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In caring for a quadriplegic client which action would the nurse implement to prevent skin breakdown?

Reposition the client every 2 hours.

Apply compression stockings.

Ambulate the client at least once per shift.

Perform hourly skin checks.

Answer and Explanation

The Correct Answer is A

A. Repositioning every 2 hours is a standard intervention to prevent pressure ulcers and promote circulation.

B. Compression stockings are used for preventing DVTs but do not directly prevent skin breakdown.

C. Ambulation is not feasible for a quadriplegic client.

D. Hourly skin checks can be beneficial but are secondary to preventive measures like repositioning.

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Correct Answer is C

Explanation

A. Stridor is a high-pitched sound typically heard in cases of airway obstruction.

B. Crackles are discontinuous sounds often associated with fluid in the alveoli.

C. Rhonchi are low-pitched, continuous sounds with a snoring quality, usually caused by secretions in the larger airways.

D. Wheezing is a high-pitched, continuous sound associated with narrowed airways.

Correct Answer is ["0.8"]

Explanation

To calculate the volume of enoxaparin to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose required is 30 mg, and the concentration available is 40 mg/mL. Plugging the values into the formula gives you: Volume = 30 mg / 40 mg/mL = 0.75 mL. Therefore, the nurse should administer 0.8 mL when rounded to the nearest tenth.

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In caring for a quadriplegic client which action would the nurse implement to prevent skin breakdown?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Upon auscultating a client's lungs, the nurse notes there is a low-pitched, continuous respiratory sound that has a snoring quality. How should the nurse interpret and document the findings?

Correct Answer is C

Explanation

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.8"]

Explanation

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