Answer to Question 1
ANS: C
Impaired swallowing can lead to aspiration, so the priority goal for this problem is no aspiration. Clear lung sounds is the best indicator that aspiration has not occurred. Choosing menu items is not related to this problem. Eating meals does not indicate the client is not still aspirating. A weight gain indicates improved nutrition but still does not show a lack of aspiration.
Answer to Question 2
ANS: C
This client may be experiencing a rebleed from the AVM. The most important action is to call the Rapid Response Team as this is an emergency. The nurse can assess vital signs while someone else notifies the Team, but getting immediate medical attention is the priority. Administering pain medication may not be warranted if the client must return to surgery. The optimal position for the client with an AVM has not been determined, but calling the Rapid Response Team takes priority over positioning.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern
Listening to Normal Speech or Its Prosodic Components Functional MRI scans were made while subjects
Greet a First-Time Client With a Firm Handshake.
Chemistry Problem Worked Out
Frequency Analysis of Letters Used in the English Language