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":"A","dropdown-group-2":"A"}
- Hypostatic pneumonia: The client's immobility due to paraplegia increases the risk of fluid accumulation in the lungs, leading to infection.
- Immobility: Prolonged immobility is a significant risk factor for hypostatic pneumonia, as it impairs normal lung drainage and promotes bacterial growth
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Battery involves actual physical contact without consent.
B. Negligence refers to failing to provide appropriate care, leading to harm.
C. Assault occurs when a person is threatened with harm or offensive contact, creating fear, even if no physical contact occurs. Telling the client that a catheter will be inserted without consent can be perceived as a threat.
D. Libel is a false written statement that damages someone’s reputation.
Correct Answer is C
Explanation
A. Hypotension is a concern but may occur for various reasons and is not as immediately life-threatening as dyspnea.
B. Tachycardia can indicate a problem but is less urgent than respiratory distress.
C. Dyspnea is the priority as it may indicate a recurrence of pulmonary embolism or another life-threatening respiratory issue.
D. A dry cough is a less urgent symptom and does not require immediate reporting.
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