A client with a history of asthma is admitted with shortness of breath. Which finding requires immediate intervention?- Nurselytic

Question 1 of 5

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: Absence of breath sounds can indicate a pneumothorax or severe asthma exacerbation, which requires immediate intervention.

Question 2 of 5

A client with a history of atrial fibrillation is receiving warfarin (Coumadin) therapy. Which laboratory result indicates that the therapy is effective?

A. International normalized ratio (INR) of 1.0. B. Prothrombin time (PT) of 12 seconds. C. Partial thromboplastin time (PTT) of 60 seconds. D. International normalized ratio (INR) of 2.5.

Correct Answer: D

Rationale: An INR of 2.5 indicates that warfarin therapy is within the therapeutic range for a client with atrial fibrillation.

Question 3 of 5

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: Reviewing the client's current medication regimen helps identify any potential issues and ensures that the client is taking the correct medications.

Question 4 of 5

A public health nurse is planning a campaign to increase immunization rates among children in a low-income community. Which intervention should the nurse prioritize?

A. provide free immunizations at local schools B. create educational materials about vaccine safety C. organize a community forum to discuss immunization concerns D. partner with local media to promote the importance of vaccines

Correct Answer: A

Rationale: Providing free immunizations directly addresses financial barriers and increases accessibility for families in low-income communities.

Question 5 of 5

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

A. teach clients about recommended immunizations for children B. demonstrate foot care to a group of clients who have diabetes C. take blood pressures at a local shopping mall in the community D. instruct teens about prevention of sexually transmitted diseases

Correct Answer: B

Rationale: Tertiary prevention focuses on managing and improving health outcomes for existing conditions, such as diabetes.

Nurselytic

HESI RN

HESI RN

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