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

Trendelenberg position.

side-lying position.

supine position.

semi-Fowler's position.

Answer and Explanation

The Correct Answer is D

Choice A rationale: The Trendelenberg position is not typically used for dyspnea; it involves placing the body in a supine position with the lower half tilted downward. Choice B rationale: The side-lying position is not typically used for dyspnea.

Choice C rationale: The supine position may worsen dyspnea, especially in individuals with respiratory distress.

Choice D rationale: The semi-Fowler's position, with the head of the bed elevated, is often used to assist with breathing and improve oxygenation in clients with dyspnea.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale: White skin around the wound edges is not necessarily indicative of too much moisture in the wound bed.

Choice B rationale: White skin around the wound edges may suggest nonviable tissue, and surgical debridement may be needed.

Choice C rationale: Turning and positioning every two hours is important for preventing pressure injuries but is not directly related to the observed skin color.

Choice D rationale: White skin around the wound edges is not a normal finding and indicates a potential issue with tissue viability.

A. Pull the auricle down and back before instilling the drops B. Have client pull down on earlobe for 5 minutes after instillation C. Pull the auricle up and back before instilling the drops D. Heat the drops in the microwave for 10 seconds to warm the solution E. Choice A rationale: Pulling the auricle up and back is the correct procedure for adults when administering ear drops. Choice B rationale: Having the client pull down on the earlobe is not the correct procedure for administering ear drops in adults. Choice C rationale: Pulling the auricle up and back is the appropriate technique for adults to straighten the ear canal for proper administration. Choice D rationale: Warming ear drops in the microwave is not recommended; medications should be administered at room temperature.

Correct Answer is C

Explanation

Choice A rationale: Pulling the auricle up and back is the correct procedure for adults when administering ear drops.

Choice B rationale: Having the client pull down on the earlobe is not the correct procedure for administering ear drops in adults.

Choice C rationale: Pulling the auricle up and back is the appropriate technique for adults to straighten the ear canal for proper administration.

Choice D rationale: Warming ear drops in the microwave is not recommended; medications should be administered at room temperature.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a dressing change for a patient and notices white skin around the wound edges. The nurse is aware that:

Correct Answer is B

Explanation

An adult client is to receive ear drops four times a day to treat an inner ear infection. What is the correct nursing procedure to follow when administering this type of medication?

Correct Answer is C

Explanation

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