Testing and Remediation Advanced Questions| Exam 2| Updated 2025| Verified Answers

Testing and Remediation Advanced Questions| Exam 2| Updated 2025| Verified Answers A nurse is caring for a postoperative client who suddenly reports shortness of breath and chest pain. Which action should the nurse take first? Apply oxygen via non-rebreather mask A client receiving chemotherapy reports new onset of oral sores. What should the nurse recommend first? Rinse mouth with a saline solution after meals A nurse is assessing a client with heart failure who has gained 2 kg in two days and has worsening peripheral edema. What intervention should the nurse anticipate? Increase diuretic dosage as prescribed A nurse is caring for a client with a new tracheostomy. Which finding indicates the need for immediate action? Frequent coughing and gurgling sounds A client with a history of COPD is being discharged. What teaching should the nurse emphasize? Use pursed-lip breathing during shortness of breath A nurse is reviewing lab results for a client who has acute kidney injury. Which finding is most concerning? Potassium 6.2 mEq/L 2 A nurse is assisting a client recovering from a stroke who shows signs of aspiration during meals. Which referral should the nurse request? Speech-language pathologist A client with newly diagnosed diabetes mellitus asks how to prevent long-term complications. What is the nurse’s best advice? Maintain tight blood glucose control A nurse is preparing to administer morning insulin to a client with type 1 diabetes who reports feeling shaky and sweaty. What is the priority action? Check the client’s blood glucose A nurse is caring for a client post-thyroidectomy. Which finding requires immediate intervention? Stridor and difficulty breathing A client scheduled for surgery does not understand the procedure and asks several questions. What should the nurse do next? Notify the surgeon to clarify information A client admitted with pneumonia has a respiratory rate of 32/min and oxygen saturation of 88% on room air. What is the nurse’s priority? Initiate oxygen therapy A nurse is caring for a client receiving IV vancomycin. Which assessment finding requires urgent action? Red rash across chest and neck A client post-surgery suddenly becomes restless and confused. What is the nurse’s first action? 3 Assess oxygen saturation levels A client in labor is receiving oxytocin infusion. The nurse notes uterine tachysystole. What is the immediate nursing intervention? Stop the oxytocin infusion A nurse is assessing a client with abdominal pain and notes a board-like, rigid abdomen. What action should the nurse take first? Notify the provider immediately