Question

Your client has been getting total narenteral nutrition for bowel rest for the last four days. uring your assessment of the client today, our client tells you that their chest hurts". You assess that the client is also experiencine dvsnea. What is most likely occurring with this client? A. Your client may be experiencing a fluid overload. B. Your client may be experiencing an embolus. C. Your client may be hyperglycemie. D. Your client may have an inadvertent pneumothorax. 13. The doctor orders a midstream urine specimen for your client who is an alert, oriented and ambulatory female client. What element should you include in your instructions to this client on the proper manner to collect this specimen? A. The need to cleanse the perineal area with circular wipes. B. The need to cleanse the perineal area from the "dirtiest to the "cleanest". C. The need to use a new antiseptic wipe for each wipe from the inner to the outer labia. D. The need to use a new antiseptie wipe for each wipe from the outer to the inner labia 14. Select the client who is at greatest risk for impaired vascular perfusion. A. A 76 year old female client who has a history of alcohol abuse. B. A 76 year old female client who has a history of radon gas exposure. C. A 64 year old male client who has a history of cigarette smoking. D. A 64 year old male client who has hypotension. 15. Select the client who is at greatest risk for the development of cancer. A. A 76 year old female client who has a history of alcohol abuse. B. A 76 year old female client who has a history of diabetes. C. A 64 year old male client who has a history of impaired oxygen transport. D. A 64 year old male client who has hypotension. 16. Which is an intrinsic risk factor that places the client at risk for pressure ulcers? A. Pressure B. Shearing C. Impaired tissue perfusion D. Friction 17. Which neurological complication can occur when a vest restraint is too tight around the client's body? A. Strangulation B. Skin breakdown

Answer 1

12)The patient has probably developed embolus,which is more likely considering the fact that he is on total parenteral nutrition for 4 days.

13)C.It should be cleaned from cleanest to dirtiest otherwise the cleanest area will get dirty.

14) C.Cigarettes increases the risk of vascular insufficiency.

15) A.Alcohol amd age increase the risk of cancer .

16) Impaired tissue perfusion is an intrinsic factors,others are extrinsic factors