The nurse reviews assessment findings for assigned patients. Based on this information,which patient demands the nurse's immediate attention? The patient with

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Question 1 of 5

The nurse reviews assessment findings for assigned patients. Based on this information,which patient demands the nurse's immediate attention? The patient with

Correct Answer: B

Rationale: An abdominal aneurysm with hypertension (B) risks rupture, demanding immediate attention. A (normal WBC), C (normal INR), and D (expected murmur) are stable, making B the urgent priority based on assessment data interpretation.

Question 2 of 5

The nurse is listening to a lecture on collaborative problems. Which statement indicates that teaching has been effective?

Correct Answer: C

Rationale: Collaborative problems involve nurse monitoring for complications (C), requiring teamwork with other providers, unlike nursing diagnoses (A). B is false (not two physicians), and D aligns with diagnoses, not collaborative issues, making C correct.

Question 3 of 5

A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

Correct Answer: D

Rationale: A consistent reading of 100% is likely inaccurate, as it suggests potential equipment malfunction or improper placement, especially in a client requiring supplemental oxygen where saturation is rarely 100%. This indicates a need for further teaching as the parents should recognize this as abnormal and report it. Choices A, B, and C reflect correct understanding of pulse oximetry use.

Question 4 of 5

A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?

Correct Answer: B

Rationale: Aging decreases kidney function, reducing the ability to concentrate urine and regulate fluid balance, increasing dehydration risk. Decreased systolic blood pressure (A) is incorrect as aging often increases it, increased body water (C) is false as it decreases with age, and increased saliva production (D) is incorrect as it typically reduces.

Question 5 of 5

Which action best demonstrates the nurse using client-centered care when planning a menu for a Vietnamese client who is newly diagnosed with diabetes?

Correct Answer: D

Rationale: Researching Vietnamese culture before meal planning shows a client-centered approach by respecting cultural preferences and tailoring care. Asking the client (A) or family (B) about a standard menu or ordering a typical meal (C) does not prioritize cultural relevance.

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