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 B

Explanation

Choice A rationale: Administering the medication against the client's will is not respectful of the client's autonomy and right to make decisions about her own care.

Choice B rationale: Withholding the medication and reporting it to the prescriber is appropriate. The prescriber can reassess the situation and determine the next course of action.

Choice C rationale: Withholding the medication and filing an incident report may be premature; it is essential to involve the prescriber first.

Choice D rationale: Informing the client that the medication must be taken until the nurse gets an order to discontinue it may not be the best approach, as it does not respect the client's right to refuse treatment. The prescriber should be involved in the decision-making process.

A. spread the skin taut while inserting the needle. B. apply heat to the area before the injection. C. hold the barrel of the syringe still while injecting the medication. D. test for blood return before injecting the medication.

Correct Answer is A

Explanation

Choice A rationale: Spreading the skin taut while inserting the needle can minimize discomfort by reducing the sensation of the needle puncturing the skin.

Choice B rationale: Applying heat to the area before the injection is not a common practice and may not significantly reduce discomfort during the injection.

Choice C rationale: Holding the barrel of the syringe still while injecting the medication is important for accuracy but does not specifically address minimizing discomfort.

Choice D rationale: Testing for blood return before injecting the medication is a technique used with intramuscular but it does not minimize pain during injection.

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

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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