Exhibits

Which of the following is the most appropriate initial management for this patient?

Perform needle decompression of the pleural space followed by chest tube insertion.

Prescribe bronchodilators and schedule a pulmonary function test.

Administer oral antibiotics and arrange follow-up in a week.

Initiate high-flow oxygen therapy and monitor the patient.

Answer and Explanation

The Correct Answer is C

A. Nasal saline irrigation alone: While nasal saline irrigation can help to clear out mucus and congestion, it is often not sufficient to treat bacterial sinusitis.

B. Oral decongestants alone: Decongestants may provide temporary relief of symptoms but are not effective against bacterial infections.

C. Oral antibiotics: Antibiotics are the most appropriate treatment for acute bacterial sinusitis, as they can target the underlying infection.

D. Intranasal corticosteroids alone: Corticosteroids can be helpful for managing allergic rhinitis but are not effective against bacterial infections.

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Correct Answer is C

Explanation

A. The excretion of calcium by the kidneys is related to electrolyte balance and bone health but does not directly contribute to hydrostatic pressure in the vasculature.
B. Osmotic pressure is the force exerted by solutes (such as plasma proteins) drawing water into the bloodstream, which opposes hydrostatic pressure. It does not directly contribute to hydrostatic pressure but rather counterbalances it.
C. Hydrostatic pressure is primarily generated by the force of the heart's contraction, which pushes blood through the arteries and capillaries. This pressure drives fluid out of the blood vessels into the surrounding tissues, a crucial process in nutrient and waste exchange.
D. Pressure applied by plasma proteins contributes to oncotic (colloid osmotic) pressure, not hydrostatic pressure. Oncotic pressure pulls fluid into the capillaries, opposing the outward force of hydrostatic pressure.

A. Encourage the client to drink more fluids. B. Encourage regular use of the incentive spirometer. C. Encourage coughing and deep breathing. D. Encourage the client to ambulate more often.

Correct Answer is A

Explanation

A. Encourage the client to drink more fluids: Increasing fluid intake helps thin respiratory secretions, making them easier to clear from the lungs. Hydration is crucial in managing pneumonia to help with mucus mobilization.

B. Encourage regular use of the incentive spirometer: While the incentive spirometer helps with lung expansion and preventing atelectasis, it does not directly affect the viscosity of secretions.

C. Encourage coughing and deep breathing: Coughing and deep breathing are important for clearing secretions, but they are more effective once the secretions are already thin. Drinking fluids is a more direct method to thin the secretions.

D. Encourage the client to ambulate more often: Ambulation is beneficial for overall respiratory health and lung function, but it does not directly thin respiratory secretions. Increasing fluid intake is more effective for this purpose.

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Exhibits Which of the following is the most appropriate initial management for this patient?

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Naxlex Comprehensive Predictor Exams

A charge nurse is reinforcing teaching to a group of nurses about hydrostatic pressure. Which of the following should the nurse include as a contributor to hydrostatic pressure?

Correct Answer is C

Explanation

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?

A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

Which of the following best describes the role of osmoreceptors in the regulation of water balance in the body?

A nurse is caring for a client who has a respiratory illness that has resulted in chronic hypoxia. Which of these conditions can develop as a result of long-term hypoxia?

A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select all that apply.)

Exhibits Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?

A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?

Exhibits

Which of the following is the most appropriate initial management for this patient?