Which nursing action is most helpful in thinning a client's thick respiratory secretions?

Maintaining continuous oxygen therapy

Maintaining a consistent air temperature in the client's room

Keeping the client in a supine position as much a possible

Assisting the client to maintain an adequate fluid intake

Answer and Explanation

The Correct Answer is D

Choice A rationale: Maintaining continuous oxygen therapy does not directly address the thinning of respiratory secretions.

Choice B rationale: Maintaining a consistent air temperature in the client's room is not directly related to thinning respiratory secretions.

Choice C rationale: Keeping the client in a supine position as much as possible is not the most helpful action for thinning respiratory secretions.

Choice D rationale: Assisting the client to maintain an adequate fluid intake is the most helpful action in thinning respiratory secretions, promoting hydration and mobilization of secretions.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale: Instructing the client to shift their weight at least every 15 minutes helps prevent pressure injuries.

Choice B rationale: Keeping the head of the bed raised at 45 degrees at all times is not a typical practice for preventing pressure injuries.

Choice C rationale: Massaging over bony prominences every hour while awake may not be recommended, as this can cause friction and shear, contributing to skin breakdown. Choice D rationale: Applying moisture barrier cream to perineal skin helps protect against skin breakdown from urinary incontinence.

Choice E rationale: Consulting with the wound care nurse about the use of a specialty mattress can provide additional support and help prevent pressure injuries.

A. renal impairment. B. muscle sprain. C. hearing impairment. D. vaginal infection. E. liver failure.

Correct Answer is ["A","E"]

Explanation

Choice A rationale: Renal impairment can affect drug excretion and clearance, impacting pharmacokinetics.

Choice B rationale: Muscle sprain is not directly related to pharmacokinetics. Choice C rationale: Hearing impairment is not directly related to pharmacokinetics.

Choice D rationale: Vaginal infection may not have a direct impact on pharmacokinetics unless it is systemic.

Choice E rationale: Liver failure can affect drug metabolism, leading to altered pharmacokinetics.

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Which nursing action is most helpful in thinning a client's thick respiratory secretions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D","E"]

Explanation

The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

Correct Answer is ["A","E"]

Explanation

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

The nurse misreads the medication Kardex and administers twice the amount of antihypertensive medication that was ordered for the client. When she realizes the mistake, her first action should be to:

The client has an open wound on the sacrum with an order for the following: "Apply hydrogel dressing on the wound. Change dressing every day." The nurse recognizes that the primary purpose of this dressing is to:

The nurse knows that which form of medication delivery results in the most predictable onset and most bioavailability to the client?

The nurse knows that teaching about the use of the spirometer incentive is effective when the client seals the lips around the mouthpiece and:

The nurse understands that the major factor affecting oxygenation in a client who has fluid in the lungs is:

A group that has transformed itself from a collection of individuals into a productive, problem-solving highly functioning team would be functioning in which stage of group development?

The nurse recognizes that which is not a necessary feature of a team?