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FB Q & A #4 for NLE - A client hospitalized with pneumonia has thick, tenacious secretions. To helpliquefy these secretions, the nurse should: a. turn the client every 2 hours b. elevate the head of the bed30... degrees c. encourage increased fluid intake d. maintain a cool room temperature FB Q & A #6 for NLE - An elderly client with tuberculosis has difficulty coughing up secretionsfor a sputum specimen. Which nursing action is appropriate? a. spray the oropharynx with saline b. ask the client to drink a warm liquid c. force fluids for the next 8 hours d. raise the head of the bed to at least 45 degrees FB Q & A #15 for NLE - The nurseis teaching a client who will be dischargedsoon how to change a sterile dressing on the right leg. During the teachingsession, the nurse noticesredness, swelling, and induration at the wound site.What do these signs suggest? a. infectionb. dehiscencec. hemorrhaged. eviscerationFB Q & A #14 for NLE - The nurse administers furosemide (Lasix) to treat aclient with heart failure. Which adverse effect must the nurse watch for mostcarefully?a. increase in blood pressureb. increase in blood volumec. low serum potassium leveld. high serum sodium levelFB Q & A #13 for NLE - The nurseshould be prepared to manage complicationsafter abdominal aortic aneurysm resection. Which of the following complicationsis most common postoperatively?a. renal failureb. hemorrhage and shock c. graft occlusiond. enteric fistulaFBQ & A #11 for NLE - A client has been admitted for meningitis. Inreviewingthe laboratory analysis of cerebrospinal fluid (CSF), the nurse would expect tonotea. high proteinb. clear color

c. elevated sedimentation rated. increased glucoseFBQ & A #6 for NLE - An elderly client with tuberculosis hasdifficulty coughing up secretions for a sputum specimen. Which nursingaction is appropriate?a. spray the oropharynx with salineFB Q & A #4 for NLE - A client hospitalized with pneumonia has thick,tenacious secretions. To help liquefy these secretions, the nurse should:a. turn the client every 2 hoursb. elevate the head of the bed 30... degreesc. encourage increased fluid intaked. maintain a cool room temperature-Answer: CRationale: Increasing the client's intake of oral or I.V. fluids helps liquefy thick,tenacious secretions and ensures adequate hydration. Turning the client every 2hours would decrease pooling of secretions but wouldn't liquefy them. Elevatingthe head of the bed would reduce pressure on the diaphragm and ease breathingbut wouldn't liquefy secretions. Maintaining a cool room temperature wouldincrease the client's comfort but wouldn't liquefy secretions.FB Q & A #10 for NLE - For aclient with a head injury whose neck has been stabilized, the preferred bedposition is:a. trendelenburg'sb. 30-degree head elevation...c. flatd. side-lyingFB Q & A #9 for NLE - A client complains of vertigo. The nurse anticipates thatthe client may have a problem with which portion of the ear?a. external earb. middle ear c. inner eard. tympanic membraneFB Q & A #8 for NLE - The nurse is caring for a client who requires intracranialpressure (ICP) monitoring. The nurse should be alert for what majorcomplication of ICP monitoring?a. comab. infectionc. high blood pressured. apnea-Answer: BRationale: The catheter for measuring ICP is inserted through a burr hole into alateral ventricle of the cerebrum, thereby creating a risk of infection. Coma, highblood pressure, and apnea are late signs of increased ICP.FB Q & A #7 for NLE - The nurse is removing a fecal impaction on a75 year-oldclient. It is most important that the nurse remember that:a. the procedure be done prior to the bathb. family members should be taught the procedurec. cardiac dysrhythmias

can result during the processd. increased dietary fiber can minimi...ze such problemFB Q & A #6 for NLE - An elderly client with tuberculosis has difficultycoughing up secretions for a sputum specimen. Which nursing action isappropriate?a. spray the oropharynx with salineb. ask the client to drink a warm liquidc. force fluids for the next 8 hoursd. raise the head of the bed to at least 45 degree...s-The correct answer is D: Raise the head of the bed to at least 45 degreesRationale: Placing the client in semi or high fowlers position will promote lungexpansion and effective coughing. While drinking liquids helps to loosensecretions over time, they should not be given when collecting a specimen.Spraying the throat with saline may cause irritation and coughing and reduceoxygenation. NLE Questions=) Download or Print Add To Collection 4.6K READS 41 READCASTS 6 EMBED VIEWS Published by

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