A client is recently diagnosed with pneumonia. The nurse observes the client sitting upright in the bed and assesses a respiratory rate of 26. The client states, "I can't catch my breath." Which abbreviation would be used to document this presentation?

R/O

S/P

SOB

DOB

Answer and Explanation

The Correct Answer is C

Choice A rationale: R/O (rule out) is not appropriate for documenting the client's current presentation.

Choice B rationale: S/P (status post) is not appropriate for describing the client's current respiratory distress.

Choice C rationale: SOB (shortness of breath) is the correct abbreviation to document the client's difficulty in breathing.

Choice D rationale: DOB (date of birth) is not relevant to the client's respiratory distress.

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Correct Answer is ["B","D","E"]

Explanation

Choice A rationale: Hypernatremia involves elevated sodium levels, so encouraging potassium-rich foods is not directly related to addressing hypernatremia.

Choice B rationale: Restricting sodium in the diet is appropriate to help manage and reduce hypernatremia. This can prevent further complications of hypernatremia, such as dehydration, confusion, seizures, and coma.

Choice C rationale: This is not an appropriate intervention for hypernatremia, as water intake can help dilute the sodium levels and restore the fluid balance in the body.

Decreasing water intake can worsen the hypernatremia and cause dehydration. Choice D rationale: This is an appropriate intervention for hypernatremia, as high sodium levels can affect the fluid balance and blood pressure in the body. Monitoring

vital signs can help detect any changes or abnormalities that may indicate worsening of the condition or need for further treatment.

Choice E rationale: Monitoring intake and output helps assess fluid balance and response to interventions for hypernatremia.

A. tell the nurse manager. B. notify the physician. C. check the client's blood pressure. D. file an incident report.

Correct Answer is C

Explanation

Choice A rationale: Telling the nurse manager is not the first action; the immediate focus should be on the client's well-being.

Choice B rationale: Notifying the physician is important, but the immediate concern is addressing the client's condition.

Choice C rationale: Checking the client's blood pressure is the first action to assess the client's response to the medication error.

Choice D rationale: Filing an incident report is important for documenting the error but is not the immediate action in this situation.

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A client is recently diagnosed with pneumonia. The nurse observes the client sitting upright in the bed and assesses a respiratory rate of 26. The client states, "I can't catch my breath." Which abbreviation would be used to document this presentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

Correct Answer is ["B","D","E"]

Explanation

The nurse misreads the medication Kardex and administers twice the amount of antihypertensive medication that was ordered for the client. When she realizes the mistake, her first action should be to:

Correct Answer is C

Explanation

The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

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

It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

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

The nurse knows that which form of medication delivery results in the most predictable onset and most bioavailability to the client?

An advantage of delegation in client care is that:

In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an:

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