A nurse is educating a preoperative client on how to eﬀectively deep breathe. Which instruction would be included?

"Breathe in through the mouth and out through the nose."

"Make each breath deep enough to move the bottom ribs."

"Practice deep breathing at least once each week."

"Breathe through the mouth when you inhale and exhale."

Answer and Explanation

The Correct Answer is B

When educating a preoperative client on how to eﬀectively deep breathe, the nurse should instruct the client to make each breath deep enough to move the bottom ribs. This helps to ensure that the client is taking deep breaths and fully expanding their lungs. The other options (Breathe in through the mouth and out through the nose, Practice deep breathing at least once each week, and Breathe through the mouth when you inhale and exhale) are not accurate instructions for eﬀective deep breathing.

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Correct Answer is A

Explanation

This statement by the client would indicate a need for further information about essential nutrition for healing. A balanced diet that includes a variety of nutrients is important for postoperative healing. Restricting the diet to only fats and carbohydrates may not provide all the necessary nutrients for optimal healing. The nurse should provide further education to the client about the importance of a balanced diet that includes protein, vitamins, and minerals in addition to fats and carbohydrates.

A. 100 mL of 5% dextrose and 1/2 normal saline B. 1,000 mL of lactated Ringer's solution C. 500 mL of 5% dextrose and water D. 250 mL of normal saline E. 250 mL of normal saline

Correct Answer is D

Explanation

When collecting equipment to administer a unit of packed red blood cells, the nurse should use 250 mL of normal saline to initiate the IV for this transfusion ³. Normal saline is the only compatible solution to use with blood or blood components ³. The other options (100 mL of 5% dextrose and 1/2 normal saline, 1,000 mL of lactated Ringer's solution, and 500 mL of 5% dextrose and water) are not appropriate IV ﬂuids to use when administering a unit of packed red blood cells.

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A nurse is educating a preoperative client on how to eﬀectively deep breathe. Which instruction would be included?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a postoperative client on essential nutrition for healing. Which statement by the client would indicate a need for information?

Correct Answer is A

Explanation

The nurse is collecting equipment to administer a unit of packed red blood cells. Which IV ﬂuid should be used to initiate the IV for this transfusion?

Correct Answer is D

Explanation

During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed and says "leave me alone." Which subjective data should the nurse document?

A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is:

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

A nurse is educating a preoperative client on how to eﬀectively deep breathe. Which instruction would be included?

A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?

A client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counselling practice and work full-time. The nurse should realize that this client is demonstrating which aspect of values clarification?

During a particularly heated staﬀ meeting regarding staﬀ assignments, the nurse manager makes this comment: "When you all can come to a decision, let me know and we'll move on from there." This leader is best identified as which of the following?

A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular, 3+ and equal in radial, popliteal, and dorsalis pedis. What does the number "+3" represent?