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D) The client is hyperventilating
Review Information: The correct answer is:
A) The client''s airway obstruction is worsening.
The higher pitched a sound is, the more
...
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D) The client is hyperventilating
Review Information: The correct answer is:
A) The client''s airway obstruction is worsening.
The higher pitched a sound is, the more narrow the airway; therefore, the obstruction hasworsened. There is no evidence to support a need for suctioning; inhaled corticosteroids are not used during an acute attack.
Question 9
A nurse is using an interpreter to teach a client about home care. It is IMPORTANT forthe nurse to
A) Speak directly to the interpreter while presenting content
B) Talk to the interpreter in advance and leave the client and interpreter alone
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C) Include family member and direct comments to that person D) Face the client while presenting content
Review Information: The correct answer is: D) Face the client while presenting content.
Communication is the cornerstone of an effective teaching plan, especially when the nurse and client do not share the same cultural heritage. Even if the nurse uses an interpreter, it is critical that the nurse use conversational style and spacing, personal space, eye contact, touch, and orientation to time strategies that are acceptable to the client. Therefore, face the client and present the content to the client, allow the interpreter
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to translate the content. Facing the client allows non-verbal communication to take placebetween the client and nurse.
Question 10
The nurse is caring for a client with a long leg cast. During discharge teaching aboutappropriate exercises for the affected extremity, the nurse should recommend
A) Isometric
B) Range of motion C) Aerobic
D) Isotonic
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Review Information: The correct answer is: A) Isometric.
The nurse should instruct the client on isometric exercises for the muscles of the casted extremity, i.e.., instruct the client to alternately contract and relax muscles without moving the affected part. The client should also be instructed to do active range of motion exercises for every joint that is not immobilized at regular and frequent intervals.
Question 11
Following a diagnosis of acute glomerulonephritis (AGN) in their 6 year-old child, the parents remark that they are unclear as to how he caught the disease. The nurse's responseis based on the understanding that
A) AGN is a streptococcal infection involving the kidney tubules
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