a nurse is preparing to admit a client to the pacu who received a competitive neuromuscular blocking agent which of the following items should the nur a nurse is preparing to admit a client to the pacu who received a competitive neuromuscular blocking agent which of the following items should the nur
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Nursing Elites

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Adult Medical Surgical ATI

1. A healthcare provider is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the provider place at the client’s bedside?

Correct answer: Bag valve mask device

Rationale: When a client receives a competitive neuromuscular blocking agent, it can lead to respiratory muscle paralysis. Placing a bag valve mask device at the client's bedside is crucial for providing immediate respiratory support in case of respiratory depression or failure. This device allows manual ventilation by squeezing the bag to deliver breaths to the client. The other options, such as a defibrillator machine, chest tube equipment, and central venous catheter tray, are not directly related to managing respiratory complications associated with neuromuscular blockade.

2. A patient with heart failure needs education on fluid restrictions. What is the most important information to provide?

Correct answer: B

Rationale: The most important information to provide to a patient with heart failure regarding fluid restrictions is to provide them with a fluid restriction plan. This plan helps the patient manage their fluid intake effectively, which is crucial in preventing complications associated with heart failure. Monitoring weight daily can be a part of the plan but is not the most important. Instructing the patient to avoid salty foods is beneficial but not as crucial as having a structured fluid restriction plan. Encouraging the patient to increase fluid intake would be counterproductive and potentially harmful in a patient with heart failure.

3. A client with viral hepatitis states, 'I am so yellow.' The nurse most appropriately would

Correct answer: A

Rationale: To assist the client in adapting to changes in appearance, the nurse must encourage participation in self-care to foster independence and self-esteem. The nurse should encourage the client to ask questions to clarify misconceptions, learn ways to prevent the spread of hepatitis to reduce fear, and make appropriate decisions. Restricting visitors will reinforce the client’s negative self-esteem.

4. The child might see an orange and say 'apple' because both objects are round. This is known as ____?

Correct answer: B

Rationale: The correct answer is B: Assimilation. Assimilation occurs when a child applies an existing schema (like 'apple' for round objects) to new objects. In this scenario, the child sees the round orange and calls it an 'apple' because they are both round. Choice A, Accommodation, involves modifying an existing schema to fit a new object or situation, which is not the case in the given scenario. Choices C and D are unrelated to the concept being tested in this question.

5. A client is being taught about which foods to include in a low fiber diet. Which statement indicates understanding?

Correct answer: C

Rationale: The correct answer is C because white rice is a low-fiber food suitable for a low-fiber diet, making it an appropriate choice. Choices A, B, and D are incorrect because fresh pear, refried beans, and bran cereal are high-fiber foods and not suitable for a low-fiber diet.

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