Patient Data

Exhibits

After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen.

Which action(s) should the nurse take next? Select all that apply.

Administer additional nebulizer treatment as ordered.

Take and monitor vital signs.

Apply a nonrebreather oxygen mask.

Increase oxygen flow.

Raise the head of the bed.

Provide client incentive spirometer and instruct on use.

Answer and Explanation

Correct Answer : A,B,D,E

Inhaled short acting beta agonists can should be administered up to 3 times until there the obstruction in managed. In the event that the nebulization fails to relieve the respiratory distress, other treatment options such as magnesium sulphate can be used.

Oxygen flow should also be titrated appropriately to achieve the targeted SPO2 levels. However, changing the modality of oxygen delivery is not necessary at this part.

Continuous vital signs monitoring allows for timely interventions at all times to prevent respiratory failure. Although not a primary measure, raising the head of the bed can increase comfort reducing the work of breathing.

While incentive spirometry may have a role in the management of asthma in certain situations, such as during the recovery phase after an acute exacerbation or in individuals with chronic asthma who have reduced lung function, it is not typically used as a primary intervention during the acute phase of an asthma attack.

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Free Nursing Study Resources

Correct Answer is D

Explanation

D. A high fiber diet is recommended for individuals with diverticulosis to help maintain bowel regularity and prevent constipation, which can contribute to diverticular symptoms and complications. Increasing fluid intake is also important to support the passage of fiber through the digestive tract and prevent dehydration. Adequate hydration is essential for softening stool and reducing the risk of fecal impaction or exacerbation of diverticular symptoms.
A. A soft diet is not typically recommended for diverticulosis, as it may lack adequate fiber and contribute to constipation. While milk and milk products are sources of calcium and protein, they do not provide the necessary fiber to promote bowel regularity and prevent diverticulosis- related complications.
B. Eating small, frequent meals and sitting up for a period after eating can help reduce symptoms of gastroesophageal reflux disease (GERD), but these measures are not specifically indicated for diverticulosis management. While maintaining an upright position after meals may help prevent GERD symptoms, it is not the most important diet instruction for diverticulosis.
C. A bland diet may be recommended for certain gastrointestinal conditions, but it is not typically indicated for diverticulosis. Avoiding spicy foods may help reduce symptoms in some individuals with gastrointestinal issues, but it is not the primary dietary intervention for managing diverticulosis.

A. The client’s blood pressure reading will be less than 160/90 mm Hg. B. The client's daily blood pressure will be less than 140/80 mm Hg this month. C. The client's family will repeat signs and symptoms about the disease. D. The nurse will encourage the client to walk thirty minutes every day.

Correct Answer is B

Explanation

A. While this is a good goal, it's not the most stringent and may not adequately control blood pressure to prevent further complications.
B. This is a more specific and achievable goal for a client with newly diagnosed hypertension. It aligns with recommended blood pressure targets for optimal cardiovascular health.
C. While education and reinforcement of disease signs and symptoms are important aspects of care for clients with cardiovascular disease, this outcome does not directly address the client's current concern of blurred vision or contribute to the management of cardiovascular disease- related complications such as hypertension.
D. Regular physical activity, such as walking, is an essential component of cardiovascular disease management and can help improve blood pressure control and overall cardiovascular health.
However, while exercise promotion is an important aspect of care, it does not specifically address the client's immediate concern of blurred vision or the need for blood pressure management.

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Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?

Correct Answer is D

Explanation

The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

Correct Answer is B

Explanation

A client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling experienced worsens at night. Which client teaching should the nurse provide?

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

A client is admitted to the hospital for treatment of a simple goiter, and levothyroxine sodium is prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client?

Patient Data

Exhibits

After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen.

Which action(s) should the nurse take next? Select all that apply.