Exhibits
Which of the following does the nurse anticipate the healthcare provider to prescribe during morning rounds? Select 4 findings.
Chest xray
Albuterol treatments by nebulizer every 4 to 6 hours
Computerized tomography (CT) scan of the chest
Arterial blood gas (ABG)
Increase oral fluids
Correct Answer : A,B,D,E
A. Chest x-ray: Follow-up imaging is typically needed to assess the progression or resolution of pneumonia after initiating antibiotic therapy.
B. Albuterol treatments by nebulizer every 4 to 6 hours: This can help relieve bronchospasm and improve air exchange, especially if the client is experiencing wheezing or increased work of breathing due to pneumonia.
C. Arterial blood gas (ABG): An ABG can help evaluate the client's respiratory status and the effectiveness of oxygenation and ventilation, especially given the diminished breath sounds and crackles.
D. C. Computerized tomography (CT) scan of the chest: While a CT scan can provide detailed images of the lungs, it is not typically the immediate follow-up after initial pneumonia treatment unless there are complications or concerns not resolved with a standard chest x-ray.
E. Increase oral fluids: Encouraging fluid intake can help thin secretions, promote hydration, and support overall recovery from pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clay-colored stool can indicate bile duct obstruction but is not the immediate concern with esophageal varices.
B. Brown, foamy urine may suggest liver dysfunction but does not pose an immediate life threat like variceal bleeding.
C. Hematemesis, or vomiting blood, is a critical complication of esophageal varices due to the risk of significant hemorrhage and requires immediate intervention.
D. Anorexia can occur in cirrhosis but is not as urgent as monitoring for potential bleeding from varices.
Correct Answer is B
Explanation
A. Increasing the frequency of dressing changes is not necessary unless there is excessive drainage or signs of infection; it may disrupt the healing process.
B. Applying a hydrocolloidal gel dressing is appropriate for a stage 3 pressure injury with granulation tissue as it promotes a moist healing environment and helps facilitate healing.
C. A transparent dressing may not provide adequate moisture retention or protection for a stage 3 pressure injury compared to a hydrocolloidal dressing.
D. Leaving the dressing off could expose the wound to infection and is not advisable without further assessment and consultation.
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