How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a client who has a tracheostomy.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

The client has manifestations of

and
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Rationale:

Hypoxia: The client's decreased oxygen saturation (SaO2) despite oxygen therapy and the presence of respiratory distress (tachypnea, shortness of breath) indicate hypoxia.

Pneumonia: The client's fever, increased respiratory rate, decreased oxygen saturation, and crackles in the lungs are indicative of pneumonia, particularly in the right lower lobe as evidenced by the chest X-ray.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is A

Explanation

A. The IV tubing for TPN should be changed every 24 hours to prevent infection, as TPN is a high-risk solution for bacterial growth due to its high glucose content. Regular changes help reduce the risk of contamination and complications such as bloodstream infections.
B. The IV site dressing should be changed at least every 48 to 72 hours (or per institutional policy) to maintain aseptic technique and minimize infection risk. Changing the dressing every 4 days may exceed this timeframe and increase the risk of infection.
C. Weighing the client is important to monitor fluid balance, but daily weighing is more typical than every other day for clients receiving TPN. This helps to assess nutritional status and detect potential fluid overload or deficit.
D. Blood glucose levels should be monitored more frequently, typically every 6 hours, because TPN can cause significant fluctuations in blood glucose. Checking every 12 hours would not be adequate for early detection of hyperglycemia or hypoglycemia.

Correct Answer is D

Explanation

A. Cheddar cheese contains lactose and is not an ideal choice for a low-lactose diet, as it may cause discomfort in clients who are lactose intolerant.
B. Cottage cheese also contains lactose, though in smaller amounts than some other dairy products, but it is still not the best choice for someone on a low-lactose diet.
C. Low-fat yogurt may contain some lactose, but it also contains probiotics, which can help with digestion and may be tolerated better than other dairy products. However, for someone on a strict low-lactose diet, it may not be the best choice.
D. Soymilk is a non-dairy alternative and is typically lactose-free, making it the best choice for someone on a low-lactose diet. It provides a dairy-free option for those needing to avoid lactose.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register