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A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?
- A. Wire cutters
- B. Oral airway
- C. Pliers
- D. Tracheostomy set
Correct Answer: A
Rationale: Wire cutters are essential for a client with a fractured mandible, often wired shut for immobilization, to cut wires in emergencies like vomiting or airway obstruction, ensuring safety post-discharge. An oral airway, pliers, or tracheostomy set isn't standard for this condition wires are the focus. Nurses emphasize this precaution, teaching clients and families its use, preventing complications from restricted jaw movement during healing.
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A healthcare provider is planning care for a client who has a latex allergy. Which of the following actions should the healthcare provider include in the plan?
- A. Use latex gloves with powder.
- B. Place a sign on the client's door.
- C. Apply oil-based lotion before donning gloves.
- D. Avoid using plastic equipment.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which position is recommended for a patient who has difficulty breathing or respiratory distress?
- A. Supine position
- B. Prone position
- C. Fowler's position
- D. Side-lying position
Correct Answer: C
Rationale: For patients struggling with breathing or respiratory distress, elevating the head in a sitting or semi-sitting position maximizes lung expansion and eases respiratory effort. This approach leverages gravity to assist diaphragm movement, improving oxygenation, which is vital in conditions like pneumonia or heart failure. Lying flat on the back can compress the chest, worsening distress, while lying on the stomach is impractical and may obstruct airflow for such patients. Positioning on the side might help in specific cases, like unilateral lung issues, but it's less universally effective for general respiratory support. Nurses choose this position to optimize airway clearance and comfort, directly addressing the physiological need for better ventilation in acute respiratory challenges.
A healthcare provider is planning care for a client who has a new prescription for a high-fiber diet. Which of the following foods should the healthcare provider recommend?
- A. White bread
- B. Canned fruit
- C. Cheese
- D. Brown rice
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a prescription for a clear liquid diet. Which of the following foods should the nurse offer?
- A. Milk
- B. Vegetable juice
- C. Chicken broth
- D. Orange juice with pulp
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving enteral feedings through an NG tube. Which of the following actions should be taken to prevent aspiration?
- A. Monitor gastric residuals every 4 hours.
- B. Position the client in a semi-Fowler's position.
- C. Check for tube placement by auscultating air after feeding.
- D. Warm the formula to body temperature before feeding.
Correct Answer: A
Rationale: Monitoring gastric residuals every 4 hours is essential to assess the stomach's ability to empty properly, reducing the risk of aspiration. It helps in determining if the feedings are being tolerated by the client and if adjustments are needed in the feeding regimen. Positioning the client in a semi-Fowler's position helps prevent reflux and aspiration by promoting proper digestion and emptying of the stomach contents. Checking for tube placement by auscultating air after feeding confirms correct tube placement in the stomach. Warming the formula to body temperature before feeding enhances client comfort but does not directly prevent aspiration.