The nurse recognizes that the most appropriate reason to suction a client is that:

suctioning once every eight hours is a part of routine pulmonary nursing care.

the physician has prescribed suctioning every hour.

the client has thick sputum, and routinely coughs and swallows his sputum.

the client has gurgling respirations, and is unable to cough.

Answer and Explanation

The Correct Answer is D

Choice A rationale: Suctioning is not typically performed as part of routine pulmonary nursing care every eight hours. It is indicated based on the client's clinical need.

Choice B rationale: Suctioning frequency should be determined by the client's condition and physician's orders, not a fixed hourly schedule.

Choice C rationale: Routine coughing and swallowing of sputum do not necessarily warrant suctioning. Suctioning is indicated when the client is unable to manage secretions effectively.

Choice D rationale: Suctioning is appropriate when the client has gurgling respirations and is unable to cough effectively, indicating the need to clear the airway.

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Correct Answer is B

Explanation

Choice A rationale: Propranolol 10 mg PO twice a day would typically be given with a more extended interval between doses, not at 10:00 AM, 2:00 PM, and 6:00 PM.
Choice B rationale: Diazepam 5 mg PO three times a day would align with the specified dosing schedule of 10:00 AM, 2:00 PM, and 6:00 PM.
Choice C rationale: Cephalexin 500 mg PO q4 hours would require more frequent dosing than the specified schedule.
Choice D rationale: Morphine Sulfate 10 mg IM q4 hours prn pain is ordered every 4 hours, not at the specified times of 10:00 AM, 2:00 PM, and 6:00 PM.

A. Sclera by the outer canthus B. Center of the cornea C. Sclera by the inner canthus D. Lower conjunctival sac

Correct Answer is D

Explanation

Choice A rationale: The sclera by the outer canthus is not the typical site for administering eyedrops bilaterally.

Choice B rationale: Dropping medication onto the center of the cornea is not the recommended technique for administering eyedrops.

Choice C rationale: The sclera by the inner canthus is not the usual site for administering eyedrops bilaterally.

Choice D rationale: The lower conjunctival sac is the appropriate area for administering eyedrops, ensuring proper absorption and distribution.

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The nurse recognizes that the most appropriate reason to suction a client is that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is transcribing a medication order and schedules dosing for 10:00 AM, 2:00 PM and 6:00 PM. Which medication order is consistent with this schedule?

Correct Answer is B

Explanation

A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?

Correct Answer is D

Explanation

The nurse recognizes that which is not a necessary feature of a team?

The nurse is aware that a common cause of under delegation in client care is:

Which nursing action is most helpful in thinning a client's thick respiratory secretions?

A nurse is caring for a client who has a diagnosis of alcohol withdrawal. Which serum laboratory value validates the client's admitting diagnosis? A serum:

A client has had an uncomplicated repair of an inguinal hernia. On the second post- operative day, the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?

The nurse understands that the major factor affecting oxygenation in a client who has fluid in the lungs is:

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to: (SELECT ALL THAT APPLY)

In order to minimize discomfort when giving an injection to a client, the nurse should: