When determining hearing acuity, if the client reports first perceiving sound at ___ dB, then his or her hearing is normal.

Correct Answer: A

Rationale: Normal hearing acuity is typically defined as perceiving sound at 0-25 dB. Therefore, 4 dB would be within the range of normal hearing.

Correct Answer: B

Rationale: The correct answer is B because it provides relevant information regarding the client's allergies to morphine and codeine, which is crucial for the physician to know when considering alternative pain medication options. This aligns with the "Background" component of the SBAR format, which includes pertinent patient history. Choice A is incorrect because it jumps to a solution without providing necessary background information. Choice C is irrelevant to the current situation as it does not address the client's pain management issue. Choice D is also incorrect as it only provides historical information about the type of hysterectomy performed, which is not directly related to the client's current pain management concern.

Correct Answer: A

Rationale: The correct answer is A because assessing for cultural influences affecting healthcare aligns with client-centered care by recognizing the individual's unique beliefs and values. This action promotes respect, understanding, and tailored care. Choice B might address physical needs but not necessarily emotional or cultural aspects. Choice C focuses on information sharing rather than understanding the client's perspective. Choice D, while important, does not directly address individualized care based on cultural factors.

Correct Answer: A

Rationale: The correct answer is A because pooled secretions can obstruct airways, leading to hypoxia.

Correct Answer: B

Rationale: The correct action is to check the client's blood pressure first. A sudden onset of pounding headache and blurred vision in a client with a spinal cord injury at T6 can indicate autonomic dysreflexia. Checking the blood pressure is crucial as autonomic dysreflexia can lead to severe hypertension, which can result in life-threatening complications such as stroke or seizure. Immediate assessment and intervention are necessary to prevent further harm. Administering pain medication without addressing the underlying cause can exacerbate hypertension. Placing the client in a supine position can worsen symptoms, and increasing fluid intake does not address the immediate issue at hand. Therefore, checking the blood pressure is the priority to identify and manage autonomic dysreflexia effectively.

Correct Answer: C

Rationale: Fluoroquinolones like levofloxacin are effective against a broad spectrum of pathogens and are often used to treat postoperative pneumonia, especially in cases without MRSA concerns.

Correct Answer: B

Rationale: The correct answer is B: Short-acting beta agonist. During an acute asthma attack, the priority is to quickly relieve bronchoconstriction and improve airflow. Short-acting beta agonists like albuterol are the first-line medications for acute asthma exacerbations as they act rapidly to relax smooth muscles in the airways, providing immediate relief of symptoms. Oral corticosteroids (A) are important for long-term management but do not provide immediate relief. Leukotriene receptor antagonists (C) and long-acting beta agonists (D) are not appropriate for acute asthma attacks as they have slower onset of action and are used for maintenance therapy.

Correct Answer: D

Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.

Correct Answer: B

Rationale: Open abdominal surgeries increase the risk of paralytic ileus.