A nurse is caring for a client in an acute care setting.
Complete the following sentence by using the list of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
The client is at risk for hypostatic pneumonia as evidenced by the client's immobility
Rationale
The combination of paraplegia (which leads to limited mobility) and symptoms such as productive cough, tachycardia, and confusion suggest a respiratory issue, likely hypostatic pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A filter needle should be used to withdraw the medication from a glass ampule to prevent glass particles from entering the syringe.
B. The neck of the ampule should be broken away from the body to avoid injury.
C. The ampule should be disposed of in a puncture-proof container, not in the trash.
D. A different needle should be used for injection after the medication is drawn up to ensure it is sterile.
Correct Answer is A
Explanation
A. Implementing firm but flexible boundaries is important to establish a healthy relationship between the client and their adult child. Clear boundaries help both parties adjust to their new roles and responsibilities while maintaining respect and understanding.
B. Minimizing discussion regarding changes may prevent necessary communication and emotional processing, potentially leading to further strain in the relationship.
C. Decreasing socialization with extended relatives is not necessary and could lead to isolation, which is detrimental to both the client’s and family’s adjustment process.
D. Encouraging authoritative communication may foster an imbalance in the relationship. It is better to encourage open communication and mutual respect.
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