Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with pneumonia is admitted with a fever, productive cough, and shortness of breath.
Which nursing action should be done first?
A. Administer antipyretics
B. Encourage fluid intake
✔✔C. Apply oxygen as prescribed
D. Obtain a sputum culture
A client with heart failure has gained 3 pounds in 2 days. What is the most appropriate nursing
action?
A. Encourage increased fluid intake
✔✔B. Notify the healthcare provider
C. Restrict sodium intake
D. Increase activity level
A client receiving a blood transfusion reports chills and back pain. What is the priority action?
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,✔✔A. Stop the transfusion immediately
B. Notify the blood bank
C. Administer antihistamines
D. Flush the line with more blood
A client with diabetes has a blood glucose level of 48 mg/dL and is alert. Which snack should the
nurse give first?
A. Peanut butter crackers
B. A slice of cheese
✔✔C. 4 ounces of orange juice
D. Half a turkey sandwich
A client post-surgery reports sudden shortness of breath and chest pain. What is the nurse’s
priority?
A. Give prescribed pain medication
✔✔B. Apply oxygen and elevate the head of bed
C. Notify the provider
D. Encourage deep breathing
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, A client with cirrhosis has ascites and shortness of breath. Which position will improve
breathing?
A. Supine with legs elevated
B. Trendelenburg
✔✔C. High Fowler’s position
D. Side-lying with knees bent
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The nurse notes oxygen
saturation is 92%. What should the nurse do?
✔✔A. Maintain current oxygen flow rate
B. Increase flow rate to 6 L/min
C. Lower the head of the bed
D. Encourage the client to lie flat
A client with stroke has difficulty swallowing thin liquids. What is the safest modification?
A. Offer water with a straw
✔✔B. Provide thickened liquids
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