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The nurse is reviewing the client's medical record.

Exhibits

Which of the following findings indicates the client's condition has improved? Select all that apply.

Blood pressure

Echocardiogram results

Respiratory rate

Pain level

Oxygenation saturation

Urinary output

Heart rate

Answer and Explanation

Correct Answer : A,C,D,E,G

Improvement in blood pressure would suggest better cardiovascular stability

A stable or decreased respiratory rate would indicate improved respiratory function and potentially reduced chest tightness.

An increase in oxygen saturation levels would indicate improved respiratory function and cardiovascular status.

A decrease in pain level would indicate improvement in the chest tightness and radiating pain experienced by the client.

A decrease in heart rate may indicate improved cardiovascular function and reduced stress on the heart.

Urinary output and echocardiogram results are not typically immediate indicators of improvement in the client's condition following an episode of chest tightness and radiating pain.

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Correct Answer is C

Explanation

Dehydration can lead to a decrease in blood volume and subsequent hypotension (low blood pressure) as the body tries to conserve fluid.

A, B, D are features of fluid overload.

A. Familiarize themselves with commonly used signed language. B. Obtain a board that uses colored pictures as communication. C. Request an interpreter during the initial assessment. D. Ask a family member to be present during the admission.

Correct Answer is C

Explanation

Request an interpreter during the initial assessment involves requesting the assistance of a qualified sign language interpreter to facilitate communication between the nurse and the client who is deaf. This is generally considered the most appropriate and effective option for ensuring accurate and clear communication during the admission process.

A. It may not be feasible for the nurse to become fluent in sign language immediately, learning commonly used signs can help establish basic communication and demonstrate respect for the client's communication needs. However, relying solely on this option may not be sufficient for complex communication needs or during emergencies.
B. Obtaining a board that uses colored pictures as communication may not fully address the client's needs, especially if they primarily use sign language. This option might be useful as a supplementary aid but may not be the most effective method for initial communication.
D. While having a family member present can be helpful, especially if they are proficient in sign language, it may not always be feasible or reliable. Additionally, relying on family members for interpretation can compromise the client's privacy and confidentiality, as well as potentially introduce biases or misunderstandings in communication.

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The nurse is reviewing the client's medical record. Exhibits Which of the following findings indicates the client's condition has improved? Select all that apply.

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The nurse is reviewing the client's medical record.

Exhibits

Which of the following findings indicates the client's condition has improved? Select all that apply.