Exchange of gases takes place in which of the following organ?
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Solution
Option B: Gas exchange is the transport of oxygen from the lungs to the bloodstream and the expulsion of carbon dioxide from the bloodstream to the lungs. It transpires in the lungs between the alveoli and a network of tiny blood vessels called capillaries, which are located in the walls of the alveoli.
It is best describe as a systematic, rational method of planning and providing nursing care for individual, families, group and community
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Solution
Option B: The statement describes the Nursing Process. The Nursing Process is the essential core of practice for the registered nurse to deliver holistic, patient-focused care.
A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client’s vital sign hereafter. What phrase of nursing process is being implemented here by the nurse?
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Solution
Option A: Assessment is the first phase of the nursing process where a nurse collects information about the client.
Option B: Diagnosis is the formulation of the nursing diagnosis from the information collected during the assessment.
Option C: In Planning, the nurse sets achievable and measurable short and long-term goals.
Option D: Implementation is where nursing care is given.
A client is hospitalized for the first time, which of the following actions ensure the safety of the client?
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Solution
Option C: Keeping the side rails up at all time ensures the safety of the client.
Options A, B, and D: Although these choices seem correct, they are not the best answer.
A client who is unconscious needs frequent mouth care. When performing a mouth care, the best position of a client is:
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Solution
Option B: An unconscious client is best placed on his side when doing oral care to prevent aspiration.
A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client’s body temperature?
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Solution
Option B: Taking the temperature via the axilla is the most appropriate route.
Option A: Taking the temperature via the oral route is incorrect since the client had oral surgery.
Options C and D: These are unnecessary.
Which of the following actions should the nurse take to use a wide base support when assisting a client to get up in a chair?
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Solution
Option B: This is the proper way of supporting the client to get up in a chair that conforms to safety and proper body mechanics.
A nurse obtained a client’s pulse and found the rate to be above normal. The nurse document these findings as:
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Solution
Option D: Tachycardia means rapid heart rate.
Option A: Tachypnea refers to rapid respiratory rate.
Option B: Hyperpyrexia means increase in temperature.
Option C: Arrhythmia means irregular heart rate.
The nurse is preparing to take vital sign in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client’s temperature?
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Solution
Option B: Axilla is the most accessible body part in this situation.
Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?
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Solution
Option D: Doing oral care requires the nurse to wear gloves.