What should the nurse do if Mrs. West reports restless sleep and frequent bathroom visits postoperatively?

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Question 1 of 5

What should the nurse do if Mrs. West reports restless sleep and frequent bathroom visits postoperatively?

A. Write a nursing order to give Mrs. West a backrub B. Call the physician to obtain an order to increase the dosage of her hypnotic C. Write a nursing order to keep intake and output with times and amounts D. Call the physician to obtain an order for intake and output

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

What findings indicate tension pneumothorax causing mediastinal shift?

A. Diminished breath sounds on left side; trachea deviated to right; decreasing blood pressure, increasing pulse rate B. Rapid, shallow respirations; trachea deviated to left; slow pulse; collapsed neck veins C. Dyspnea; hyperresonance on right; widened pulse pressure; rapid, bounding pulse D. Chest pain; cyanosis; collapsed neck veins; decreasing pulse rate

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

What should be included in Mr. Dean’s teaching plan for respiratory isolation?

A. Using disposable tissues for his respiratory secretions B. Reporting any allergies to the staff C. Asking family and friends not to visit D. Getting the patient out of bed frequently

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

What action assumes greatest priority for Mr. Walker with productive cough, dull percussion notes, and rhonchi?

A. Determine if Mr. Smith has a history of COPD B. Monitor respiratory status for increasing dyspnea C. Discuss ways to prevent pneumonia D. Obtain a physician’s order for sedatives

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

What nursing action is most appropriate if Mr. Puff is lying flat in bed with shallow respirations and cyanosis?

A. Change his nasal cannula to a Venturi mask B. Offer him water to increase his fluid intake C. Offer to walk him in the hall to increase his mobility D. Sit him up in bed with arms resting on pillows on the overbed table

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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