Exhibits
Click to highlight the findings that would indicate the client is progressing as expected.
The nurse assesses the client. The client reports he was able to sleep through the night. The client notes continued numbness in his left arm, along with a tingling sensation, and is not able to move his fingers. The client reports mild nausea and has no desire to eat breakfast. There is a 1.18 in (3 cm) by 1.97 in (5 cm) area of blood noted on the bandage. The left arm is warm to touch. The client's left shoulder and collarbone are symmetric.
The client reports he was able to sleep through the night
The left arm is warm to touch. The client's left shoulder and collarbone are symmetric
The client reports mild nausea and has no desire to eat breakfast
The Correct Answer is ["A","B"]
The client reports he was able to sleep through the night: This indicates pain management may be effective, allowing the client to rest, which is a positive sign of progress.
The left arm is warm to touch: This suggests good circulation in the injured limb, which is crucial for healing.
The client’s left shoulder and collarbone are symmetric: Symmetry suggests that the alignment of the shoulder and collarbone is stable, which indicates no further dislocation or misalignment post-injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While hydration is important, water and herbal teas do not provide the calcium needed for bone health.
B. Fresh fruits and vegetables are healthy but are not significant sources of calcium or vitamin D, which are crucial for preventing osteoporosis.
C. Low-fat dairy products are rich in calcium and vitamin D, both essential for bone health and osteoporosis prevention.
D. Iron-rich meats are beneficial for overall health but do not contribute significantly to bone health compared to calcium-rich foods.
Correct Answer is B
Explanation
A. A resting respiratory rate of 35 breaths/min is within the normal range for a 4-month-old infant and does not indicate distress.
B. Flaring of the nares is a sign of respiratory distress, indicating increased work of breathing and the infant's effort to obtain more oxygen.
C. Diaphragmatic respirations are common in infants and do not necessarily indicate distress unless accompanied by other signs.
D. Bilateral bronchial breath sounds can be normal and do not specifically indicate acute respiratory distress.
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