The nurse is sending some lab results to the primary physician's office. The nurse most needs to do which of the following things?

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Question 1 of 5

The nurse is sending some lab results to the primary physician's office. The nurse most needs to do which of the following things?

Correct Answer: B

Rationale: Verifying receipt of faxed lab results via a follow-up call and documenting it ensures communication accuracy and accountability. Noting the fax alone or leaving a record note lacks confirmation, and checking with the lab doesn't guarantee physician receipt. This step prevents care delays, a vital nursing responsibility.

Question 2 of 5

The nurse visiting a client and the client's family in the home teaches family members to massage the client's back and enlists their aid in providing backrubs. Which of the following reasons most likely represents the main reason the nurse has enlisted the aid of the family?

Correct Answer: A

Rationale: Enlisting family for backrubs mainly reduces their helplessness, empowering them in care. Need, medication, or sleep benefits are secondary. Nurses foster this involvement.

Question 3 of 5

Which nursing intervention is important in preventing urinary complications in immobilized patients?

Correct Answer: C

Rationale: Implementing bladder training programs, with scheduled voiding, prevents urinary complications like retention or infections in immobilized patients by promoting bladder control and function. More fluids alone don't address voiding issues, while less assistance or constant bedpan use can worsen retention risks. Nurses use this to encourage continence, adapting care to immobility's impact on urinary health, ensuring complications are minimized through structured support.

Question 4 of 5

A client with congestive heart failure (CHF) experiences worsening dyspnea and peripheral edema. What is the primary indication for initiating oxygen therapy in this client?

Correct Answer: D

Rationale: Improving myocardial oxygenation (D) is the primary indication for oxygen therapy in CHF with worsening dyspnea, addressing myocardial ischemia from low oxygen supply. Reducing heart workload (A) is a benefit, not the goal. Edema (B) and fluid overload (C) require diuretics, not oxygen. Enhanced cardiac oxygenation supports pump function, per cardiology standards, critical in acute CHF exacerbations.

Question 5 of 5

The nurse is assessing a client who is receiving high-flow oxygen therapy via a non-rebreather mask. Which finding requires immediate intervention?

Correct Answer: D

Rationale: A loose mask fit (D) requires immediate intervention in non-rebreather therapy, as it reduces oxygen delivery (target 60-95%), compromising efficacy. 10 L/min (A) is appropriate. SpO2 95% (B) is normal. Condensation (C) is manageable. Tightening the mask, per respiratory care, restores high-flow effectiveness.

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