A healthcare provider is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the provider place at the client's bedside?

Correct Answer: A

Rationale: The correct answer is A: Bag valve mask device. In the PACU, a client who received a competitive neuromuscular blocking agent may have impaired respiratory function. Placing a bag valve mask device at the bedside is crucial for providing immediate respiratory support if needed. This device allows manual ventilation in case of respiratory distress. Summary: - Choice B: Defibrillator machine is not necessary for a client receiving a competitive neuromuscular blocking agent. - Choice C: Chest tube equipment is not typically needed for this situation. - Choice D: Central venous catheter tray is not directly related to the respiratory support required for a client with impaired respiratory function.

Correct Answer: A

Rationale: The correct answer is A: Poor impulse control. When a client has a stroke involving the right cerebral hemisphere, it can affect their ability to regulate emotions and impulses. The right hemisphere is responsible for inhibiting impulsive behavior, so damage to this area can lead to poor impulse control. This can manifest as impulsivity, lack of judgement, and difficulty controlling emotions. Summary of Incorrect Choices: B: Inability to discriminate words and letters - This is typically associated with left cerebral hemisphere damage, not right hemisphere. C: Deficits in the right visual field - This is associated with damage to the left occipital lobe, not the right hemisphere. D: Motor retardation - Motor functions are controlled by the opposite side of the brain, so right hemisphere damage would typically affect the left side of the body, not motor function in general.

Correct Answer: B

Rationale: The correct answer is B: Inspect your mouth for lesions daily. This instruction is essential because fluticasone, a corticosteroid, can cause oral thrush as a side effect. By inspecting the mouth daily, the client can detect any lesions early and seek appropriate treatment. Monitoring heart rate (A) is not necessary for fluticasone use, as it does not typically affect heart rate. While it is important not to skip doses (D), the specific instruction about the morning dose is not as crucial. Avoiding the use of fluticasone for acute attacks (C) is correct, but it is not the most important instruction in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Limit fluid intake with meals. This instruction is important for a client with COPD because excessive fluid intake during meals can lead to increased stomach distention, which can worsen breathing difficulties. By limiting fluid intake with meals, the client can reduce the risk of feeling bloated and experiencing shortness of breath. A: Eating 3 balanced meals each day is generally a good recommendation, but it does not specifically address the needs of a client with COPD. C: Although reducing sodium intake can be beneficial for managing COPD, it is not as directly related to dietary considerations during meals. D: Taking a bronchodilator 1 hour before eating is not a dietary instruction and does not address the issue of fluid intake during meals.

Correct Answer: A

Rationale: The correct answer is A: Wire cutters. In postoperative intermaxillary fixation, wire cutters are essential at the bedside in case of an emergency airway obstruction or need for immediate removal of the fixation. Wire cutters allow quick access to the airway without causing harm to the client. B: NG tube is not necessary for postoperative intermaxillary fixation. C: Urinary catheter tray is not directly related to the client's airway or fixation. D: IV infusion pump is not specifically required for managing intermaxillary fixation emergencies. In summary, wire cutters are crucial for ensuring client safety and airway management in postoperative intermaxillary fixation, making it the most appropriate equipment to have at the bedside.