A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?

Lateral segment of the right lower lobe

Lateral segment of the left lower lobe

Posterior segment of the right middle lobe

Posterior segment of the right lower lobe

Answer and Explanation

The Correct Answer is A

A. Lateral segment of the right lower lobe is the correct answer because placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe’s lateral segment by using gravity to mobilize secretions.
B. Lateral segment of the left lower lobe would require the client to be positioned on the right side rather than the left.
C. Posterior segment of the right middle lobe would require the client to be positioned in a different way, typically supine with a slight Trendelenburg tilt.
D. Posterior segment of the right lower lobe would require a prone position in Trendelenburg, not left-side lying.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Skeletal pain: Paget's disease of the bone often results in bone pain due to the excessive breakdown and regrowth of bone tissue.
B. Waddling gait: The disease can cause leg bones to bend, leading to a waddling gait.
C. Cranial enlargement: Overgrowth of bone in the skull can occur, potentially leading to cranial enlargement.
D. Vision deficits: When Paget's disease affects the skull, it can put pressure on nerves, possibly leading to vision deficits.
E. Cold extremities: This is not a typical symptom of Paget's disease of the bone and is therefore not a correct answer. Cold extremities are more commonly associated with peripheral vascular diseases rather than Paget's disease.

A. Administer oxygen therapy. B. Start an IV infusion of lactated Ringer's. C. Initiate cardiac monitoring. D. Give morphine IV.

Correct Answer is A

Explanation

A. Administer oxygen therapy. This is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.

B. Start an IV infusion of lactated Ringer's is not the immediate priority; oxygen therapy addresses acute symptoms of a pulmonary embolism first.

C. Initiate cardiac monitoring is important, but it is secondary to addressing the client's oxygenation needs.

D. Give morphine IV may be part of the treatment plan, but oxygen therapy is the most immediate intervention for a pulmonary embolism.

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A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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Correct Answer is A

Explanation

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