The client diagnosed with pneumonia asks the nurse, “Why did my physician order chest physiotherapy (CPT) for me?” Which response by the nurse is most accurate? Chest physiotherapy will:

Improve the ciliary movement in the lungs.

Increase your ability to take deep breaths.

Loosen secretions in congested areas of the lungs.

Increase the oxygen supply to your tissues.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Improving the ciliary movement in the lungs is not the primary purpose of chest physiotherapy. While ciliary movement is important for clearing mucus, CPT specifically aims to mobilize and remove secretions through techniques such as percussion, vibration, and postural drainage.

Choice B reason:

Increasing the ability to take deep breaths is not the main goal of chest physiotherapy. Although CPT can indirectly help improve lung function by clearing secretions, its primary purpose is to facilitate the removal of mucus from the lungs.

Choice C reason:

Loosening secretions in congested areas of the lungs is the most accurate reason for ordering chest physiotherapy. CPT helps to mobilize and clear mucus, which can improve ventilation and gas exchange, reduce the risk of infection, and aid in the recovery process.

Choice D reason:

Increasing the oxygen supply to your tissues is not the direct aim of chest physiotherapy. While clearing secretions can improve overall lung function and oxygenation, the primary goal of CPT is to remove mucus from the airways.

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Correct Answer is D

Explanation

Choice A reason: Asking if the client would like to see a member of the clergy to receive a blessing can be supportive, but it may not directly address the client’s immediate emotional needs. While spiritual support is important, the nurse should first focus on the client’s expressed concerns about their wife.

Choice B reason: Inquiring if the client has children who can help their wife is practical, but it may not address the client’s emotional distress. The nurse should prioritize providing emotional support and facilitating communication between the client and their family.

Choice C reason: Asking if the client has a living will is important for end-of-life planning, but it does not directly address the client’s emotional concerns. This question is more appropriate for a discussion about advance directives rather than an immediate response to the client’s expressed worries

Choice D reason: Encouraging the client to discuss their feelings with their wife is the most appropriate response. It addresses the client’s emotional needs and promotes open communication between the client and their spouse. This can help alleviate some of the client’s anxiety and ensure that their wife is aware of their feelings and concerns.

Correct Answer is ["9.0"]

Explanation

Calculation and Answer

Step 1: Determine the total dose required per administration.

Dose required = 0.5 mg/kg × 90 kg
Dose required = 45 mg

Step 2: Determine the concentration of the drug.

Concentration = 25 mg per 5 mL

Step 3: Calculate the volume needed to administer the required dose.

Volume (mL) = Dose required ÷ Concentration
Volume (mL) = 45 mg ÷ (25 mg ÷ 5 mL)
Volume (mL) = 45 mg ÷ 5 mg/mL
Volume (mL) = 9 mL

The client will receive 9.0 mL per dose.

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The client diagnosed with pneumonia asks the nurse, “Why did my physician order chest physiotherapy (CPT) for me?” Which response by the nurse is most accurate? Chest physiotherapy will:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is ["9.0"]

Explanation

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