CORRECT ANSWERS GRADED A+ RASMUSSEN
What complication is most likely for a client using phenylephrine nasal spray daily
for 10 days?
Rebound congestion.
What interventions are appropriate for managing obstructive sleep apnea?
Weight loss, smoking cessation, avoid alcohol before sleep, use CPAP as
prescribed.
What is the most likely cause of lung abscess in a client with a history of alcohol
intoxication who develops fever and foul-smelling sputum?
Aspiration.
What intervention is most appropriate for chronic venous insufficiency?
Elevate the legs.
What findings are consistent with deep vein thrombosis (DVT)?
Unilateral leg swelling, redness, warmth, pain in the affected limb.
,How is tuberculosis (TB) definitively confirmed?
Sputum culture.
What teaching should be provided to a client taking tuberculosis medications?
Complete the full course of therapy, avoid smoking, avoid alcohol.
What action ensures an adequate sputum specimen collection?
Obtain the specimen early in the morning after rinsing with water and instruct the
client to cough deeply.
Which medication should be administered first for a client experiencing an asthma
exacerbation?
Albuterol.
What nursing interventions are appropriate for a client with an active nosebleed?
Sit upright, lean forward, pinch the soft portion of the nose for 10-15 minutes.
What should the nurse suspect if clear drainage is noted from the nostril of a client
with facial trauma?
Cerebrospinal fluid leakage.
, What is the most serious complication of deep vein thrombosis?
Pulmonary embolism.
Which dietary plan is appropriate for a client with cystic fibrosis?
High-calorie diet, high-protein diet, high-fat diet, pancreatic enzyme
supplementation.
What instruction is correct for a client prescribed albuterol and beclomethasone
inhalers?
Use albuterol first.
What finding indicates that CPAP therapy for obstructive sleep apnea is effective?
Improved sleep quality and feeling rested during the day.
What breath sound is most indicative of laryngeal obstruction?
Inspiratory stridor.
What interventions should the nurse implement for a client with pneumonia
presenting with fever and productive cough?