1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action?: Observe the color, consistency, and amount of sputum 2. A client is brought to the ED by ambulance in cardiac arrest with car- diopulmonary resuscitation (CPR) in progress.The client is intubated and is receiving 100% oxygen per self-inflating (ambu) bag.The nurse determines that the client is cyanotic, cold, and diaphoretic. Which assessment is most important for the nurse to obtain?: Breath sounds over bilateral lung fields. 3. After a hospitalization for Syndrome of Inappropriate Antidiuretic Hor- mone (SIADH), a client develops pontine myelinolysis. Which intervention should the nurse implement first?: Reorient client to his room 4. A male client with heart failure (HF) calls the clinic and reports that he can- not put his shoes on because they are too tight.Which additional information should the nurse obtain?: Has his weight changed in the last several days? 5. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough with thickened tenacious mucous, and the inability to walk up a flight of stairs without experiencing breath- lessness. Which action is most important for the nurse to instruct the client about self-care?: Increase the daily intake of oral fluids to liquefy secretions
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