The best way for the nurse to assess a client's level of dyspnea is to:

read previous documentation on the client's chart.

observe the client at rest and during activity.

ask if shortness of breath is being experienced.

auscultate lung sounds.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Reading previous documentation provides historical information but may not reflect the current level of dyspnea.

Choice B rationale: Observing the client at rest and during activity is the best way to assess the current level of dyspnea.

Choice C rationale: Asking if shortness of breath is being experienced provides subjective information but may not be as reliable as direct observation.

Choice D rationale: Auscultating lung sounds is important for assessing respiratory function but may not provide a comprehensive picture of dyspnea.

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Correct Answer is A

Explanation

Choice A rationale: A serum magnesium level of 1.8 mEq/L is lower than the normal range and can be associated with alcohol withdrawal.

Choice B rationale: Potassium level within the normal range is not specifically indicative of alcohol withdrawal.

Choice C rationale: Calcium level within the normal range is not specifically indicative of alcohol withdrawal.

Choice D rationale: Phosphorus level within the normal range is not specifically indicative of alcohol withdrawal.

A. has a wound that is bleeding. B. has impaired sensation. C. is experiencing spasms of the calf muscles. D. has an active, localized inflammation.

Correct Answer is C

Explanation

Choice A rationale: Heat therapy is generally contraindicated for a wound that is bleeding, as it can increase bleeding.

Choice B rationale: Heat therapy may not be appropriate for a client with impaired sensation due to the risk of burns.

Choice C rationale: The client who is experiencing spasms of the calf muscles can benefit from heat therapy, which can help relax the muscles and reduce pain. Heat therapy increases blood flow and oxygen delivery to the affected area, which promotes healing and reduces inflammation.

Choice D rationale: Heat therapy is contraindicated for the client who has an active, localized inflammation (D), because heat can worsen the inflammation and increase the risk of infection.

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The best way for the nurse to assess a client's level of dyspnea is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a diagnosis of alcohol withdrawal. Which serum laboratory value validates the client's admitting diagnosis? A serum:

Correct Answer is A

Explanation

The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:

Correct Answer is C

Explanation

The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems, which is the preferred site for the injection?

The nurse is administering an intramuscular injection to a 9 month old infant. What is the preferred injection site?

A client is diagnosed with chronic constipation. The nurse is given an order by the physician to administer a glycerin suppository. What abbreviation will be written in the physician's order for the administration route for the suppository?

The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

An adult client is to receive ear drops four times a day to treat an inner ear infection. What is the correct nursing procedure to follow when administering this type of medication?

A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?

A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)