A hospice nurse is caring for a client who is near the end of life and has noisy breathing. Which of the following actions should the nurse take?
Use oropharyngeal suctioning PRN.
Turn the client every 2 hours.
Administer an antiemetic.
Insert an indwelling urinary catheter.
The Correct Answer is B
Choice A reason: Oropharyngeal suctioning may be necessary if secretions are causing distress, but it can also be uncomfortable and should be used cautiously.
Choice B reason: Turning the client can help manage noisy breathing by allowing secretions to drain and is a non- invasive comfort measure.
Choice C reason: Antiemetics are used to manage nausea and vomiting, not noisy breathing.
Choice D reason: An indwelling urinary catheter may be considered for comfort if the client cannot use the bathroom, but it does not address noisy breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Offering health screenings at a community center is a necessary intervention as it provides accessible healthcare services to migrants who may face barriers to healthcare access.
Choice B reason: Providing health services at work sites can be beneficial, but it is not the only necessary intervention for migrant populations.
Choice C reason: Requiring clients to show a work visa before they receive care can create barriers to accessing healthcare and is not a recommended practice.
Choice D reason: Treating clients on a fee-for-service basis may not be feasible for all migrants, especially those with financial constraints, and does not address the need for accessible healthcare services.
Correct Answer is C
Explanation
The correct answer is choice c. Seal non-washable items in plastic bags for 14 days.
Choice A rationale:
Applying permethrin 1% cream rinse daily for 5 days is not recommended. Permethrin should be applied once and then repeated after 7-10 days to kill any newly hatched lice.
Choice B rationale:
Soaking combs in boiling water for 3 minutes is effective, but it is not necessary to do this every day. Boiling water can help kill lice and nits on combs and brushes.
Choice C rationale:
Sealing non-washable items in plastic bags for 14 days is recommended because lice cannot survive without a human host for more than 48 hours. This ensures that any lice or nits on these items will die.
Choice D rationale:
Drying bed linens in a hot dryer for 15 minutes is effective in killing lice and nits. However, it is not the primary instruction for managing non-washable items.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.