Exhibits

The client undergoes several days of antibiotic and respiratory treatment for his pneumonia.

Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

Oxygen saturation greater than 94%

PaCO2 55 mm Hg per arterial blood gas

Symmetric chest expansion

Rhonchi in the right lung

Client ambulates without shortness of breath

Diminished breath sounds in the right lung

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}

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.

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Correct Answer is B

Explanation

A. Increasing intestinal peristalsis is not a primary goal related to managing a hiatal hernia. While peristalsis is important for digestion, the focus should be on the esophagus and stomach.
B. Preventing esophageal reflux is the main goal for clients with a hiatal hernia, especially sliding type, as the hernia can cause the stomach to push into the esophagus, leading to reflux symptoms. Strategies to prevent reflux may include dietary modifications and positioning.
C. Promoting effective swallowing may be important in some contexts, but it is not a primary goal associated with managing a hiatal hernia.
D. Maintaining intact oral mucosa is generally a broader nursing goal and not specific to the management of a hiatal hernia. The focus should be on preventing reflux rather than oral mucosa integrity in this case.

Correct Answer is ["0.5"]

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

First, we need to calculate the concentration of the reconstituted solution:

Concentration (mg/mL) = Total amount of drug (mg) / Total volume (mL)

Total amount of drug = 0.3 mg
Total volume = 1.2 mL

Concentration (mg/mL) = 0.3 mg / 1.2 mL = 0.25 mg/mL

Now, we can calculate the volume to administer:

Volume (mL) = 0.125 mg / 0.25 mg/mL = 0.5 mL

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Exhibits The client undergoes several days of antibiotic and respiratory treatment for his pneumonia. Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client with a direct (sliding) hiatal hernia. Nursing actions should be planned to meet which goal?

Correct Answer is B

Explanation

Correct Answer is ["0.5"]

Explanation

A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

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The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?

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An older female client is hospitalized with a fractured femur. During a routine nursing assessment, she repeatedly asks the nurse to "speak up" so that she can hear the questions. Which action is best for the nurse to take?

Exhibits

The client undergoes several days of antibiotic and respiratory treatment for his pneumonia.

Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.