A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?

Instruct to slowly exhale with pursed lips.

Assess pulse and respirations.

Assess characteristics of her sputum.

Auscultate lung fields.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Instructing to slowly exhale with pursed lips is a breathing technique but not the first action to take before the procedure.
Choice B rationale
Assessing pulse and respirations is important but not the first action to take before the procedure.
Choice C rationale
Assessing characteristics of her sputum is important but not the first action to take before the procedure.

Choice D rationale
Auscultating lung fields is the first action to take to assess the client’s current respiratory status and determine the effectiveness of the upcoming procedure.

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Correct Answer is D

Explanation

Choice A rationale
Packed RBCs are used to treat anemia or significant blood loss but are not specifically indicated for hemophilia A.
Choice B rationale
Fresh frozen plasma contains clotting factors but is not the preferred treatment for hemophilia A.
Choice C rationale
Prophylactic antibiotics are used to prevent infection but do not address the clotting deficiency in hemophilia A.
Choice D rationale
Recombinant factor VIII is the treatment of choice for individuals with hemophilia A. It replaces the deficient factor VIII in the blood, promoting clot formation and preventing excessive bleeding during surgical procedures.

A. Asking appropriate querry about suctioning. B. Performing the procedure independently. C. Attending a class given about tracheostomy care. D. Verbalizing all steps in the procedure.

Correct Answer is B

Explanation

Choice A rationale
Asking appropriate questions about suctioning indicates interest and understanding but does not demonstrate the ability to perform the procedure.
Choice B rationale
Performing the procedure independently shows that the partner has the necessary skills and confidence to care for the client at home.
Choice C rationale
Attending a class about tracheostomy care is beneficial but does not demonstrate the ability to perform the procedure independently.

Choice D rationale
Verbalizing all steps in the procedure indicates knowledge but does not demonstrate the practical ability to perform the procedure.

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A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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