Patient Data

Exhibits
Which physician orders would the nurse anticipate being prescribed after reporting findings? (Select all that apply).

Place client on oxygen 2 10 4 liters and maintain oxygen saturation at or above, 959%.

Start the client on antibiotic therapy

STAT complete blood count (CBC), basic metabolic panel (BMP), and blood cultures

Stat ventilation/perfusion (V/Q) of chest

Send sputumn for culture & sensitivity

STAT 2 views chest x-ray

Answer and Explanation

Correct Answer : B,C,E

B. Start the client on antibiotic therapy - Antibiotics are typically prescribed to treat bacterial pneumonia, which is a common cause of pneumonia.

C. STAT complete blood count (CBC), basic metabolic panel (BMP), and blood cultures - These tests help in assessing the severity of the infection, evaluating electrolyte balance, and identifying the causative organism respectively.

E. Send sputum for culture & sensitivity - This helps in identifying the specific organism causing the pneumonia and determining the most effective antibiotic for treatment.

A. At an oxygen saturation above 90%, the client does not necessarily require oxygen supplementation

D. A ventilation/ perfusion scan is needed in cases of suspected pulmonary embolism which is unlikely in this case.

F. Another chest X ray is not important as a recent one is present. No much changes is expected in the period of the few hours.

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Correct Answer is B

Explanation

B. Postural drainage involves placing the client in various positions to help drain secretions from different lobes of the lungs. There are typically five standard positions: head-down, head-up, on the side with the affected lung uppermost, on the side with the affected lung lowermost, and lying prone.

A. Performing postural drainage immediately after meals is not recommended because it can increase the risk of vomiting or aspiration, especially in individuals with chronic obstructive pulmonary disease (COPD) who may already have compromised lung function.

C. In postural drainage, the client is typically instructed to breathe deeply and slowly to maximize the effectiveness of the technique.

D. While ABGs may be necessary for monitoring respiratory status in clients with COPD, they are not specifically required prior to performing postural drainage.

A. Use salt tablets after strenuous exercise. B. Monitor daily urine output volume. C. Drink plenty of water whenever thirsty. D. Review food labels for sodium content. E. Review food labels for sodium content.

Correct Answer is D

Explanation

D. The correct instruction to include in a discharge teaching plan for an adult client with hypernatremia is to review food labels for sodium content. Hypernatremia is a condition characterized by high levels of sodium in the blood, and it is often due to fluid loss rather than excessive sodium intake.

A. Hypernatremia is characterized by elevated levels of sodium in the blood, and reducing sodium intake is typically part of the treatment plan. Instructing the client to use salt tablets would exacerbate the hypernatremia and could lead to further complications.

B. This instruction is not directly related to managing hypernatremia. While monitoring urine output is important for assessing hydration status and kidney function, it may not specifically address the underlying cause of hypernatremia.

C. Hypernatremia is often caused by dehydration or inadequate water intake, leading to elevated sodium levels in the blood. Therefore, hydrating is an important instruction but not the most important.

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Patient Data Exhibits Which physician orders would the nurse anticipate being prescribed after reporting findings? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

Correct Answer is B

Explanation

Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

Correct Answer is D

Explanation

Patient Data Exhibits What should the nurse do before applying the face mask? Select that apply.

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

The nurse is caring for a client with emphysema who is mildly dyspneic after ambulation. Which instruction should the nurse provide to the client to improve gas exchange?

A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

Patient Data

Exhibits
Which physician orders would the nurse anticipate being prescribed after reporting findings? (Select all that apply).