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A client with a history of asthma is admitted with shortness of breath. Which finding requires immediate intervention?
- A. Increased respiratory rate.
- B. Absence of breath sounds.
- C. Expiratory wheezes.
- D. Productive cough with green sputum.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?
- A. Serum sodium of 140 mEq/L.
- B. Serum osmolality of 280 mOsm/kg.
- C. Weight gain of 2 pounds in 24 hours.
- D. Serum sodium of 130 mEq/L.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a follow-up visit, a client with diabetes reports difficulty maintaining a healthy diet. What should the nurse do first?
- A. provide the client with meal planning resources
- B. explore the client's dietary habits and challenges
- C. refer the client to a nutritionist
- D. educate the client on the importance of a healthy diet
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A school nurse is developing a program to address bullying among students. Which component is most important to include?
- A. education on the effects of bullying
- B. training for teachers on how to handle bullying incidents
- C. a peer mentoring program
- D. a zero-tolerance policy for bullying
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a home visit, the nurse finds that an elderly client has multiple expired medications. What should the nurse do first?
- A. instruct the client to dispose of the expired medications
- B. review the client's current medication regimen
- C. contact the client's healthcare provider
- D. educate the client on the dangers of taking expired medications
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, 'Why do you have to wear a gown and mask when you are in my room?' How should the nurse respond?
- A. To protect myself from your germs.
- B. To protect you because you can get an infection very easily.
- C. Until your white blood cell count increases.
- D. To keep others from getting your infection.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.