Exhibits
According to the client's vital signs, he is experiencing 
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
- Tachypnea refers to an increased respiratory rate, which is noted as 29 breaths per minute in this client. Normal respiratory rates typically range from 12 to 20 breaths per minute.
 - Bradycardia typically refers to a slower than normal heart rate; however, in this context, the client’s heart rate is actually elevated at 104 beats per minute, which is not bradycardic. Thus, this term does not accurately apply to the client’s condition.
 
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
Explanation
- Oxygen saturation greater than 94% indicates improved oxygenation, showing the treatment's effectiveness.
 - PaCO2 55 mm Hg per arterial blood gas indicates hypercapnia, suggesting ineffective treatment as normal levels should be lower.
 - Symmetric chest expansion suggests effective treatment as it reflects improved lung function.
 - Rhonchi in the right lung may indicate retained secretions, suggesting ineffective treatment.
 - Client ambulates without shortness of breath demonstrates effective treatment, as the patient can move without respiratory distress.
 - Diminished breath sounds in the right lung could indicate ongoing consolidation or fluid, suggesting ineffective treatment.
 
Correct Answer is B
Explanation
A. Observing for edema around the ankles is important but not the most critical assessment related to hydromorphone use. 
B. Auscultating the client's bowel sounds is crucial because opioids like hydromorphone can lead to decreased gastrointestinal motility and potential constipation or bowel obstruction. 
C. Measuring the client's capillary glucose level is important for clients with diabetes but not directly related to the effects of hydromorphone. 
D. Counting the apical and radial pulses simultaneously is important for assessing cardiovascular health but does not specifically relate to the side effects of opioid administration.
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