immediate follow-up.)

Decreased lung sounds

Heart rate 110/min and regular

Oxygen saturation of 95%

Subcutaneous emphysema

Answer and Explanation

Correct Answer : A,B,D

A.   This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B.   A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C.   While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D.   This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Reviewing the client's medications requires a higher level of education and training than most assistive personnel have.
B. Notifying the case manager of the client's wishes for community resources requires a higher level of education and training than most assistive personnel have.
C. Assisting the client with bathing and oral care is within the scope of practice for most assistive personnel.
D. Assessing the client's wound requires a higher level of education and training than most assistive personnel have.

A. "Clients frequently complain about the taste of hospital food." B. "I would be happy to get you food that you prefer to eat." C. "You should ask your family to bring you some food from home." D. "Because of your surgery, you have an altered ability to smell and taste."

Correct Answer is D

Explanation

A. This response dismisses the client's concerns and does not address the underlying issue.
B. This response is appropriate, but it does not address the underlying issue of altered taste perception.
C. This response suggests a solution but does not address the underlying issue of altered taste perception.
D. This response acknowledges the client's concerns and provides an explanation for the altered taste perception, which can be reassuring and informative.

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immediate follow-up.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is working with assistive personnel (AP) to care for a client in their home. Which of the following tasks can the nurse assign to the AP?

Correct Answer is C

Explanation

A nurse is caring for a client who is 1-day postoperative following a total laryngectomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

Correct Answer is D

Explanation

Some elderly people with health issues in a more established neighborhood are on fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them?

A nurse is teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?

immediate follow-up.)

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?