Elite Reviews

Answer To NCLEX Question Of The Week (1/23/2022)
Which nursing intervention should be taken for a client who complains of nausea and vomits 1 hr after taking his morning glyburide?

A) give glyburide again
B) give subcutaneous insulin and monitor blood glucose
C) monitor blood glucose closely, and look for signs of hypoglycemia
D) monitor blood glucose, and assess for symptoms of hyperglycemia
Answer - C) monitor blood glucose closely, and look for signs of hypoglycemia

Rationale - You selected the correct response.
When a client who has taken an oral antidiabetic agents vomits, the nurse should monitor glucose and assess him frequently for signs of hypoglycemia.

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NCLEX Question Of The Week
Week 1/23/2022 (Here We Go Again!!)
Which nursing intervention should be taken for a client who complains of nausea and vomits 1 hr after taking his morning glyburide?

A) give glyburide again
B) give subcutaneous insulin and monitor blood glucose
C) monitor blood glucose closely, and look for signs of hypoglycemia
D) monitor blood glucose, and assess for symptoms of hyperglycemia

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Answer To CEN Question Of The Week (1/17/2022)
A 63 y/o patient complains of dizziness, weakness over the past week, and syncopal episode this am. Initial VS are BP 170/98 mmHg, HR 32 bpm, RR 18 bpm, and T 98.3. What is the priority intervention for this patient?

A) Administer O2 via non-rebreather mask
B) Prepare pt for a STAT CT scan
C) Activate the rapid response team
D) Initiate IV access with a saline lock

Answer (A) Administer O2 via non-rebreather mask.

Rationale - The pt is at risk for falling d/t the chief complaint of dizziness and is also at risk for cardiovascular collapse related to bradycardia. Providing O2 is indicated given the patient's HR and the need to maintain adequate oxygenation.

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CEN Question Of The Week
Week 1/17/2022 (Here We Go Again!!)
A 63 y/o patient complains of dizziness, weakness over the past week, and syncopal episode this am. Initial VS are BP 170/98 mmHg, HR 32 bpm, RR 18 bpm, and T 98.3. What is the priority intervention for this patient?

A) Administer O2 via non-rebreather mask
B) Prepare pt for a STAT CT scan
C) Activate the rapid response team
D) Initiate IV access with a saline lock

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Answer To CCRN Question Of The Week (1/13/2022)
In acute pancreatitis, ARDS represents a common complication caused by the release of pancreatic enzymes into the circulation. Which of these other possible complications of pancreatitis can then complicate management of ARDS?

A) Hypovolemia
B) Fistula formation
C) Pleural effusion
D) Severe pain

Answer – (C) Pleural effusion

Rationale - Pleural effusion and pain are complications of pancreatitis that can negatively affect management of ARDS. Pancreatic enzymes released into the circulation damage pulmonary vasculature and stimulate inflammation, leading to intrapulmonary shunt and hypoxemia. Exudates may then cross the diaphragm and enter the pleural space via lymphatic channels, causing pleural effusions.

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Week 1/9/2022 (Here We Go Again!!)
In acute pancreatitis, ARDS represents a common complication caused by the release of pancreatic enzymes into the circulation. Which of these other possible complications of pancreatitis can then complicate management of ARDS?

A) Hypovolemia
B) Fistula formation
C) Pleural effusion
D) Severe pain

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Answer To PCCN Question Of The Week (1/6/2022)
Which of the following rhythm disturbances would be most likely to occur in a patient who has a serum potassium level of 8 mEq/L?

A) second-degree heart block, Mobitz Type II, and asystole
B) PAC's and ventricular tachycardia
C) right bundle-branch block
D) paroxysmal atrial tachycardia

Answer – (A) - second-degree heart block, Mobitz Type II, and asystole

Rationale - Hyperkalemia causes depression in AV conduction and leads to heart block.

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PCCN Question Of The Week
Week 1/2/2022 (Here We Go Again!!)

Which of the following rhythm disturbances would be most likely to occur in a patient who has a serum potassium level of 8 mEq/L?

A) second-degree heart block, Mobitz Type II, and asystole
B) PAC's and ventricular tachycardia
C) right bundle-branch block
D) paroxysmal atrial tachycardia

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Answer To NCLEX Question Of The Week (12/27/2021)
The nurse is caring for a client with low vasopressin level. In teaching the client about the illness, which of the following areas of the body would the nurse describe as the area where the deficiency originates?

A) adrenal gland
B) parathyroid gland
C) pituitary gland
D) thyroid gland

Answer - C) pituitary gland

Rationale - That's right! You selected the correct response.
Low vasopressin level is a deficiency of antidiuretic hormone, which is a disorder of the posterior pituitary gland.

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