A nurse is performing postural drainage for a client. Which of the following is an appropriate intervention?

Position the client for secretion drainage by gravity.

Schedule postural drainage following meals.

Give the client a bronchodilator immediately after the procedure.

Instruct the client regarding the importance of fluid restrictions.

Answer and Explanation

The Correct Answer is A

A.   Positioning the client for secretion drainage by gravity is a key component of postural drainage to facilitate the removal of respiratory secretions.
B.   Postural drainage is typically done before meals to avoid potential nausea during the procedure.
C.   Bronchodilators are often administered before postural drainage to open the airways and improve the effectiveness of the procedure.
D.   Encouraging fluid intake is important to help thin respiratory secretions and promote their removal during postural drainage. Fluid restrictions are not typically indicated in this context.

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Correct Answer is C

Explanation

A. Providing the AP with a copy of the unit's policy may be done but is not the first step. Direct communication is important for immediate feedback.
B. Notifying the charge nurse is appropriate but may not be the first action when direct communication with the AP can address the issue.
C. Talking with the AP about the technique used is the first and immediate action to address the observed lapse in infection control practices.
D. Conducting an in-service on standard precautions is a broader intervention and may be considered after addressing the immediate concern with the AP.

Correct Answer is ["20"]

Explanation

To calculate the amount of carbamazepine oral suspension needed for each dose, divide the total daily dose by the concentration of the suspension and then by the number of doses per day.

- 800 mg / 20 mg/mL / 2 = 20 mL

The nurse should administer 20 mL of carbamazepine oral suspension with each dose.

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A nurse is performing postural drainage for a client. Which of the following is an appropriate intervention?

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Naxlex Comprehensive Predictor Exams

A nurse observes an assistive personnel (AP) empty an indwelling urinary catheter drainage bag while not wearing gloves. Which of the following interventions should the nurse take first?

Correct Answer is C

Explanation

Correct Answer is ["20"]

Explanation

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