One aspect of implementation related to drug therapy is:

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Question 1 of 5

One aspect of implementation related to drug therapy is:

Correct Answer: B

Rationale: The correct answer is B: Documenting drugs given. This is crucial in drug therapy implementation to ensure accurate record-keeping, monitoring for adverse effects, and tracking treatment effectiveness. Documentation helps prevent medication errors and facilitates communication among healthcare providers. Developing a content outline (A) is more related to planning rather than implementation. Establishing outcome criteria (C) and setting client goals (D) are important steps in the planning phase to determine treatment goals but are not specific to the implementation phase, making them incorrect choices.

Question 2 of 5

Pulse site routinely used for infants is:

Correct Answer: B

Rationale: The correct answer is B: Apical. The apical pulse site, located at the apex of the heart, is the most accurate for infants due to their small size and rapid heart rate. It is accessed by placing the stethoscope at the left fifth intercostal space midclavicular line. The radial pulse (A) is commonly used for adults, not infants. The brachial pulse (C) is typically used for blood pressure measurements in infants. The carotid pulse (D) is not recommended for routine assessment in infants due to potential risk of injury. In summary, the apical pulse site is preferred for infants due to its accuracy and ease of access compared to the other choices.

Question 3 of 5

What nursing assessment of a paralyzed client would indicate the probable presence of a fecal impaction?

Correct Answer: B

Rationale: The correct answer is B because oozing liquid stool is a common sign of fecal impaction in a paralyzed client. Due to decreased muscle tone and mobility, the client may have difficulty passing formed stool, leading to leakage of liquid stool around the impaction. Presence of blood in stools (A) may indicate other gastrointestinal issues. Continuous flatulence (C) is common with impaction but not specific. Absence of bowel movements (D) can be a sign of impaction but is not as reliable as oozing liquid stool.

Question 4 of 5

What is normal verbalization of a toddler whose brother died?

Correct Answer: B

Rationale: The correct answer is B because toddlers often have a limited understanding of death and may express longing for the deceased through familiar activities like having pizza. Choice A may indicate an advanced understanding of death unlikely for a toddler. Choice C is a more definitive statement than a toddler might make. Choice D expresses sadness but doesn't capture the toddler's limited comprehension and focus on reunion.

Question 5 of 5

When suctioning, which of the following techniques is correct?

Correct Answer: C

Rationale: The correct technique for suctioning is using intermittent suction while withdrawing the catheter (Choice C) because it helps prevent injury to the airway and reduce the risk of hypoxia. Intermittent suctioning allows for effective removal of secretions without causing trauma to the airway tissues. Advancing the catheter while suctioning can stimulate the gag reflex and cause injury, while continuous suctioning can lead to hypoxia and damage to the airway mucosa. Therefore, using intermittent suction while withdrawing the catheter ensures safe and effective suctioning without compromising patient safety.

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