A client suﬀering from chronic obstructive pulmonary disease (COPD) reports that it is hard to cough up secretions and the secretions are thick and sticky. Which intervention will the nurse use to promote respiratory hygiene in this situation?

Decrease ﬂuid intake.

Take Tylenol for the secretions.

Range -of-motion exercises as tolerated

Increase ﬂuid intake.

Answer and Explanation

The Correct Answer is D

Explanation: In clients with COPD, the secretions tend to be thick and sticky, which makes it difficult to cough up and clear the airway. To promote respiratory hygiene in this situation, the nurse should recommend increasing ﬂuid intake. Adequate hydration helps to thin the secretions, making them easier to expectorate. The client should aim to drink at least 8-10 glasses of water or other ﬂuids per day unless there is a medical reason not to do so.

Decreasing ﬂuid intake (option a) would make the secretions even thicker and more difficult to clear. Taking Tylenol for secretions (option b) is not a recommended intervention as Tylenol is not indicated for thinning of secretions. Range-of-motion exercises (option c) are important to prevent complications such as pneumonia, but they are not directly related to promoting respiratory hygiene in this situation.

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Correct Answer is D

Explanation

Atrial fibrillation is a common arrhythmia, and diuretics are often used in the management of patients with this condition to help control ﬂuid balance. However, diuretics can cause electrolyte imbalances, especially hypokalaemia (low potassium levels), which can lead to muscle cramps and other complications.

A Complete Metabolic Panel (CMP) is a blood test that measures various electrolytes, glucose, and other important components. Among the options given, the most likely lab value to be abnormal in Patient MK's case is a low level of potassium (K+), which is consistent with her symptoms and diuretic use. Option d, K+ -

1. mEq/L, is the correct option as it represents a low level of potassium, which is defined as a value less than 3.5 mEq/L.

Option a, Mg2 – 20 mEq/L, represents high magnesium levels, which are not typically associated with diuretic use or muscle cramps. Option b, Na+ - 123 mEq/L, represents low sodium levels, which are less likely to occur with diuretic use, and are typically associated with other conditions. Option c, Ca2 – 10.0 mg/dl, represents normal calcium levels and is not typically aﬀected by diuretic use.

A. Bicycle safety B. Drug and gun safety C. Use of blankets, pillows, and stuﬀed animals in the crib D. Correct placement of car seats E. Never leaving infant unatended in the bathtub

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

Explanation

Use of blankets, pillows, and stuﬀed animals in the crib: It is important to educate parents about the risk of suﬀocation associated with soft objects in the crib. Infants should always sleep on their back in a crib with a firm matress and no loose bedding or soft objects.
Correct placement of car seats: Properly installed car seats can help prevent serious injury or death in the event of a car accident. It is important to teach parents how to properly install car seats and use them correctly.
Never leaving infant unatended in the bathtub: Drowning is a leading cause of death in young children, and infants can drown in just a few inches of water. It is important to remind parents to never leave their infant unatended in the bathtub, even for a moment.

Therefore, options c, d, and e are the most important topics to include when discussing safety with parents of infants. Options a and b may be important topics to discuss with older children, but they are not relevant to infants.

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A client suﬀering from chronic obstructive pulmonary disease (COPD) reports that it is hard to cough up secretions and the secretions are thick and sticky. Which intervention will the nurse use to promote respiratory hygiene in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient MK is admited with Atrial Fibrillation an irregular heart rhythm. She is also complaining of muscle cramps to her legs and that she started a new diuretic last week. What lab value are you most likely to find on her Complete Metabolic Panel?

Correct Answer is D

Explanation

The nurse is preparing to discuss safety with a group of parents of infants. When planning the program, which topics would be most important to include: (Select Al That Apply)

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

Explanation

The nurse is working in the intensive care unit and has just received lab results for her patients. Which of the following are considered electrolyte imbalances? (Select all That Apply)

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