A client returns to the unit after having a bronchoscopy. The client states "my throat is so dry. Can I have a glass of water?". How will the nurse respond?
"I will give you some ice chips instead of a drink of water".
"I have to assess your gag reflex before giving you any food or water".
"I will call the primary health care provider and request an order for food and water".
"Let's try having a small sip of water to see if you can swallow".
The Correct Answer is B
A. Offering ice chips, might seem like a safe alternative, but it still poses a risk if the gag reflex is not intact.
B. Assessing the gag reflex is crucial before offering food or fluids to ensure the client can protect their airway and swallow safely. This response prioritizes safety and is appropriate to ensure the client does not aspirate.
C. Calling the healthcare provider to request orders for food and water may be necessary if there are specific protocols or if the client's condition requires further assessment or interventions before oral intake can be resumed. However, this response does not address the immediate need for comfort and hydration.
D. This response involves assessing the client's ability to swallow directly. While it addresses the client's request for water, it may not be the safest initial approach without first assessing the client's readiness and ability to swallow safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["28"]
Explanation
(Volume in mL * Drop Factor) / Time in minutes.
Volume is 1,000 mL, the drop factor is 10 gtt/mL, and the time is 6 hours.
First, convert the hours into minutes (6 hours * 60 minutes/hour = 360 minutes). Then, multiply the volume by the drop factor (1,000 mL * 10 gtt/mL = 10,000 gtt).
Finally, divide this number by the total time in minutes (10,000 gtt / 360 minutes ≈ 27.78
gtt/min).
Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 28 gtt/min.
Correct Answer is ["167"]
Explanation
1 kilogram is equivalent to 2.2 pounds.
The client weighs 245 lbs, which is approximately 111.36 kg (245 lbs / 2.2). The prescribed dosage is 1.5 mg per kilogram.
Therefore, the dosage per dose would be 1.5 mg/kg * 111.36 kg, which equals 167.04 mg. Rounded to the nearest whole number, the nurse should administer 167 mg per dose.
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