Chest physiotherapy (CPT) is ordered for a client with pneumonia. The nurse knows that the primary purpose of CPT for this client is to:

stimulate deeper inhalations.

improve ciliary movement in the bronchioles.

loosen secretions in congested areas.

propel oxygen along the respiratory tract.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Stimulating deeper inhalations is a secondary benefit of CPT, but the primary purpose is to loosen secretions in congested areas.

Choice B rationale: Improving ciliary movement in the bronchioles is a secondary benefit of CPT, but the primary purpose is to loosen secretions.

Choice C rationale: Loosening secretions in congested areas is the primary purpose of CPT for clients with pneumonia.

Choice D rationale: Propelling oxygen along the respiratory tract is not the primary purpose of CPT but may be a secondary benefit.

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Correct Answer is D

Explanation

Choice A rationale: The gluteal maximus is not a recommended site for intramuscular injections in infants due to the risk of injury to the sciatic nerve.

Choice B rationale: The deltoid muscle is a suitable site for older children and adults but may not be well-developed in infants.

Choice C rationale: The ventral gluteal site is not typically recommended for infants due to the potential risk of injury to the sciatic nerve.

Choice D rationale: The vastus lateralis muscle is the preferred injection site for intramuscular injections in infants.

A. Give the medication anyway because it's important for the client B. Withhold the medication and report it to the prescriber C. Withhold the medication and file an incident report D. Inform the client that the medication must be taken until the nurse gets an order to discontinue it

Correct Answer is B

Explanation

Choice A rationale: Administering the medication against the client's will is not respectful of the client's autonomy and right to make decisions about her own care.

Choice B rationale: Withholding the medication and reporting it to the prescriber is appropriate. The prescriber can reassess the situation and determine the next course of action.

Choice C rationale: Withholding the medication and filing an incident report may be premature; it is essential to involve the prescriber first.

Choice D rationale: Informing the client that the medication must be taken until the nurse gets an order to discontinue it may not be the best approach, as it does not respect the client's right to refuse treatment. The prescriber should be involved in the decision-making process.

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Chest physiotherapy (CPT) is ordered for a client with pneumonia. The nurse knows that the primary purpose of CPT for this client is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an intramuscular injection to a 9 month old infant. What is the preferred injection site?

Correct Answer is D

Explanation

An alert, competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?

Correct Answer is B

Explanation

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