A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

Hypotension

Tachycardia

Dyspnea

Dry cough

Answer and Explanation

The Correct Answer is C

A. Hypotension is a concern but may occur for various reasons and is not as immediately life-threatening as dyspnea.

B. Tachycardia can indicate a problem but is less urgent than respiratory distress.

C. Dyspnea is the priority as it may indicate a recurrence of pulmonary embolism or another life-threatening respiratory issue.

D. A dry cough is a less urgent symptom and does not require immediate reporting.

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Correct Answer is D

Explanation

A. Physical activity should be scheduled earlier in the day to prevent overstimulation and promote restful sleep.

B. Hardwood floors increase the risk of falls; carpets provide better traction and cushioning.

C. Zippers can be difficult for clients with Alzheimer's; clothing with Velcro or simple fasteners is preferred.

D. Placing locks at the tops of doors reduces the risk of wandering, a common safety concern in clients with Alzheimer's.

A. Place the client's soiled bed linens in a biohazard bag outside the client's room. B. Discard the radioactive source in the client's trash can. C. Wear an isolation gown when caring for the client. D. Keep visitors at least 6 feet (1.8 m) away from the client.

Correct Answer is D

Explanation

A. Soiled linens can be handled with standard precautions, and radioactive materials are typically not present in linens unless they are contaminated.

B. The radioactive source should not be discarded in the trash; it must be handled according to specific safety protocols.

C. An isolation gown is not necessary unless direct contact with the radioactive source is anticipated.

D. Keeping visitors at least 6 feet away is a precaution to limit exposure to radiation from the brachytherapy source.

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A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

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