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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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale: Applying an ice pack after a topical agent is not primarily for decreasing discomfort but rather to achieve a specific therapeutic effect.

Choice B rationale: Applying an ice pack can slow the absorption of the topical drug, allowing for prolonged local action.

Choice C rationale: Enhancing drug excretion is not typically achieved by applying an ice pack.

Choice D rationale: Maximizing drug distribution is not the primary purpose of applying an ice pack after a topical agent.

A. may be caused when one layer of tissue slides over another layer of tissue. B. requires dressing changes twice daily to promote healing. C. is usually caused by overhydration. D. is a partial thickness injury caused by pressure

Correct Answer is A

Explanation

Choice A rationale: A DTI is a type of pressure injury that occurs when the skin and underlying soft tissue are compressed between a bony prominence and an external surface for a prolonged period of time.

Choice B rationale: Dressing changes for a DTI would depend on the severity and characteristics of the injury, but a specific frequency is not universally prescribed. Choice C rationale: A DTI is not typically caused by overhydration but is associated with pressure-related damage to underlying tissues.

Choice D rationale: DTI is not a partial thickness injury, but rather an injury to the deep layers of tissue that may not be visible on the surface. A partial thickness injury involves damage to the epidermis and/or dermis, such as a stage 2 pressure ulcer.

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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

The nurse has applied a topical agent to the client's skin, and then applies an ice pack to the area. This is done to:

Correct Answer is B

Explanation

A nurse is admitting a patient who has a DTI (deep tissue injury) to the hospital. The nurse understands that a DTI:

Correct Answer is A

Explanation

The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?

The nurse is preparing an Injection of 10 units of regular Insulin and 5 units of NPH insulin from two vials. The nurse should:

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A group that has transformed itself from a collection of individuals into a productive, problem-solving highly functioning team would be functioning in which stage of group development?

The nurse recognizes that which is not a necessary feature of a team?

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