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The first paddle has been placed on the chest of a client who needs defibrillation. Where should the nurse place the second paddle? (Mark the location where the second paddle should be placed on the image)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[68.3447994402985,73.94181436567165],\"yRanges\":[69.43765281173594,76.77261613691931]}"

Rationale:

The second paddle should be placed on the left lateral chest, specifically:

Below the left nipple
At the mid-axillary line
Over the apex of the heart

For anterior-lateral defibrillator pad placement, the standard positions are: Right of the sternum, just below the clavicle as shown in the image and left side of the chest, at the mid-axillary line, roughly at the level of V6 in ECG placement.

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Correct Answer is D

Explanation

Rationale:

A. Oral care is not required after each use of the inhaler: Oral care is essential to prevent oral candidiasis, a common side effect of inhaled corticosteroids due to local immune suppression in the mouth.

B. Inhaled medications are easier to take than oral forms: Inhalers may be challenging for some clients due to required coordination and technique. The ease of use varies by individual and does not address the concern about steroid side effects.

C. No weaning is required when stopping the use of this inhaler: Although inhaled steroids have fewer systemic effects, abrupt discontinuation may still cause rebound inflammation. While tapering is less critical than with systemic steroids, medical guidance is advised.

D. Systemic side effects are reduced when taken by inhalation: Inhaled corticosteroids act locally in the lungs and minimize systemic absorption, significantly reducing the risk of side effects like adrenal suppression or osteoporosis seen with oral steroids.

A. Assess for breath with a fruity odor. B. Titrate an insulin infusion to maintain a low serum glucose level. C. Monitor for elevated temperature and administer PRN antipyretics. D. Monitor serum electrolyte levels and report any abnormal values. E. Maintain large bore IV patency for aggressive fluid resuscitation.

Correct Answer is ["B","D","E"]

Explanation

Rationale:
A. Assess for breath with a fruity odor: This is more indicative of diabetic ketoacidosis (DKA), not HHS. HHS does not usually produce ketones or fruity-smelling breath, so it is not a priority assessment for this condition.

B. Titrate an insulin infusion to maintain a low serum glucose level: Maintaining glucose control through insulin infusion is critical in preventing HHS, as the syndrome is driven by severe hyperglycemia without ketosis.

C. Monitor for elevated temperature and administer PRN antipyretics: While fever management is important for burn care, it does not directly prevent HHS, which is primarily a result of fluid imbalance and hyperglycemia.

D. Monitor serum electrolyte levels and report any abnormal values: Electrolyte disturbances are common in HHS due to dehydration and osmotic diuresis. Prompt correction is essential to prevent complications.

E. Maintain large bore IV patency for aggressive fluid resuscitation: Massive fluid loss from burns and hyperglycemia requires aggressive IV fluid replacement to prevent dehydration and hemoconcentration, both of which contribute to HHS.

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The first paddle has been placed on the chest of a client who needs defibrillation. Where should the nurse place the second paddle? (Mark the location where the second paddle should be placed on the image)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has asthma receives a new prescription for a corticosteroid inhaler. The client expresses concern about taking steroid medications. Which information should the nurse provide the client about the use of this maintenance inhaler?

Correct Answer is D

Explanation

A client who has type 2 diabetes mellitus is admitted to the intensive care unit with third degree burns over 20% of the body. To decrease the client's risk of developing hyperosmolar hyperglycemic syndrome (HHS), which intervention(s) should the nurse implement? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

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