A nurse is caring for a client in an acute care setting.
Complete the following sentence by using the list of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
The client is at risk for hypostatic pneumonia as evidenced by the client's immobility
Rationale
The combination of paraplegia (which leads to limited mobility) and symptoms such as productive cough, tachycardia, and confusion suggest a respiratory issue, likely hypostatic pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nebulized bronchodilators should be administered after airway clearance therapy to open the airways before the therapy.
B. Pancreatic enzymes should be administered with meals and snacks, not on an empty stomach, to aid digestion.
C. Gluten restriction is not typically required for cystic fibrosis unless the child also has celiac disease.
D. Chest percussion and postural drainage should be performed multiple times per day, not just twice.
Correct Answer is A
Explanation
A. Dextrose 10% in water is commonly used to prevent hypoglycemia in patients receiving TPN if the TPN infusion is running low and a new bag isn't available immediately.
B. Discontinuing the infusion could lead to nutritional deficiencies or glucose instability.
C. Slowing the infusion rate does not solve the issue of a soon-to-be-depleted TPN bag and may cause fluid imbalance.
D. Lactated Ringer's solution is not a substitute for the nutritional requirements provided by TPN.
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