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174. A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Rinse the catheter to remove secretions.

Don sterile gloves.

Apply suction while rotating the catheter.

Insert the catheter during the client's inspiration.

Turn on the suction and set the pressure.

Answer and Explanation

The Correct Answer is E, B, D,C,A

2. E. Turn on the suction and set the pressure.

1. B. Don sterile gloves.

3. D. Insert the catheter during the client's inspiration.

4. C. Apply suction while rotating the catheter.

5. A. Rinse the catheter to remove secretions.

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Correct Answer is A

Explanation

A. Correct. Informed consent means the client has the right to refuse treatment even after giving initial consent. The nurse should respect the client's autonomy and decision.

B. Incorrect. This statement does not respect the client's right to make decisions about her treatment.

C. Incorrect. While this statement might be true for some individuals, it does not address the client's current hesitation and does not respect her autonomy.

D. Incorrect. This statement does not address the client's expressed hesitation about the treatment.

A. Nonreactive pupils B. Smacking lips C. Serpentine limb movement D. Shuffling gait

Correct Answer is D

Explanation

A. Nonreactive pupils are not typically associated with pseudoparkinsonism.

B. Smacking lips is not typically associated with pseudoparkinsonism.

C. Serpentine limb movement is not typically associated with pseudoparkinsonism.

D. Correct. Pseudoparkinsonism is a side effect of antipsychotic medications like haloperidol. It is characterized by motor symptoms similar to Parkinson's disease, including a shuffling gait, rigidity, bradykinesia (slowed movement), and resting tremor.

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174. A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?

Correct Answer is A

Explanation

A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism?

Correct Answer is D

Explanation

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