In which client situation should the practical nurse assess for the presence of Cheyne-Stokes respirations?

With elevated blood glucose.

When death is imminent.

During an allergic reaction.

After strenuous exercise.

Answer and Explanation

The Correct Answer is B

A. Elevated blood glucose is not typically associated with Cheyne-Stokes respirations. It might indicate diabetes or hyperglycemia but does not relate to this specific pattern of breathing.
B. Cheyne-Stokes respirations are often observed when death is imminent or in severe cases of terminal illness. This breathing pattern is characterized by cycles of increasing and decreasing respirations, often seen in end-of-life care.
C. An allergic reaction might cause respiratory symptoms, but it is not specifically associated with Cheyne-Stokes respirations. Assessing for Cheyne-Stokes would be more relevant in terminal or serious conditions rather than acute allergic reactions.
D. Cheyne-Stokes respirations are not related to strenuous exercise. After exercise, normal changes in breathing patterns occur, but Cheyne-Stokes respirations are indicative of more severe conditions.

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Correct Answer is ["A","D","E"]

Explanation

A. Place the drink where the client can reach from her bed
Placing the drink where the client can easily reach it encourages regular fluid intake. Accessibility is key for clients who may be feeling weak or fatigued, especially when dealing with symptoms of illness like fever and cough. Ensuring that fluids are within reach minimizes barriers to drinking and supports better hydration efforts.
B. Encourage drinks with high sugar content
Drinks with high sugar content are not ideal for promoting adequate fluid intake. High sugar content can worsen symptoms like nausea or dehydration and may lead to increased thirst or gastrointestinal upset, which is counterproductive to encouraging fluid intake. Offering fluids with balanced electrolytes and moderate sugar content is more beneficial.
C. Only offer water or other clear drink
Offering only water or clear drinks can be too restrictive and may not meet the client's preferences or needs. While clear liquids are appropriate, incorporating a variety of fluids can improve hydration and patient satisfaction. It is beneficial to offer options that the client might find appealing.
D. Ask the client what her favorite drink is
Asking the client for her favorite drink engages her in the decision-making process and increases the likelihood of her consuming more fluids. Personal preferences can significantly affect fluid intake, and offering drinks she likes can help in achieving adequate hydration.
E. Offer both hot and cold drinks
Offering both hot and cold drinks can cater to the client’s preferences and provide comfort, which may encourage her to drink more fluids. Variety in temperature can make drinking fluids more appealing, especially if the client is feeling unwell or has specific preferences.
F. Suggest popular drinks like coffee or soda
Suggesting coffee or soda is not recommended due to their diuretic effects and potential for dehydration. Coffee and soda can also interfere with electrolyte balance and are generally not suitable for hydration in a clinical setting where the goal is to address fluid volume deficit

A. Plan to bring her back to the doctor's office for another urine test. B. Refill the antibiotic if symptoms persist after finishing the prescription. C. Make certain the young girl wipes from back to front after each void. D. Give the antibiotic until she no longer complains of burning.

Correct Answer is A

Explanation

A. Follow-up urine tests are essential to ensure that the UTI is fully resolved and to check for any potential recurrence or complications.
B. The full course of antibiotics must be completed even if symptoms improve. Refiling antibiotics should only be done based on a healthcare provider's recommendation, not symptom persistence.
C. For females, the correct wiping technique is from front to back to avoid introducing bacteria from the anus to the urethra, so this statement is incorrect.
D. Antibiotics should be taken for the entire prescribed duration to completely eradicate the infection, not just until symptoms improve.

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In which client situation should the practical nurse assess for the presence of Cheyne-Stokes respirations?

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Naxlex Comprehensive Predictor Exams

Exhibits The practical nurse (PN) would like to encourage the client to take oral fluids so that the IV fluids can eventually be discontinued. Which three strategies would be most effective in getting a client to consume adequate oral fluids?

Correct Answer is ["A","D","E"]

Explanation

The practical nurse (PN) is reviewing home care instructions with the mother of a young girl with a urinary tract infection (UTI). Which information reported by the mother demonstrates understanding of home care for the child?

Correct Answer is A

Explanation

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Exhibits The client likely has dropdown related to dropdown