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 ["C","E"]

Explanation

Choice A rationale: Diluting potassium elixir in juice is not a priority intervention for a critically elevated potassium level. Immediate actions are needed.

Choice B rationale: Monitoring intake and output is important, but it is not the highest priority when the potassium level is critically elevated.

Choice C rationale: Assessing the client for muscle weakness and flaccid paralysis is a high priority because hyperkalemia can lead to serious cardiac and neuromuscular complications.

Choice D rationale: Encouraging intake of orange juice or a banana may be appropriate for managing mild hypokalemia, but it is not the priority for a client with critically elevated potassium.

Choice E rationale: Obtaining a physician's order for cardiac monitoring is crucial, as hyperkalemia can lead to life-threatening cardiac dysrhythmias.

A. decrease discomfort to the skin. B. slow absorption of the drug C. enhance drug excretion D. maximize drug distribution

Correct Answer is B

Explanation

Choice A rationale: Applying an ice pack after a topical agent is not primarily for decreasing discomfort but rather to achieve a specific therapeutic effect.

Choice B rationale: Applying an ice pack can slow the absorption of the topical drug, allowing for prolonged local action.

Choice C rationale: Enhancing drug excretion is not typically achieved by applying an ice pack.

Choice D rationale: Maximizing drug distribution is not the primary purpose of applying an ice pack after a topical agent.

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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

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to: (SELECT ALL THAT APPLY)

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

Explanation

The nurse has applied a topical agent to the client's skin, and then applies an ice pack to the area. This is done to:

Correct Answer is B

Explanation

A client is admitted to the hospital with a diagnosis of R/O appendicitis. Which abbreviation would describe the location of a client's appendix?

The nurse recognizes that the most appropriate reason to suction a client is that:

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?

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