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A client with pneumonia is admitted to the medical/surgical floor. Which activity is most important for the nurse to include in the plan of care?

Administer oxygen as ordered

Allow client to choose when to eat meals

Do not allow family to visit

Ensure client gets at least 8 hours of sleep

Place client farther from the nurse's station

Answer and Explanation

The Correct Answer is A

A. Administering oxygen is crucial for clients with pneumonia, as it helps ensure adequate oxygenation, especially if respiratory function is compromised.

B. Allowing the client to choose when to eat does not directly impact the treatment of pneumonia.

C. Restricting family visits is generally not necessary unless infection control policies require it.

D. While rest is important, it is not as critical as maintaining oxygenation.

E. The location of the client in relation to the nurse’s station does not directly affect pneumonia treatment.

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A. question the patient about shortness of breath B. palpate the chest and back for masses C. inspect the skin and nails for integrity and color D. Ask the patient about color and quantity of sputum E. auscultate for lung sounds anteriorly and posteriorly

Correct Answer is ["A","D"]

Explanation

A. Asking about shortness of breath is critical subjective data that indicates respiratory distress.

B. Palpating for masses is more of a physical assessment and does not yield subjective data.

C. Inspecting skin and nails is also part of the objective assessment rather than subjective data.

D. Inquiring about the color and quantity of sputum provides important subjective data related to respiratory function.

E. Auscultation is an objective assessment technique and does not pertain to subjective data.

A. A client demonstrates how to inject insulin into the abdomen B. A client attends a course on exercise techniques C. A client watches the nurse apply a dressing D. A client lists food choices that are considered part of a healthy diet E. A client nods when told how to take the blood pressure medication

Correct Answer is ["A","D"]

Explanation

A. Demonstrating an insulin injection shows hands-on learning and mastery of the skill.

B. Attending a course does not confirm comprehension or skill.

C. Watching a nurse apply a dressing does not guarantee learning; active participation is necessary.

D. Listing healthy food choices indicates understanding of dietary education.

E. Nodding does not confirm learning; it may only indicate acknowledgment.

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A client with pneumonia is admitted to the medical/surgical floor. Which activity is most important for the nurse to include in the plan of care?

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Correct Answer is ["A","D"]

Explanation

Correct Answer is ["A","D"]

Explanation

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Take full exam for free A client with pneumonia is admitted to the medical/surgical floor. Which activity is most important for the nurse to include in the plan of care?

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What subjective data should the nurse obtain about a client's respiratory status? Select all that apply.

Correct Answer is ["A","D"]

Explanation

Which of the following scenarios gives the most absolute confirmation client learning has taken place? Select all that apply.

Correct Answer is ["A","D"]

Explanation

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A client with pneumonia is admitted to the medical/surgical floor. Which activity is most important for the nurse to include in the plan of care?