A nurse is caring for a client on an acute mental health unit.
Complete the following sentence by using the list of options.
The nurse should delegate the client's
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Daily weights: This task can be delegated to ensure consistent monitoring of the client's weight, which is crucial for assessing nutritional status and progress.
Observing meals: The nurse should focus on observing meals to ensure the client is eating properly and not engaging in behaviors such as pocketing food or spitting it out, which are common in clients with eating disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. High-pitched stridor suggests airway obstruction, not heart failure.
B. Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure.
C. Intercostal retractions indicate respiratory distress, usually associated with conditions like asthma or pneumonia.
D. Paradoxical chest movement is a sign of flail chest, not heart failure.
Correct Answer is B
Explanation
A. Clean gloves (not sterile) are sufficient for collecting a sputum sample.
B. The best time to collect a sputum specimen is immediately upon waking because secretions accumulate overnight, making it easier to obtain a sample.
C. Waiting a day delays diagnosis and treatment; other techniques can help induce sputum production.
D. Typically, 5 to 10 mL of sputum is sufficient for diagnostic testing.
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