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 D
Explanation
A. Reporting the defect is important, but ensuring the device is removed first is critical to prevent any potential electrical hazards to the client.
B. Checking the inspection sticker is necessary for regular safety checks, but this action does not address the immediate risk posed by the frayed cord.
C. Initiating a requisition for a replacement device is necessary but should come after the immediate action of removing the defective device.
D. Removing the device from the room ensures the client's safety, preventing potential harm from using faulty equipment.
Correct Answer is C
Explanation
A. The newly licensed nurse will only have access to the records necessary for their role and will not have access to all client records.
B. Passwords are typically changed more frequently than once a year for security reasons.
C. IT will ensure that the system is secure through firewalls and other measures to protect sensitive client information.
D. Sensitive material is documented by the appropriate personnel, not just the charge nurse.
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