Exhibits
The nurse has implemented additional needed actions.
Click the assessment data which indicates the interventions were successful and which assessment data provides no indication that the interventions were successful. Each column must have at least one answer selected.
Blood pressure 122/84 mmHg
Heart rate 105 beats/minute
Client can now speak in full sentences without pausing.
Respirations 16 breaths/minute
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"}}
Indicates the Interventions Were Successful:
- Client can now speak in full sentences without pausing. This shows an improvement in the client's breathing and overall respiratory function.
- Respirations 16 breaths/minute. This is a normal respiratory rate, indicating that the client's breathing has stabilized.
No Indication that the Interventions Were Successful:
- Blood pressure 122/84 mmHg. While this is a normal blood pressure reading, it does not specifically indicate the success of the interventions for an asthma attack.
- Heart rate 105 beats/minute. Although slightly improved, this heart rate is still elevated and does not clearly indicate the success of the interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While safe sex practices can significantly reduce the risk of STIs, they do not eliminate the risk entirely, especially with multiple partners involved.
B. This statement is misleading; not all STIs are transmitted solely through sexual intercourse, as some can also be transmitted through non-sexual means.
C. It is important to recognize that asymptomatic individuals can still be carriers of STIs; thus, this statement may provide false reassurance.
D. Teaching the client about the importance of following the medication regimen and attending follow-up appointments is critical for effective treatment of gonorrhea and preventing further transmission or complications. This approach prioritizes the client’s health and reinforces the need for responsible sexual practices.
Correct Answer is B
Explanation
A. Internal bleeding typically presents with signs of hypovolemia, such as decreased blood pressure and increased heart rate, rather than pitting edema and jugular venous distention.
B. Right-sided heart failure is characterized by fluid overload, leading to symptoms like pitting edema in the extremities and jugular venous distention, which align with the findings observed in this client.
C. Left ventricular dysfunction primarily results in pulmonary congestion and respiratory distress rather than peripheral edema and jugular venous distention.
D. Cardiac tamponade may present with jugular venous distention, but it usually also involves hypotension and muffled heart sounds, which are not described in this scenario.
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