A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

Decrease the head of the client's bed.

Ask the client to cough every 4 hr.

Encourage the client to take deep breaths.

Request a prescription for an opioid analgesic.

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Encourage the client to take deep breaths.

Choice A rationale:

Decreasing the head of the client’s bed can worsen oxygenation by compressing the lungs and reducing lung expansion, which is not advisable for a client with low oxygen saturation.

Choice B rationale:

Asking the client to cough every 4 hours can help clear secretions but does not directly address the immediate need to improve oxygen saturation.

Choice C rationale:

Encouraging the client to take deep breaths helps increase lung expansion and improve oxygenation, which is crucial for a client with an oxygen saturation of 88%.

Choice D rationale:

Requesting a prescription for an opioid analgesic is not appropriate in this context as opioids can depress respiratory function, potentially worsening the client’s oxygen saturation.

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Correct Answer is D

Explanation

The correct answer is D.

Choice A reason: Explaining that the tray is here and placing the client’s hands on the tray is a supportive action but does not promote independence. It may help the client initially find the tray, but it doesn’t guide them in understanding where each item of food is located, which is essential for independent feeding.

Choice B reason: Assigning assistive personnel to feed the client would provide support but would not promote independence. It could lead to increased dependence on others for feeding and may reduce the client’s motivation to perform self-feeding.

Choice C reason: Asking the client if they would prefer a liquid diet is an important consideration for clients with swallowing difficulties, which can be a complication of a stroke. However, this does not directly promote independence in feeding if the client is capable of eating solid foods.

Choice D reason: Describing the location of the food on the tray helps the client understand where each item is placed, akin to a clock face orientation. This empowers the client to feed themselves independently, which is crucial for self-esteem and rehabilitation progress.

A. 1.5 tablet(s). B. 1.4 tablet(s). C. 1.6 tablet(s). D. 1.7 tablet(s).

Correct Answer is A

Explanation

Step 1 is to determine the amount of medication needed. The nurse needs to administer 75 mg of hydrochlorothiazide.

Step 2 is to understand the amount available. Each tablet contains 50 mg of hydrochlorothiazide.

Step 3 is to calculate the number of tablets. This can be done by dividing the total amount needed (75 mg) by the amount in each tablet (50 mg). So, the calculation is 75 mg ÷ 50 mg/tablet.

Step 4 is to round the answer to the nearest tenth.

So, the correct answer is, after analyzing all steps, the nurse should administer1.5tablets of hydrochlorothiazide.

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A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?

Correct Answer is D

Explanation

A nurse is preparing to administer hydrochlorothiazide 75 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.).

Correct Answer is A

Explanation

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