HOOKLI roo 67 A mate nurve in the eyerating room memors 4" year graduating nurves and teaches the students about different anes in the operation room.He about the area where monte procedures are camed out and masks are requires to supplement surpricat attire What is the mont likely zone in the operation room the nurse explained about" (A) Semi-restricted Area (ii) Unrestricted Area (D) Sterile area 66. A 19-yearold female client was brought to an care unit after exposure to cyanide interventions containing by-product the nurse initiated emergency mursing assessment to do possible What is the most likely common clinical manifestation the nurse may get from this patient? (A) High blood pressure and cyanotic (B) Tachycardia and tachypnea (C) Bradypnea and bradycardic (D) Cyanosis and dizziness 69. A 57-year-old woman was presented to surgical emergency unit with diagnosis of multiple rihs fracture. Assessment findings showed paradoxical chest-wall movement with inspiration and expiration. What is the priority nursing intervention next to immobilization? (A) Administering anti pain (B) Monitor signs of respiratory infection (C) Instructing the lie on the affected side (D) Instructing the patient to take deep breaths 70. A 68-year-old man with a history of bronchiectasis is admitted for newly diagnosed heart failure. He reports that he is able to breathe easily only in sitting position. The attending physician ordered ches physiotherapy and postural drainage. What is the priority nursing diagnosis for this patient? (A) Anxiety (B) Activity intolerance (C) Ineffective airway clearance (D) Impaired physical comfort 71. A 25-year-old female patient was admitted to orthopedic inpatient unit with diagnosis of dislocation at the left lower extremity. The surgeon performed immobilization and reduction to stabilize the patient and handover to the nurse for follow up. What is the most likely instruction the nurse should notify the patient? (A) Do not flex the hip (B) Reduce range of motion (C) Reporting abnormal sensation (D) Keep the knees apart at all times IER/AAI

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HOOKLI roo 67 A mate nurve in the eyerating room memors 4" year graduating nurves and teaches the students about different anes in the operation room.He about the area where monte procedures are camed out and masks are requires to supplement surpricat attire What is the mont likely zone in the operation room the nurse explained about" (A) Semi-restricted Area (ii) Unrestricted Area (D) Sterile area 66. A 19-yearold female client was brought to an care unit after exposure to cyanide interventions containing by-product the nurse initiated emergency mursing assessment to do possible What is the most likely common clinical manifestation the nurse may get from this patient? (A) High blood pressure and cyanotic (B) Tachycardia and tachypnea (C) Bradypnea and bradycardic (D) Cyanosis and dizziness 69. A 57-year-old woman was presented to surgical emergency unit with diagnosis of multiple rihs fracture. Assessment findings showed paradoxical chest-wall movement with inspiration and expiration. What is the priority nursing intervention next to immobilization? (A) Administering anti pain (B) Monitor signs of respiratory infection (C) Instructing the lie on the affected side (D) Instructing the patient to take deep breaths 70. A 68-year-old man with a history of bronchiectasis is admitted for newly diagnosed heart failure. He reports that he is able to breathe easily only in sitting position. The attending physician ordered ches physiotherapy and postural drainage. What is the priority nursing diagnosis for this patient? (A) Anxiety (B) Activity intolerance (C) Ineffective airway clearance (D) Impaired physical comfort 71. A 25-year-old female patient was admitted to orthopedic inpatient unit with diagnosis of dislocation at the left lower extremity. The surgeon performed immobilization and reduction to stabilize the patient and handover to the nurse for follow up. What is the most likely instruction the nurse should notify the patient? (A) Do not flex the hip (B) Reduce range of motion (C) Reporting abnormal sensation (D) Keep the knees apart at all times IER/AAI

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0? (D) Sterile area68. (B) Tachycardia and tachypnea69. (D) Instructing the patient to take deep breaths70. (C) Ineffective airway clearance71. (A) Do not flex the hip

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