The home care nurse visits a client with compromised lung function. The client has greenish yellow sputum with a musty odor. Which assessment is the priority for the

Auscultate bilateral breath sounds.

Obtain blood culture for tuberculosis.

Request pulmonary function studies.

Document the findings.

Answer and Explanation

The Correct Answer is A

The client's greenish-yellow sputum with a musty odor may indicate an infection, such as pneumonia or bronchitis, which can aﬀect the client's lung function. By auscultating bilateral breath sounds, the nurse can assess for the presence of abnormal lung sounds, such as crackles or wheezing, which may indicate further respiratory compromise.

While obtaining a blood culture for tuberculosis (option b) may be appropriate in certain circumstances, the client's sputum color and odor do not necessarily indicate tuberculosis as the cause of their respiratory symptoms.

Requesting pulmonary function studies (option c) may also be beneficial in assessing the client's lung function, but this is not the priority assessment in this situation.

Finally, while documenting the findings (option d) is an important aspect of nursing care, it is not the priority action when the client is presenting with signs of compromised lung function.

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Correct Answer is B

Explanation

Hemoglobin is a protein found in red blood cells that plays a crucial role in transporting oxygen from the lungs to the body's tissues and organs. When oxygen is breathed in, it binds to the hemoglobin in red blood cells, forming oxyhemoglobin. This oxyhemoglobin is then transported throughout the body via the circulatory system, delivering oxygen to the cells that need it

A. The colon is responsible for absorbing water and nutrients. I am now at high risk for ﬂuid and electrolyte imbalances. B. My colon is only responsible for sodium intake. I can eat more salt to ensure I am not deficient. C. The part of my colon that I have left will work overtime to prevent any deficiencies in my electrolytes. D. I am going to start drinking more Gatorade to prevent any imbalances from occurring.

Correct Answer is A

Explanation

The colon is responsible for absorbing water and nutrients.

I am now at high risk for ﬂuid and electrolyte imbalances. This statement demonstrates that the patient understands the function of the gastrointestinal tract in relation to ﬂuid and electrolyte balance. The colon plays an important role in absorbing water and electrolytes from digested food, and after a large portion of the colon has been removed, the patient may be at higher risk for ﬂuid and electrolyte imbalances.

Received message. The correct option is a. The colon is responsible for absorbing water and nutrients. I am now at high risk for ﬂuid and electrolyte imbalances. This statement demonstrates that the patient understands the function of the gastrointestinal tract in relation to ﬂuid and electrolyte balance. The colon plays an important role in absorbing water and electrolytes from digested food, and after a large portion of the colon has been removed, the patient may be at higher risk for ﬂuid and electrolyte imbalances.

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The home care nurse visits a client with compromised lung function. The client has greenish yellow sputum with a musty odor. Which assessment is the priority for the

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Naxlex Comprehensive Predictor Exams

A patient’s hemoglobin is severely low and she is complaining of being overly tired and fatigued. You are educating her on the role hemoglobin has with oxygenation and perfusion. You will know she understands the role of hemoglobin when she tells you hemoglobin transports:

Correct Answer is B

Explanation

JD has been admited after a large portion of his colon has been removed due to cancer Which statement by the patient demonstrates that he understands the function of the Gastrointestinal tract as related to ﬂuid and electrolyte balance.

Correct Answer is A

Explanation

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