Nclex Sata Study Guide Questions And Correct Answers

27. The nurse is caring for a client with emphysema. Which nursing interventions are appropriate? Select all that apply: Nclex SATA 1. Reduce fluid intake to less than 2,500 ml/day. 2. Teach diaphragmatic, pursed-lip breathing. 3. Administer low-flow oxygen. 4. Keep the client in a supine position as much as possible. 5. Encourage alternating activity with rest periods. 6. Teach use of postural drainage and chest physiotherapy. {Ans: 2, 3, 5, 6}34. While providing care to a 26-year-old married female, the nurse notes multiple ecchymotic areas on her arms and trunk. The color of the ecchymotic areas ranges from blue to purple to yellow. When asked by the nurse how she got these bruises, the client responds, "Oh, I tripped." How should the nurse respond? Select all that apply: Nclex SATA 1. Document the client's statement and complete a body map indicating the size, color, shape, location, and type of injuries. 2. Report suspicions of abuse to the local authorities. 3. Assist the client in developing a safety plan for times of increased violence. 4. Call the client's husband to discuss the situation. 5. Tell the client that she needs to leave the abusive situation as soon as possible.