A nurse is caring for a client who had a modified uvulopalatopharyngoplasty (modUPPP) earlier in the day for obstructive sleep apnea. Which assessment finding indicates that a priority goal has been met?

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Question 1 of 5

A nurse is caring for a client who had a modified uvulopalatopharyngoplasty (modUPPP) earlier in the day for obstructive sleep apnea. Which assessment finding indicates that a priority goal has been met?

Correct Answer: C

Rationale: Rationale: The correct answer is C because the ability to swallow own secretions without drooling indicates that the client's airway is patent and functional post modUPPP, a priority goal for this procedure. This assessment finding ensures that the client can maintain a clear airway and prevent complications such as aspiration. Incorrect choices: A: Although pain control is important, it is not a priority assessment for this specific procedure. B: Absence of foul odor or red mucus membranes is not directly related to the airway patency or swallowing ability. D: While normal vital signs are reassuring, they do not directly indicate the success of the surgery in improving airway function.

Question 2 of 5

Which of the following nursing interventions are involved when caring for a client with influenza?

Correct Answer: D

Rationale: The correct answer is D. Immediate recognition of respiratory distress is vital in clients with influenza, especially those at risk of complications. A (airborne precautions) is unnecessary unless the client is immunocompromised. B (complete bed rest) is outdated practice. C (oxygen administration) is only needed if hypoxia is present.

Question 3 of 5

Which action should you delegate to the experienced nursing assistant?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient with active TB continues to have positive sputum cultures after 6 months of treatment. She says she cannot remember to take the medication all the time. What is the best action for the nurse to take?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

What is the primary principle involved in the various airway clearance devices used for mobilizing secretions?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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