The nurse is performing an initial assessment on a patient with respiratory difficulty. The nurse would anticipate documenting signs and symptoms such as:

excessive dryness.

regular respiratory pattern.

use of accessory muscles.

alteration in sensation.

Answer and Explanation

The Correct Answer is C

A. Excessive dryness: This is not a primary sign of respiratory difficulty.

B. Regular respiratory pattern: A regular pattern is indicative of normal respiration, not difficulty.

C. Use of accessory muscles: Accessory muscle use is a hallmark sign of respiratory distress, indicating increased effort to breathe.

D. Alteration in sensation: This is more associated with neurological conditions rather than respiratory issues.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "The first drop has serous fluid that can dilute the specimen." The first drop of blood may be mixed with serous fluid or tissue fluid, which can lead to inaccurate glucose readings.

B. "The first drop is usually contaminated.": This is inaccurate; contamination is not the primary concern.

C. "This eliminates microorganisms from the sample.": Blood glucose meters are not designed to detect or be affected by microorganisms.

D. "The first drop is usually too small.": The amount of blood is not the issue; it is the potential for dilution.

A. assisting the patient to get dressed. B. accompanying the patient to the acute care facility entrance. C. writing the discharge instructions. D. packing the patient's personal belongings.

Correct Answer is C

Explanation

A. Assisting the patient to get dressed: This is a supportive task that can be performed by any nursing staff.

B. Accompanying the patient to the acute care facility entrance: This is not a specific RN responsibility and can be done by other staff.

C. Writing the discharge instructions: Writing discharge instructions requires the professional judgment of an RN, ensuring that the patient receives comprehensive education about their care post-discharge.

D. Packing the patient's personal belongings: This is a clerical or supportive task and not specific to the RN role.

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The nurse is performing an initial assessment on a patient with respiratory difficulty. The nurse would anticipate documenting signs and symptoms such as:

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Naxlex Comprehensive Predictor Exams

A patient asks why the blood glucose meter directions state to wipe away the first drop of blood. The most informative response by the nurse would be:

Correct Answer is A

Explanation

A patient has an acute care facility discharge order for later that day. The LPN/LVN understands that part of the discharge process to be performed by the registered nurse is:

Correct Answer is C

Explanation

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