A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is:

Hypothermia

Anxiety

Nausea

Pain

Answer and Explanation

The Correct Answer is B

Anxiety is a nursing diagnosis that would be appropriate for a client experiencing hypoxia. Hypoxia can cause shortness of breath and difficulty breathing, which can lead to feelings of anxiety. The other options (Hypothermia, Nausea, and Pain) are not directly related to hypoxia.

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Correct Answer is A

Explanation

During a lung assessment on a client suspected of having pneumonia, the nurse should report asymmetrical chest expansion to the physician immediately. Asymmetrical chest expansion can be a sign of a serious lung condition such as pneumonia. The other options (Breath sounds equal bilaterally, Bilateral symmetric vocal fremitus, and Chest symmetrical) are normal findings and do not need to be reported immediately.

A. Instruct the client to report promptly to the practitioner any decreased redness, swelling, pain, or discharge from the incision or drain sites. B. Emphasize the importance of adequate rest for healing and immune function. C. Instruct the client to use pain medications as ordered and not to exceed the prescribed dose. D. Teach the client to avoid using alcohol or other central narcotic analgesics.

Correct Answer is A

Explanation

During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. This includes instructing the client to report promptly to the practitioner any **increased** redness, swelling, pain, or discharge from the incision or drain sites. These symptoms may indicate an infection or other complication that requires medical attention. The other actions listed are correct and important for promoting healing and wellness after discharge.

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A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?

Correct Answer is A

Explanation

During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. However, one of the actions listed below is not correct.

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?

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A nurse is assessing a client who has a fever, an infection of a ﬂank incision, and is in severe pain. Which type of pulse rate would the client most likely exhibit?

When planning interventions to promote a client's appetite, which of the following would be included in the client's plan?