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Adult Health II Respiratory NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse notes that the sterile, occlusive dressing on the central catheter insertion site of a client receiving total parenteral nutrition (TPN) is moist. The client is breathing easily with no abnormal breath sounds. The nurse should do the following in order of what priority from first to last?

Order the Items

Source Container

Change dressing per institutional policy.
Culture drainage at insertion site.
Notify physician.
Position rolled towel under client's back, parallel to the spine.

Correct Answer: C,B,A,D

Rationale: The priority is to notify the physician (
C) due to potential infection indicated by a moist dressing, followed by culturing drainage (
B) to identify the organism, changing the dressing (
A) to maintain sterility, and positioning a towel (
D), which is unrelated to the immediate issue. CN: Pharmacological and parenteral therapies; CL: Synthesize

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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