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A nurse is caring for a client who is experiencing impaired mobility.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

The client is at risk for developing

and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}

A. Diarrhea: Not relevant to the client's condition of impaired mobility and recent hip fracture.

B. Hypocalcemia: Not directly related to the client's current condition and symptoms.

C. Pulmonary embolism: The client is at risk due to limited mobility and signs of deep vein thrombosis.

D. Deep vein thrombosis: The client has symptoms such as a warm, reddened area on the calf, indicating a potential DVT.

E. Hypertension: The client's blood pressure is within normal limits, so this is not a primary concern.


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Related Questions

Correct Answer is D

Explanation

A. Letting the client rest alone is not an appropriate intervention for an asthma attack. The client needs reassurance and support during an asthma exacerbation, and isolation can increase anxiety and worsen symptoms.

B. Reassuring the client that the doctor will arrive soon may provide some comfort, but it does not directly address the acute symptoms of dyspnea and anxiety. Immediate interventions to manage the asthma attack should be prioritized.

C. Placing the client on a cardiac monitor and observing from the nurse's station may be appropriate for monitoring heart rate and rhythm, but it does not address the primary concern of managing the asthma attack or anxiety. The nurse should be present to provide direct support and interventions.

D. Staying with the client and encouraging pursed-lip breathing is an effective intervention for managing anxiety and dyspnea during an asthma attack. Pursed-lip breathing helps the client slow their breathing, improve ventilation, and reduce anxiety, which can alleviate dyspnea.

Correct Answer is ["A","B","E"]

Explanation

A. Ipratropium (Atrovent HFA) is an anticholinergic medication that can be used in combination with short-acting beta-agonists like albuterol to help relieve bronchospasm during an acute asthma attack.

B. Albuterol (Proventil HFA) is a short-acting beta-agonist (SABA) that is commonly used as a first-line treatment during an acute asthma attack to rapidly relieve bronchoconstriction and improve airflow.

C. Salmeterol (Serevent Diskus) is a long-acting beta-agonist (LABA) used for long-term asthma control, not for acute exacerbations. LABAs are not effective in quickly relieving symptoms during an acute attack.

D. Montelukast (Singulair) is a leukotriene modifier used for long-term asthma management and prevention. It is not effective in treating acute asthma attacks.

E. Inhaled hypertonic saline can help in acute asthma attacks by increasing mucus clearance and improving respiratory function, especially in patients with severe symptoms.

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