A nurse is caring for a client with heart failure who is experiencing pulmonary edema. Which intervention should be prioritized?- Skildor

Question 1 of 5

A nurse is caring for a client with heart failure who is experiencing pulmonary edema. Which intervention should be prioritized?

A. Administer diuretics to reduce fluid overload. B. Position the client in high-Fowler's position. C. Administer oxygen therapy to improve oxygenation. D. Restrict fluid intake to prevent further fluid overload.

Correct Answer: C

Rationale: Oxygen therapy is prioritized to improve oxygenation in clients with pulmonary edema.

Question 2 of 5

In the ICU setting, a client transported from surgery following open heart bypass grafting will likely have his or her core temperature measured by:

A. oral thermometer. B. rectal thermometer. C. esophageal thermometer. D. temporal artery thermometer.

Correct Answer: C

Rationale: An esophageal thermometer is commonly used in ICU settings to accurately measure core body temperature, especially in post-surgical patients.

Question 3 of 5

What action is specific to hormonal contraceptives and should be taught to this woman?

A. The cervical mucus is made resistant to penetration by sperm. B. The release of follicle-stimulating hormone is increased to block fertility. C. The maturation of the endometrial lining is activated by the contraceptive. D. The pituitary gland increases the synthesis and release of luteinizing hormone.

Correct Answer: A

Rationale: The correct action specific to hormonal contraceptives that should be taught to the woman is that they alter cervical mucus to prevent sperm penetration. This mechanism helps in preventing pregnancy by reducing the chances of sperm reaching the egg. Choices B, C, and D are incorrect. Choice B is inaccurate as hormonal contraceptives work by inhibiting ovulation rather than increasing follicle-stimulating hormone release. Choice C is incorrect as hormonal contraceptives do not activate the maturation of the endometrial lining; instead, they modify it to prevent implantation. Choice D is also incorrect as hormonal contraceptives do not stimulate the pituitary gland to increase luteinizing hormone synthesis and release.

Question 4 of 5

A nursing student having trouble moving her head from side to side is likely experiencing a problem with which type of neurons?

A. General visceral efferent neurons B. Preganglionic neurons C. Parasympathetic postganglionic neurons D. Pharyngeal efferent neurons

Correct Answer: D

Rationale: Pharyngeal efferent neurons are involved in head movement, including side-to-side motions.

Question 5 of 5

A nurse is caring for a client with heart failure who is experiencing pulmonary edema. Which intervention should be prioritized?

A. Administer diuretics to reduce fluid overload. B. Position the client in high-Fowler's position. C. Administer oxygen therapy to improve oxygenation. D. Restrict fluid intake to prevent further fluid overload.

Correct Answer: C

Rationale: Oxygen therapy is prioritized to improve oxygenation in clients with pulmonary edema.

ATI Pathophysiology

Skildor

ATI RN

ATI RN

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