To supplement a diet with foods high in potassium, the nurse should recommend the addition of:

Correct Answer: A

Rationale: Fruits such as bananas are a good source of potassium. Potassium is an essential mineral that plays a vital role in various bodily functions, including maintaining proper muscle function, nerve transmission, and fluid balance. Bananas are easy to incorporate into the diet and provide a significant amount of potassium per serving. Other fruits high in potassium include oranges, melons, and avocados. Therefore, recommending the addition of fruits such as bananas is a suitable way to supplement a diet with foods high in potassium.

Correct Answer: C

Rationale: Frequent oral care is important for overall oral health and cleanliness, but it will not directly help correct the patient's fluid imbalance. The patient's condition likely requires direct fluid replacement to address the fluid loss and restore balance. A, B, and D are focused on fluid replacement strategies which are more crucial in correcting the patient's condition. Offering a large amount of oral fluid intake to replace lost fluids, giving enteral or parenteral fluid, and giving small volumes of fluid at frequent intervals are all appropriate measures that can help correct the patient's condition by addressing the underlying fluid imbalance.

Correct Answer: A

Rationale: Monitoring the client's temperature before, during, and after transfusion is essential to determine if chilling is the result of an emerging complication or of infusing cold blood. By consistently monitoring the client's temperature at different points in the transfusion process, healthcare providers can identify any significant changes that may indicate a complication. This allows for timely intervention and appropriate management of any issues related to the blood transfusion. Comparing the client's temperature with the temperature of the blood is important but alone it may not provide a comprehensive assessment of the client's condition during the transfusion process. So, the best course of action is to monitor the client's temperature at various time points to ensure accurate assessment and early detection of any complications.

Correct Answer: A

Rationale: Narcotic analgesics, when given in high doses, can depress the respiratory rate and cough reflex in patients. Laryngectomy patients have had their larynx removed and may already have compromised respiratory function. Therefore, giving narcotics in low doses helps to minimize the risk of further respiratory depression in these patients. It is important to closely monitor respiratory status when administering narcotics to laryngectomy patients to prevent potential complications.

Correct Answer: A

Rationale: The nurse should examine the entire system and tubing for air leaks when observing vigorous bubbling in the water-seal chamber of a chest-drainage system. Vigorous bubbling indicates that there is air escaping from the system, which can lead to suboptimal drainage and potential complications. By identifying and correcting any air leaks, the nurse can ensure the chest-drainage system functions effectively, allowing for proper drainage and the prevention of complications such as pneumothorax. Lowering the level of suction or asking the patient to cough forcefully would not address the underlying issue of air leaks and may not resolve the problem effectively.