Based on the information provided, what is the most appropriate initial nursing action?

Increase the oxygen flow rate.

Administer an additional dose of furosemide.

Notify the healthcare provider.

Reposition the client to a high Fowler’s position.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Increasing the oxygen flow rate may help improve oxygen saturation, but it does not address the underlying issue of fluid overload and heart failure exacerbation.

Choice B rationale:

Administering an additional dose of furosemide may help reduce fluid overload, but it is not the most immediate action to improve the client’s respiratory status and comfort.

Choice C rationale:

Notifying the healthcare provider is important, but the nurse should first take immediate action to improve the client’s respiratory status and comfort.

Choice D rationale:

Repositioning the client to a high Fowler’s position is the most appropriate initial nursing action. This position helps improve lung expansion and reduces the work of breathing, providing immediate relief for the client experiencing dyspnea and respiratory distress.

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Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale

Erikson’s stage of initiative versus guilt occurs in preschool-aged children (3-5 years), not toddlers.

Choice B rationale

Imaginary playmates are more common in preschool-aged children and are not a characteristic of toddlerhood.

Choice C rationale

Demonstrations of sexual curiosity are more common in preschool-aged children and are not a characteristic of toddlerhood.

Choice D rationale

Negative behaviors characterized by the need for autonomy are typical in toddlers. This stage, according to Erikson, is autonomy versus shame and doubt, where toddlers strive for independence and self-control.

A. Isosorbide dinitrate. B. Carvedilol. C. Captopril. D. Fluticasone.

Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale

Isosorbide dinitrate is a nitrate used to treat angina and heart failure. It does not have contraindications for patients with asthma.

Choice B rationale

Carvedilol is a beta-blocker that can exacerbate asthma symptoms because it blocks beta-2 receptors in the lungs, leading to bronchoconstriction.

Choice C rationale

Captopril is an ACE inhibitor used to treat hypertension and heart failure. It does not have contraindications for patients with asthma.

Choice D rationale

Fluticasone is a corticosteroid used to manage asthma and does not have contraindications for patients with heart failure.

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Based on the information provided, what is the most appropriate initial nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the psychosocial development of a toddler.The nurse should recognize that this stage is characterized by which of the following?

Correct Answer is D

Explanation

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider’s orders and recognizes that clarification is needed for which of the following medications?

Correct Answer is B

Explanation

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