Question

A common charae D. Idiopathic epilepsy is a form of mental illness 33. A client has been hospitalized after an automobile accident. A ful leg cast applied while inside the emergency room. The most important reason for the nurse to elevate the casted leg is to: Reduce the drying time Decrease irritation to the skin C Improve venous return D. Promote the client's comfort A. B. 34. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? Clean the meatus, begin vomiting, and then catch the urine stream A Void a little, clean the meatus, then collect specimen c. Clean the meatus, then urinate into container D. Void continuously and catch some of the urine. 35 The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing the client? Apical pulse rate of 110 and 4+ pitting edema of feet Thick white sputum and crackles that clear with cough The client sleeping with no pillow and eupnea D. A. C. Radial pulse rate of 90 and capillary refill time less than 3 seconds 36. The nurse is assessing the client with congestive heart failure, Which signs and symptoms would indicate that the medical treatment has been effective? The client's peripheral pitting edema has globe from 3+ to 4+ A. The client is able to take the radial pulse accurately B. The client is able to perform activities of daily living without dyspnea C D. The client has minimal jugular vein distention 37. The nurse is developing a nursing care plan for a client diagnosed with congestive heart failure. A nursing diagnosis of "decreased cardiac output related to inability of the heart to pimp effectively" is written. Which short-term goal would be best for the client? The client will: A. Be able to ambulate in the hall by date of discharge Have an audible S1 and $2 with no S3 heard be end of shift B. Turn, cough, and deep breather every two (2) hours C. Have a pulse oximeter reading of 98% by say two (2) of care D. 38. The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heart failure. Which intervention should be included in the plan? Select all that apply.

Answer 1

D idiopathic 33. A client has been hospitalired after an automobile accident. A full les cast applied while Insider emergency room. The most important reason for the nurse to elevate the casted legis to: Elevating the leg increase the venous return, A Reduce the drying time B. Decrease irritation to the skin and prevent swelling. improve venous return O Promote the client's comfort 34. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? voiding A Clean the meatus, begin vomiting, and then catch the urine stream Void a little clean the meatus, then collect specimen C. Clean the meatus, then urinate into container D. Void continuously and catch some of the urine. with acute exacerbation of congestive heart The step-by-step process of collecting a midstream urine specimen is given below: 1. Clean the genitalia - Use a sterile soap in case of women, and use a towelettes with benzalkonium and alcohol for men. The strong bacterial agents such as povidone-iodine (Betadine) or hexachlorophene must not be used. 2. Collect the sample - Have the patient to collect the sample without stopping the flow, and fill the container with the urine stream. The inside of the container must not be completed. 3. Finish the collection - Cap the container without touching the lid. Add preservative or store the sample at an appropriate temperature as needed. Label the specimen with all the details (details of the patient, time, and date)