A client with a productive cough has B. Observe the color, consistency, and amount of sputum
obtained a sputum specimen for
culture as instructed. What is the
best initial nursing action?
A. Administer the first dose of
antibiotic therapy
B. Observe the color, consistency,
and amount of sputum
C. Encourage the client to consume
plenty of warm liquids
D. Send the specimen to the lab for
analysis
,A client is brought to the ED by A. Breath sounds over bilateral lung fields.
ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR)
in progress. The client is intubated
and is receiving 100% oxygen per
self-inflating (ambu) bag. The nurse
determines that the client is
cyanotic, cold, and diaphoretic.
Which assessment is most important
for the nurse to obtain?
A. Breath sounds over bilateral lung
fields.
B. Carotid pulsation during
compressions
C. Deep tendon reflexes
D. Core body temperature
,After a hospitalization for Syndrome A. Reorient client to his room
of Inappropriate Antidiuretic
Hormone (SIADH), a client develops
pontine myselinolysis. Which
intervention should the nurse
implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion
exercises
, A male client with heart failure (HF) B. Has his weight changed in the last several days?
calls the clinic and reports that he
cannot put his shoes on because
they are too tight. Which additional
information should the nurse
obtain?
A. What time did he take his last
medications?
B. Has his weight changed in the last
several days?
C. Is he still able to tighten his belt
buckle?
D. How many hours did he sleep last
night?
obtained a sputum specimen for
culture as instructed. What is the
best initial nursing action?
A. Administer the first dose of
antibiotic therapy
B. Observe the color, consistency,
and amount of sputum
C. Encourage the client to consume
plenty of warm liquids
D. Send the specimen to the lab for
analysis
,A client is brought to the ED by A. Breath sounds over bilateral lung fields.
ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR)
in progress. The client is intubated
and is receiving 100% oxygen per
self-inflating (ambu) bag. The nurse
determines that the client is
cyanotic, cold, and diaphoretic.
Which assessment is most important
for the nurse to obtain?
A. Breath sounds over bilateral lung
fields.
B. Carotid pulsation during
compressions
C. Deep tendon reflexes
D. Core body temperature
,After a hospitalization for Syndrome A. Reorient client to his room
of Inappropriate Antidiuretic
Hormone (SIADH), a client develops
pontine myselinolysis. Which
intervention should the nurse
implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion
exercises
, A male client with heart failure (HF) B. Has his weight changed in the last several days?
calls the clinic and reports that he
cannot put his shoes on because
they are too tight. Which additional
information should the nurse
obtain?
A. What time did he take his last
medications?
B. Has his weight changed in the last
several days?
C. Is he still able to tighten his belt
buckle?
D. How many hours did he sleep last
night?
