A one-day post-operative client complains of severe abdominal pain and has shallow respirations at 22/minute. The client is reluctant to perform coughing and deep breathing. Based on the data, the priority problem that the nurse could assign to this patient is:
ineffective gas exchange.
ineffective breathing pattern
activity intolerance.
decreased cardiac function
The Correct Answer is B
Choice A rationale: Ineffective gas exchange is related to respiratory issues but may not be the priority in this case.
Choice B rationale: Ineffective breathing pattern is the priority problem, as evidenced by shallow respirations and reluctance to perform coughing and deep breathing, which can lead to respiratory complications.
Choice C rationale: Activity intolerance is not the priority problem based on the given data.
Choice D rationale: Decreased cardiac function is not the priority problem based on the given data.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Injecting air into the regular insulin and then into the NPH is not the correct sequence.
Choice B rationale: Injecting air into both vials and withdrawing the regular insulin first is the correct sequence when drawing up a combination of short-acting and intermediate- acting insulins.
Choice C rationale: Injecting air into and withdrawing the NPH immediately is not the correct sequence.
Choice D rationale: Withdrawing the regular insulin first is not the correct sequence when preparing a mixed insulin injection.
Correct Answer is C
Explanation
Choice A rationale: Shared responsibility is a necessary feature of a team, promoting collaboration and achievement of common goals.
Choice B rationale: Mutual independence allows team members to work together while maintaining individual contributions.
Choice C rationale: Working in the same department is not a necessary feature of a team. Teams can be effective regardless of their physical proximity.
Choice D rationale: Common purpose is essential for a team to work cohesively toward shared goals.
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