An obese client with emphysema, who smokes at least a pack of cigarettes daily, is admitted after experiencing a sudden increase in dyspnea and activity intolerance.

Oxygen therapy is initiated and it is determined that the client will be discharged with oxygen. Which information is most important for the nurse to emphasize in the discharge teaching plan?

Guidelines for oxygen use.

Approaches to conserve energy.

Strategies for smoking cessation.

Methods for weight loss.

Answer and Explanation

The Correct Answer is A

Choice A rationale
For a client with emphysema who will be discharged with oxygen, understanding the guidelines for oxygen use is crucial. Misuse of oxygen can lead to serious health complications, so it’s important that the client knows how to use it correctly.
Choice B rationale
While energy conservation approaches can be beneficial for a client with emphysema, they are not as crucial as understanding the guidelines for oxygen use.
Choice C rationale
While smoking cessation strategies are important for a client with emphysema, especially one who smokes heavily, they are not as crucial as understanding the guidelines for oxygen use.
Choice D rationale
While weight loss methods can be beneficial for an obese client, they are not as crucial as understanding the guidelines for oxygen use for a client with emphysema who will be discharged with oxygen.

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Correct Answer is A

Explanation

Notifying the healthcare provider of the client’s medication history is the priority nursing action. Heparin is an anticoagulant, which increases the risk of bleeding. The healthcare provider needs this information to make appropriate decisions about the client’s surgical plan and postoperative care.

A. Profuse sweating. B. Weakness in the lower legs. C. Loss of sensation at T-8. D. Leg pain that worsens at night.

Correct Answer is C

Explanation

Guillain-Barre syndrome is a disorder in which the body’s immune system attacks the nerves, causing weakness and tingling, usually starting in the legs and hands. A loss of sensation, especially at the T-8 spinal level, could indicate that the syndrome is progressing, potentially leading to paralysis. This would require immediate intervention by the nurse to prevent further complications.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

While providing care for a patient with Guillain-Barre syndrome, the nurse conducts a neurological assessment every four hours. Which finding from the assessment requires immediate intervention by the nurse?

Correct Answer is C

Explanation

The nurse is educating a client, who was admitted with a blood glucose level of 580 mg/dL, on how to prevent complications related to diabetes mellitus. Which statement made by the client indicates they have understood the information?

The nurse is caring for a patient with chronic pancreatitis who reports persistent gnawing abdominal pain. What assessment data is most important for the nurse to obtain to help manage the patient’s pain?

An hour after administering 60 mg of furosemide intravenously (IV), which assessments should the nurse perform to determine the patient’s response to treatment? (Select all that apply.)

A client who was recently diagnosed with Raynaud’s disease is concerned about pain management. Which nursing instruction should the nurse provide?

The nurse is assessing a patient’s understanding of the DASH (Dietary Approaches to Stop Hypertension) diet. Which patient behavior suggests adherence to this diet?

Which group of foods should the nurse recommend for patients with a strong family history of colon and rectal cancers?