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

Assisting the client to maintain an adequate fluid intake

Maintaining a consistent air temperature in the client's room

Maintaining continuous oxygen therapy

Keeping the client in a supine position as much a possible

Answer and Explanation

The Correct Answer is A

A. Adequate fluid intake helps thin respiratory secretions, making them easier to expectorate.

B. Maintaining a consistent air temperature in the client's room may provide comfort but does not directly thin respiratory secretions.

C. Continuous oxygen therapy may be necessary for respiratory support but does not directly thin respiratory secretions.

D. Keeping the client in a supine position may exacerbate respiratory issues; it does not directly thin respiratory secretions.

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

Explanation

A. Monitoring intake and output is important in assessing renal function and fluid balance.

B. Assessing the client for muscle weakness is crucial as hyperkalemia can lead to neuromuscular complications.

C. Encouraging intake of potassium-rich foods is contraindicated in hyperkalemia as it can further increase potassium levels.

D. Obtaining a physician's order for cardiac monitoring is a high priority as hyperkalemia can lead to cardiac dysrhythmias.

E. Diluting potassium elixir prior to IV administration is not relevant in this scenario.

A. poor skin turgor. B. cyanosis, C. clubbing of the nails. D. pursed-lip breathing.

Correct Answer is B

Explanation

A. Poor skin turgor may indicate dehydration but is not directly related to oxygenation status.

B. Cyanosis, a bluish discoloration of the skin or mucous membranes, is a serious indication of decreased oxygenation.

C. Clubbing of the nails may be a sign of chronic hypoxia but is not as immediate an indication of deteriorating oxygenation as cyanosis.

D. Pursed-lip breathing is a compensatory mechanism often seen in clients with chronic obstructive pulmonary disease (COPD) but does not directly indicate deteriorating oxygenation as cyanosis does.

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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 high priority Intervention(s) for this client is/are to: (SELECT ALL THAT APPLY)

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

Explanation

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

Correct Answer is B

Explanation

The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:

It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

A client has had an uncomplicated repair of an Inguinal hernia. On the second post- operative day, the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?

In order to minimize discomfort when giving an injection to a client, the nurse should:

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The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

The best way for the nurse to assess a client's level of dyspnea is to: