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: A sodium level of 142 mEq/L is within the normal range.

Choice B rationale: A potassium level of 3.2 mEq/L is below the normal range, indicating potential hypokalemia and requiring attention, especially if the client is on a diuretic.

Choice C rationale: A hematocrit level of 44% is within the normal range.

Choice D rationale: A chloride level of 100 mEq/L is within the normal range.

A. protect the wound from additional pressure. B. provide moisture to the wound. C. enhance healing by primary intention. D. absorb the wound drainage.

Correct Answer is B

Explanation

Choice A rationale: Protecting the wound from additional pressure is more commonly achieved with pressure-relieving devices.

Choice B rationale: Providing moisture to the wound is the primary purpose of a hydrogel dressing, promoting a moist wound environment for healing.

Choice C rationale: Enhancing healing by primary intention is more related to surgical wound closure rather than the use of a hydrogel dressing.

Choice D rationale: Absorbing wound drainage is not the primary purpose of a hydrogel dressing, as its focus is on providing moisture.

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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 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:

Correct Answer is B

Explanation

The client has an open wound on the sacrum with an order for the following: "Apply hydrogel dressing on the wound. Change dressing every day." The nurse recognizes that the primary purpose of this dressing is to:

Correct Answer is B

Explanation

The nurse recognizes that the most appropriate reason to suction a client is that:

Chest physiotherapy (CPT) is ordered for a client with pneumonia. The nurse knows that the primary purpose of CPT for this client is to:

A nurse receives an order for blood, urine, stool and nasal cultures on a client with a high fever. Which prefix describes this order?

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?

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

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to: (SELECT ALL THAT APPLY)

The nurse is caring for a client who has been wearing a nitroglycerin patch and receives an order to start a nitroglycerin intravenous Infusion. The old patch must be removed from the client's body in order to avoid:

In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an: