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. Pass a small amount of urine into the toilet and then collect the specimen. This technique ensures that bacteria or debris from the urethra are flushed out before the sample is collected, providing a clean-catch specimen for analysis.

B. Void until the bladder is almost empty and then collect the end portion: This would result in a less accurate sample, as bacteria or debris might accumulate.

C. Let a few drops of urine dribble into the specimen cup: This does not provide enough urine for analysis.

D. Begin voiding into the specimen cup: This may contaminate the sample with bacteria from the external genitalia.

A. making an entry in the primary care provider progress notes. B. asking the unit secretary to place a note in the chart. C. having the patient sign for them as per policy. D. writing a note to the charge nurse.

Correct Answer is C

Explanation

A. Making an entry in the primary care provider progress notes: This is not the appropriate place to document returned belongings.

B. Asking the unit secretary to place a note in the chart: Documentation must be done by the nurse responsible for returning the items.

C. Having the patient sign for them as per policy. Documenting with the patient’s signature provides a clear record that the items were returned and received by the patient, as per hospital policy.

D. Writing a note to the charge nurse: This does not create an official record of the return.

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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

The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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