A nurse is preparing to care for a client on the medical unit.
Complete the following sentence by using the lists of options. The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Correct answers:
1. pulmonary edema
2. shallow rapid breaths
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer scheduled pain medications is appropriate because providing comfort is a priority in end-of-life care. Administering scheduled pain medications helps alleviate any discomfort or pain the client may be experiencing.
B. Providing oral care every 6 hr may not be necessary in the end-of-life stage, as the client's ability to tolerate oral care may decrease, and excessive oral care may cause discomfort.
C. Administering liquids using a syringe may not be appropriate if the client is unable to swallow or if there are concerns about aspiration.
D. Whispering when talking to family members is not necessary; instead, the nurse should communicate in a calm and clear manner, adjusting the volume and tone as needed to accommodate the client's condition and preferences.
Correct Answer is C
Explanation
A. General anesthesia is not typically used for thoracentesis, which is a minimally invasive procedure performed under local anesthesia.
B. While it's important for the client to remain still during the procedure, lying flat for 6 hours following thoracentesis is unnecessary and may increase the risk of complications such as discomfort or respiratory compromise.
C. Having a chest x-ray following the procedure is essential to assess for any complications such as pneumothorax or hemothorax, and to ensure proper lung re-expansion.
D. During thoracentesis, the client is typically instructed to remain still and breathe normally.
Deep breathing through the nose is not specifically indicated during the procedure.
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