs over the side of the mattress

Correct Answer: C

Rationale: The correct method described in option C helps maintain spinal alignment while moving from a lying to a standing position, which is crucial after a lumbar laminectomy with spinal fusion. This technique minimizes strain on the back and promotes safe movement. Choices A, B, and D involve movements that could potentially strain the back, increase the risk of injury, or compromise the spinal alignment, making them less optimal for the client recovering from such surgery.

Nurselytic

ATI RN

ATI RN

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