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Exhibits

The nurse assesses the client after the dose of albuterol and documents the findings in the chart. Which action(s) should the nurse plan for the rest of the shift? Select all that apply.

Discuss aggressive respiratory treatment options

Obtain a sputum culture

Monitor the oxygen saturation

Allow the client to take a position of comfort

Wean the supplemental oxygen

Prepare for deep tracheal suctioning

Consider positive pressure ventilation

Discuss with the client potential asthma triggers

Answer and Explanation

Correct Answer : B,C,D,E,H

A. While discussing treatment options is important, it may not be immediately necessary at this point unless the client shows signs of severe respiratory distress or failure.

B. Given the client's respiratory distress and recent cold symptoms, obtaining a sputum culture can help identify any underlying infection, which is important for appropriate treatment, particularly with the prescribed azithromycin.

C. Continuous monitoring of oxygen saturation is essential to ensure that the client's oxygen levels are adequate, especially since she is at risk for hypoxia. The goal is to maintain oxygen saturation greater than 94%.

D. Positioning the client in a way that enhances her comfort, such as sitting upright, can help improve her breathing and reduce respiratory distress. This is a fundamental nursing intervention in respiratory care.

E. If the client's oxygen saturation improves, the nurse can begin to wean the supplemental oxygen while monitoring for any signs of respiratory distress. This step should be approached cautiously to ensure the client maintains adequate oxygen levels.

F. There is no indication that the client requires deep tracheal suctioning at this moment. This action is reserved for patients with excessive secretions or compromised airway patency.

G. Positive pressure ventilation would typically be considered if the client were in severe respiratory distress or failure. The current assessment does not indicate an immediate need for this intervention.

H. Education on potential asthma triggers is crucial for the client's long-term management. This discussion can help the client avoid situations that could lead to future exacerbations, thus improving her overall asthma control.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

A. Using common words with few syllables helps ensure that the information is easily understood by older adults, who may have varying levels of health literacy.

B. Educational materials written at a twelfth-grade reading level may be too complex for many older adults, potentially hindering comprehension.

C. Using a 12-point type font is appropriate, as larger print is easier for older adults to read and comprehend.

D. Providing definitions for unfamiliar terms enhances understanding and helps patients feel more confident in their ability to manage their medications.

E. Using pictures to illustrate complex ideas can aid comprehension, particularly for individuals who may struggle with text-based information.

A. Right leg externally rotated and shorter than left. B. Wiggles right foes when sole of right foot is tickled. C. Left lower extremity is warm to touch. D. Bilateral pedal pulses present and strong.

Correct Answer is A

Explanation

A. The right leg being externally rotated and shorter than the left is a classic sign of a hip fracture and should be reported for further evaluation and management.

B. The ability to wiggle the right toes indicates that some nerve function is intact and is not a concerning finding in this context.

C. A warm left lower extremity could indicate circulation but is not as urgent as a potential fracture finding.

D. Strong bilateral pedal pulses are a positive sign, suggesting adequate blood flow, and do not require immediate reporting.

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Exhibits The nurse assesses the client after the dose of albuterol and documents the findings in the chart. Which action(s) should the nurse plan for the rest of the shift? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing an educational program for older adult clients who are being discharged with new antihypertensive medications. The nurse should ensure that the educational materials include which characteristic(s)? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

An older adult client who fell at the store is admitted with a possible fracture of the right hip. Which assessment finding should the nurse report to the healthcare provider?

Correct Answer is A

Explanation

Which breakfast selection should the nurse recommend for a 16-year-old with diarrhea?

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Exhibits

The nurse assesses the client after the dose of albuterol and documents the findings in the chart. Which action(s) should the nurse plan for the rest of the shift? Select all that apply.