Exhibits

Click to highlight the findings that would indicate the client is progressing as expected.

The nurse assesses the client. The client reports he was able to sleep through the night. The client notes continued numbness in his left arm, along with a tingling sensation, and is not able to move his fingers. The client reports mild nausea and has no desire to eat breakfast. There is a 1.18 in (3 cm) by 1.97 in (5 cm) area of blood noted on the bandage. The left arm is warm to touch. The client's left shoulder and collarbone are symmetric.

The client reports he was able to sleep through the night

The left arm is warm to touch. The client's left shoulder and collarbone are symmetric

The client reports mild nausea and has no desire to eat breakfast

Answer and Explanation

The Correct Answer is ["A","B"]

The client reports he was able to sleep through the night: This indicates pain management may be effective, allowing the client to rest, which is a positive sign of progress.

The left arm is warm to touch: This suggests good circulation in the injured limb, which is crucial for healing.

The client’s left shoulder and collarbone are symmetric: Symmetry suggests that the alignment of the shoulder and collarbone is stable, which indicates no further dislocation or misalignment post-injury.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "I always shake the inhaler several times before I start": This comment suggests that the client may be swallowing the medication instead of properly inhaling it. Inhalers are designed to deliver medication directly to the lungs, and swallowing the medication reduces its effectiveness and may cause systemic side effects, such as nausea. Proper inhaler technique requires the client to inhale deeply while pressing the inhaler and to avoid swallowing the medication.

B. "After I squeeze the inhaler and swallow, I always feel a slight wave of nausea, but it goes away": While swallowing the medication is not the intended action for inhalers, feeling nausea may indicate improper use. However, this is not the most critical misuse. It suggests the client may not be inhaling the medication correctly, but this answer does not highlight the most important mistake, which is the delay in using the inhaler.

C. "I never use the inhaler unless I am feeling really short of breath": While this comment reflects underuse of the inhaler, it does not indicate incorrect technique. However, it does suggest a need for education on the importance of preventive or maintenance use of inhalers, depending on the prescribed regimen.

D. "I have a hard time inhaling and holding my breath after I squeeze the inhaler, but I do my best": Difficulty with proper inhalation and breath-holding is common, but this can be addressed by using inhalation techniques or devices like a spacer. This response does not indicate a fundamental misuse of the inhaler like waiting too long to use it.

A. Apply ice then a warm compress to the IV site. B. Redress the IV site while assessing for redness. C. Discontinue the IV site after inserting a new access. D. Review the medical record for the date of insertion.

Correct Answer is C

Explanation

A. Applying ice and then a warm compress may provide some comfort, but it does not address the underlying issue of potential IV site complications.

B. Redressing the IV site while assessing for redness may be useful, but if the client is experiencing pain and refusal of care, a more decisive action is warranted.

C. Discontinuing the IV site after inserting a new access is the most appropriate intervention when there are concerns about the IV site, especially if the client reports pain.

D. Reviewing the medical record for the date of insertion can provide context but does not address the immediate concern regarding the client's discomfort.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

While preparing to administer a scheduled IV medication, the client tells the nurse that the IV site hurts and refuses to allow the nurse to administer a flush to assess the site. Which intervention should the nurse implement?

Correct Answer is C

Explanation

Exhibits The nurse reviews the healthcare providers (HCP) prescription for clonazepam and gives the medication as prescribed. Which nursing intervention(s) is/are appropriate for the client starting clonazepam? Select all that apply.

A client admitted with pneumonia and on bedrest has not had the strength to perform self care. Which assessment finding provides the nurse with the earliest indication that the client is developing a pressure injury?

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

A client with metastatic cancer who was taking hydromorphone PO at home is now receiving the medication IV while in the hospital. To evaluate if the client is receiving an equianalgesic dose of the hydromorphone, which assessment should the nurse complete?

A client is admitted to the mental health unit for feelings of depression secondary to a positive HIV report. To provide a safe milieu for this client, which action should the nurse take?

Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and orders. Click to mark whether the assessment finding represents a therapeutic result of the furosemide administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have one option selected.

A client tells the nurse about beginning an exercise program a month ago to lose weight and improve sleep. The client states, "It still takes at least two hours to fall asleep at night." Which action should the nurse implement?