Share This Link

Incorrect. Postural drainage is usually performed multiple times a day, usually three to four times, to effectively mobilize respiratory secretions.

Incorrect. Percussions are typically performed using cupped hands to create vibrations.Holding the hand flat would not produce the desired effect.

Incorrect. Postural drainage is commonly performed before meals to prevent the risk of vomiting and aspiration.

Incorrect. While maintaining eye contact during feedings is generally beneficial for bonding, it's not a specific intervention for managing neonatal abstinence syndrome.

Incorrect. Swaddling a newborn with extended legs might be uncomfortable, as newborns with neonatal abstinence syndrome can experience increased muscle tone and jitteriness.

Incorrect. Naloxone is not typically administered to newborns with neonatal abstinence syndrome. The syndrome is managed through supportive care, gradually reducing exposure to the substance.

Incorrect. While adverse effects are important to consider, the primary purpose of medication reconciliation is to ensure accurate and up-to-date medication information.

Incorrect. Nutritional supplements and over-the-counter medications should be included in the medication reconciliation process to provide a comprehensive overview of the client's medication regimen.

Incorrect. The nurse is responsible for accurately reconciling the client's medications during the admission process. Encouraging the client to create a list later may lead to inaccuracies.

Incorrect. Absence seizures typically do not have an aura. They are characterized by a sudden and brief loss of awareness without warning.

Incorrect. Absence seizures are usually very brief, lasting only a few seconds (often less than 10 seconds), rather than 30 to 60 seconds.

Incorrect. Absence seizures have a sudden and abrupt onset, not a gradual one. They occur without warning and without a preceding aura.

Incorrect. Bleeding gums can be a common finding during pregnancy due to hormonal changes, but they are not typically considered a serious concern unless severe.

Incorrect. Mild swelling of the face can also occur during pregnancy, but significant or sudden swelling might be a sign of a condition like preeclampsia.

Incorrect. Urinary frequency is a common symptom of pregnancy due to increased pressure on the bladder from the growing uterus.

Incorrect. Discharge teaching often involves complex information and considerations, which are typically better suited for a registered nurse.

Incorrect. An admission assessment requires comprehensive assessment skills that are typically performed by registered nurses.

Incorrect. Completing assessments related to complex neurological changes, such as the Glasgow Coma Scale for a stroke, is typically within the scope of a registered nurse.

Incorrect. While administering an antiemetic medication might be considered, providing oral hygiene care to the client is the immediate priority.

Incorrect. Replacing the NG tube is not typically the first action to take after a client vomits. Addressing oral hygiene and assessing the client's condition comes first.

Incorrect. Evaluating the functioning of the suction device is important, but addressing the client's immediate comfort and preventing complications take precedence.

Incorrect. Avoiding the issue by scheduling the nurses to have fewer shifts together might not address the underlying conflict and could lead to resentment.

To auscultate blood pressure accurately, it's essential to follow proper positioning and technique, which typically involves having the client's arm at heart level. Placing the arm above heart level can lead to falsely lower blood pressure readings.

While promising more equitable assignments is important, addressing the conflict directly and encouraging collaboration is a more proactive approach.

Incorrect. While some gestures can be helpful in communication, they might not always convey complex medical information accurately.

Incorrect. Speaking slowly might not necessarily enhance understanding, especially if the client's primary language is different from the nurse's.

Incorrect. Pausing in the middle of sentences can disrupt the flow of communication and might not facilitate understanding.

Incorrect. Encouraging a focus on tertiary health interventions might not address the preventive health needs of the population.

Incorrect. While raising awareness about industrial pollution is important, it might not be the primary focus of a public health program in a rural area.

Incorrect. Utilizing a nurse from outside the community might not be the most effective approach for understanding the specific health needs and context of the local population.

Incorrect. Clamping the catheter tubing might not be necessary in this situation and could potentially cause urinary retention.

Incorrect. Continuous bladder irrigation might be indicated for specific situations, such as after certain surgeries, but it is not the first-line intervention based solely on the description provided.

Incorrect. Administering a fluid bolus might not be necessary unless there are other signs of dehydration or fluid imbalance.

Incorrect. Autonomy relates to respecting the client's right to make decisions about their own care and treatment.

Incorrect. Fidelity pertains to keeping promises and maintaining trust in the nurse-client relationship.

Incorrect. Veracity involves truthfulness and honesty in communication with clients, particularly in providing accurate information about their care and condition.

Incorrect. Documenting the client's understanding of adverse effects is important, but ensuring the client's knowledge about diaphragm use is the first step.

Incorrect. Teaching the client how to insert the diaphragm can be an important step, but first, it's essential to assess the client's existing knowledge.

Incorrect. Supervising the return demonstration is important but should come after the client's knowledge level is assessed.

Incorrect. Encouraging the client to watch television might not provide the calming presence and support needed during a panic attack.

Incorrect. Atomoxetine is not typically used to treat acute panic attacks. It's a medication used for attention deficit hyperactivity disorder (ADHD).

Incorrect. Teaching the client how to meditate might be beneficial in the long term, but during an acute panic attack, the client may not be receptive to learning new techniques.

Incorrect. Nasal congestion is not typically associated with an overdose of valsartan.

Incorrect. While obtaining laboratory results might be necessary, it is not the priority action in this situation.

Incorrect. Monitoring urine output is important, but assessing for potential complications related to the overdose takes precedence.

Incorrect. Documentation of sensitive material might have designated personnel, but this information does not need to be limited to the charge nurse.

Incorrect. Access to medical records should be limited to those with a need for that information, not every nurse in the facility.

Incorrect. While a firewall is an important security measure, it is not the primary responsibility of the nurse to install it.

Incorrect. While notifying the state health department about communicable diseases is important, it might not be the nurse's immediate action in this situation.

Incorrect. Antitoxin is not used for treating Lyme disease. Lyme disease is caused by a bacterium, not a toxin.

Incorrect. Skin necrosis is not a common manifestation of Lyme disease. The primary symptoms include fever, fatigue, headache, and a characteristic skin rash known as erythema migrans.

Incorrect. Open discussion is important to address the changes and challenges resulting from the stroke. Avoiding discussions might hinder effective communication and problem- solving.

Incorrect. Socialization with extended relatives can provide valuable support during this transition and should not be decreased without reason.

Incorrect. Authoritative communication might not be suitable for all family dynamics.Effective communication should be respectful and tailored to the specific needs and preferences of the individuals involved.

Incorrect. Adequate fluid intake is important, but limiting fluid intake is not typically recommended for clients with spinal cord injuries.

Incorrect. Refined grains are not specifically indicated for promoting bowel function. A balanced diet with sufficient fiber is more appropriate.

Incorrect. Providing a cold drink prior to defecation might not have a significant impact on bowel function and is not a commonly recommended intervention.