Which intervention would be appropriate for a client with shortness of breath?

Maintain the patient in a supine position during rest.

Monitor the client's oxygen saturation hourly.

Ambulate the client in the hall four times daily.

Encourage high protein foods during mealtime.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Maintaining the patient in a supine position during rest would not be appropriate for a client with shortness of breath. This position can worsen breathing difficulties, especially in clients with respiratory issues. It reduces lung expansion and can lead to increased work of breathing.

Choice B rationale:

Monitoring the client's oxygen saturation hourly is the appropriate intervention for a client with shortness of breath. Oxygen saturation (SpO2) levels indicate the percentage of oxygen bound to hemoglobin in the blood. Monitoring SpO2 levels helps assess the client's oxygenation status and provides crucial information about the effectiveness of respiratory interventions. Normal oxygen saturation levels typically range between 95% to 100%. Monitoring allows timely recognition of hypoxemia, enabling prompt intervention to improve oxygenation and prevent complications.

Choice C rationale:

Ambulating the client in the hall four times daily may not be suitable for a client experiencing shortness of breath, as it can exacerbate respiratory distress. Ambulation increases oxygen demand and can further compromise oxygenation in individuals struggling to breathe.

Choice D rationale:

Encouraging high protein foods during mealtime is unrelated to the immediate management of shortness of breath. While proper nutrition is essential for overall health and healing, it does not directly address the acute issue of respiratory distress.

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Free Nursing Study Resources

Correct Answer is ["12.15"]

Explanation

To calculate the amount of Augmentin to be administered per day, first, determine the total daily dose. The prescribed dose is 27 mg, given three times daily, resulting in a total daily dose of:

27 mg × 3 = 81 mg per day

Next, calculate the volume of the reconstituted solution needed to provide the total daily dose of 81 mg, considering that the vial, when reconstituted with 2.3 mL of saline, has a concentration of 20 mg/mL. The volume needed per dose is:

81 mg ÷ 20 mg/mL = 4.05 mL per dose

Since the medication is administered three times daily, the total volume required per day is:

4.05 mL per dose × 3 doses per day = 12.15 mL per day

Therefore, the nurse will administer 12.15 mL of the reconstituted Augmentin solution per day to the 6-year-old patient.

A. The nurse mistakenly calls the patient's daughter "your wife.”. B. A surgical procedure performed on the wrong leg of a patient. C. The surgical procedure is postponed by 30 minutes. D. The nurse fails to raise the bed to a working height during patient care.

Correct Answer is B

Explanation

Choice A rationale:

The nurse mistakenly calling the patient's daughter "your wife" is a communication error but does not qualify as a sentinel event. Sentinel events are serious, largely preventable patient safety incidents that result in significant harm or death to the patient. Miscommunication, while important to address, does not fall under the category of a sentinel event.

Choice B rationale:

A surgical procedure performed on the wrong leg of a patient is a classic example of a sentinel event. Wrong-site surgery is a serious medical error that can lead to severe consequences for the patient. Proper protocols and procedures, such as time-outs and site marking, are in place to prevent such incidents, making this a sentinel event that requires immediate investigation and analysis to prevent recurrence.

Choice C rationale:

The surgical procedure being postponed by 30 minutes, while potentially inconvenient, does not constitute a sentinel event. Delays in surgical schedules are not uncommon due to various reasons such as emergencies or the complexity of preceding procedures. While delays should be minimized, they do not necessarily result in patient harm or death, making them different from sentinel events.

Choice D rationale:

The nurse failing to raise the bed to a working height during patient care is a safety concern but does not qualify as a sentinel event. It is important for nurses to adhere to proper body mechanics and safety protocols to prevent accidents and injuries. While this situation requires correction and education, it does not meet the criteria of a sentinel event.

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Which intervention would be appropriate for a client with shortness of breath?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has an order for 27 mg of Augmentin three times daily for a 6-year-old. The pharmacy sends a vial labeled 20 mg/1 mL when reconstituted with 2.3 mL of saline. How many mL will the nurse administer per day?

Correct Answer is ["12.15"]

Explanation

The nurse is reviewing research articles about 'sentinel events' in health care.Which is an example of a 'sentinel event?".

Correct Answer is B

Explanation

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