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

ask if shortness of breath is being experienced.

observe the client at rest and during activity.

auscultate lung sounds,

read previous documentation on the client's chart.

Answer and Explanation

The Correct Answer is B

A. Asking if shortness of breath is being experienced can provide subjective information but may not accurately assess the severity of dyspnea.

B. Observing the client at rest and during activity allows the nurse to assess the client's respiratory effort and the impact of dyspnea on functional ability.

C. Auscultating lung sounds is important for assessing respiratory function but may not directly assess the level of dyspnea.

D. Reading previous documentation may provide historical context but does not directly assess the client's current level of dyspnea.

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Correct Answer is C

Explanation

A. Diazepam three times a day would not align with the specified schedule since it should be administered 8 hourly.

B. Propranolol twice a day fits the schedule of every 12 hours, which does not align with the transcribed order.

C. Cephalexin every 4 hours would align with the transcribed medication order, which has scheduled dosing at 10:00 AM, 2:00 PM, and 6:00 PM, which are all 4 hours apart.

D. Morphine Sulfate every 4 hours aligns with the scheduled dosing, but morphine can also be administered PRN as per the transcribed order.

A. inspecting skin around the pinna for pressure injury. B. humidifying the oxygen before it is delivered to the client. C. providing oral hygiene whenever necessary. D. attaching a flow meter to the wall outlet.

Correct Answer is D

Explanation

A. Inspecting skin around the pinna for pressure injury is not directly related to adjusting oxygen flow rates.

B. Humidifying the oxygen may be necessary for higher flow rates to prevent drying of mucous membranes, but it's not the primary intervention needed when increasing the flow rate from 1 L/min to 3 L/min.

C. Providing oral hygiene is important for oxygen therapy, but it's not specifically related to adjusting flow rates.

D. Attaching a flow meter to the wall outlet is necessary when increasing the flow rate to ensure the correct amount of oxygen is delivered to the client.

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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 is transcribing a medication order and schedules dosing for 10:00 AM, 2:00 PM and 6:00 PM. Which medication order is consistent with this schedule?

Correct Answer is C

Explanation

When administering oxygen via a wall-outlet system, the nursing intervention that would be necessary for a 3 L/min flow, as opposed to a 1 L/min flow, would be:

Correct Answer is D

Explanation

The nurse receives the following order: "Ferrous sulfate 325 mg four times a day PO. Give on empty stomach." Even before researching, the nurse guesses that this is because the medication:

A nurse doing discharge teaching for a client with severe cardiopulmonary disease recognizes a need for further explanation when the client states, "I:

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:

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:

A client has a serum magnesium level of 0.9 mEq/L. The nurse would monitor this client for which sign or symptom?

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

The nurse knows that which form of medication delivery results in the most predictable onset and most bioavailability to the client?