The nurse is caring for a client with congestive heart failure. Which finding requires the nurse's immediate attention?

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

The nurse is caring for a client with congestive heart failure. Which finding requires the nurse's immediate attention?

Correct Answer: A

Rationale: Pulse oximetry of 85% indicates hypoxemia, a critical issue in CHF requiring immediate intervention.

Question 2 of 5

The nurse is attending a workshop about caring for persons infected with hepatitis. Which characteristic is most appropriate when defining the incidence rate of hepatitis?

Correct Answer: A

Rationale: Incidence rate measures new cases over time, key for tracking hepatitis spread.

Question 3 of 5

The nurse is caring for a client with Rheumatoid Arthritis. Which nursing diagnosis should receive priority in the plan of care?

Correct Answer: C

Rationale: Pain (alteration in comfort) is the hallmark of RA, impacting quality of life most urgently.

Question 4 of 5

To prevent keratitis in an unconscious client, the nurse should apply moisturizing ointment to the

Correct Answer: B

Rationale: Eye ointment prevents corneal drying and keratitis in unconscious patients.

Question 5 of 5

A client is scheduled to have a blood test for cholesterol and triglycerides the next day. The nurse would tell the client

Correct Answer: B

Rationale: Fasting for 12 hours ensures accurate lipid levels.

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