A nurse is caring for a client who is postoperative and has developed atelectasis.
Which of the following findings should the nurse expect?

Facial flushing.

Dry cough.

Decreasing respiratory rate.

Increasing dyspnea.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Facial flushing. Facial flushing is not typically associated with atelectasis. Atelectasis is the collapse of a portion of the lung, which can lead to decreased oxygenation and respiratory distress but does not directly cause facial flushing. Flushing may be related to other factors such as fever or allergic reactions.

Choice B rationale:

Dry cough. A dry cough can be a common symptom of atelectasis. As the lung tissue collapses and airways become obstructed, it can lead to irritation and a dry, non-productive cough as the body attempts to clear the airway. So, a dry cough is an expected finding in a client with atelectasis.

Choice C rationale:

Decreasing respiratory rate. A decreasing respiratory rate is not typically associated with atelectasis. In fact, atelectasis often leads to an increased respiratory rate as the body tries to compensate for the reduced oxygen exchange. The patient may experience tachypnea (rapid breathing) as a result.

Choice D rationale:

Increasing dyspnea. Increasing dyspnea is a common and expected finding in a client with atelectasis. As lung tissue collapses and oxygen exchange is compromised, the patient will likely experience worsening shortness of breath. This is a concerning symptom and should be closely monitored, as it may indicate a need for intervention to improve lung expansion and oxygenation.

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Correct Answer is C

Explanation

Choice A rationale:
A client who takes glyburide for type 2 diabetes mellitus is not at significant risk for developing digoxin toxicity. Glyburide is an antidiabetic medication and does not interact directly with digoxin.
Choice B rationale:
A client who takes furosemide for hypertension is not at significant risk for developing digoxin toxicity. Furosemide is a diuretic and can lead to electrolyte imbalances, but the risk of digoxin toxicity is generally associated with interactions with medications that affect digoxin metabolism or clearance.
Choice C rationale:
A client who takes cimetidine to reduce gastric acid secretion is at risk for developing digoxin toxicity. Cimetidine is a medication that inhibits the cytochrome P450 enzyme system, which plays a role in metabolizing digoxin. Inhibition of this enzyme system can lead to increased levels of digoxin in the blood, potentially resulting in digoxin toxicity.
Choice D rationale:
A client who takes azelastine for allergic rhinitis is not at significant risk for developing digoxin toxicity. Azelastine is an antihistamine and does not interact directly with digoxin.

A. Administer the medication with each meal. B. Have suction equipment at the bedside. C. Monitor the client for black, tarry stools. D. Initiate contact precautions.

Correct Answer is C

Explanation

The correct answer is choice C. Monitor the client for black, tarry stools.

Choice A rationale:

Administering clopidogrel with each meal is not necessary. Clopidogrel can be taken with or without food. The primary concern with clopidogrel is its potential to cause bleeding, so monitoring for signs of bleeding is more critical.

Choice B rationale:

Having suction equipment at the bedside is not specifically required for clients taking clopidogrel. This action is more relevant for clients at risk of airway obstruction or those undergoing procedures that might require suctioning.

Choice C rationale:

Monitoring the client for black, tarry stools is essential because it can indicate gastrointestinal bleeding, a known side effect of clopidogrel. This medication increases the risk of bleeding, so observing for signs of internal bleeding, such as melena (black, tarry stools), is crucial.

Choice D rationale:

Initiating contact precautions is not necessary for clients taking clopidogrel. Contact precautions are typically used to prevent the spread of infections, not for managing clients on antiplatelet therapy.

By understanding these rationales, the nurse can ensure the safe administration and monitoring of clopidogrel therapy.

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A nurse is caring for a client who is postoperative and has developed atelectasis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reviewing the laboratory results of four clients who take digoxin. Which of the following clients is at risk for developing digoxin toxicity?

Correct Answer is C

Explanation

A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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A nurse is caring for a client who is postoperative and has developed atelectasis.
Which of the following findings should the nurse expect?