immediate follow-up.)

Decreased lung sounds

Heart rate 110/min and regular

Oxygen saturation of 95%

Subcutaneous emphysema

Answer and Explanation

Correct Answer : A,B,D

A.   This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B.   A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C.   While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D.   This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.

Nursing Test Bank

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Correct Answer is C

Explanation

A. This statement suggests a delusion or hallucination, which are common symptoms of some mental disorders, but it does not specifically suggest an inability to process new information.
B. This statement suggests paranoia, which is a common symptom of some mental disorders, but it does not specifically suggest an inability to process new information.
C. This statement suggests difficulty with memory, which is a cognitive function that is related to the ability to process new information.
D. This statement suggests a persistent negative mood, which is a symptom of some mental disorders, but it does not specifically suggest an inability to process new information.

A. Rub hands and arms to dry. B. Adjust the water temperature to feel hot. C. Hold the hands higher than the elbows. D. Apply 4 to 5 mL of liquid soap to the hands.

Correct Answer is D

Explanation

A. Rubbing hands and arms to dry is not a step in the hand hygiene process. After washing, the hands should be dried thoroughly with a clean towel or air dryer.
B. Adjusting the water temperature to feel hot is not necessary for effective hand hygiene. The water should be warm, but not hot, to avoid skin damage.
C. Holding the hands higher than the elbows is not a step in the hand hygiene process.
D. Applying 4 to 5 mL of liquid soap to the hands is the correct amount of soap to use for effective hand hygiene. The soap should be rubbed onto the hands and wrists for at least 20 seconds before rinsing thoroughly with water.

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immediate follow-up.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?

Correct Answer is C

Explanation

A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is 1-day postoperative following a total laryngectomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

A client in the hospital is prescribed digoxin (Lanoxin) 125 mcg. The computerized medication delivery system on the unit dispenses tablets labeled digoxin 0.25 mg. How many tablets should the nurse dispense to the client?

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

A school nurse is partnering with the local hospital system's tobacco cessation program to give a presentation focused on discouraging tobacco use in high school students. According to the Health Belief Model, which of the following might be included in the presentation?