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.)

Don sterile gloves.

Turn on the suction and set the pressure.

Insert the catheter during the client's inspiration.

Apply suction while rotating the catheter.

Rinse the catheter to remove secretions.

Answer and Explanation

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

B.   The nurse first prepares the equipment and ensures the suction pressure is set appropriately.
A.   Sterile gloves are then applied to maintain sterile technique during airway suctioning.
C.   The catheter should be inserted during the client’s inspiration to minimize discomfort and maximize
effectiveness.
D.   Suction should be applied while rotating the catheter to prevent tissue damage and to clear secretions effectively.
E.   After suctioning, the catheter should be rinsed to remove any remaining secretions.

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Correct Answer is D

Explanation

A. While furosemide helps reduce fluid overload, it does not directly decrease inflammation.
B. Furosemide does not specifically address pain; its primary purpose is to reduce fluid overload.
C. Furosemide should reduce blood pressure if fluid volume excess was contributing to the elevated blood pressure. If blood pressure increases, this would not be considered an effective response to the medication.
D. Weight loss is a common indicator of the effectiveness of diuretics like furosemide, as it helps to reduce the excess fluid volume in the body.

A. Naproxen sodium B. Aspirin C. Acetaminophen D. Ibuprofen

Correct Answer is C

Explanation

A. Naproxen sodium and ibuprofen are nonsteroidal anti-inflammatory drugs (NSAIDs), which increase the risk of bleeding when taken with enoxaparin.
B. Aspirin also increases the risk of bleeding and should be avoided with enoxaparin.
C. Acetaminophen is an analgesic and does not have anticoagulant properties, making it a safer option to use with enoxaparin for pain relief.
D. Ibuprofen is an NSAID, and like other NSAIDs, it increases the risk of bleeding and should be avoided.

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not. I found the title to the car today, signed over to me."
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

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.)

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Naxlex Comprehensive Predictor Exams

A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?

Correct Answer is C

Explanation

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