A nurse is collecting data from a client who uses a continuous positive airway pressure (CPAP) machine at night for sleep apnea. The nurse should identify which of the following findings as an indication of proper CPAP use?
There is one finger width between the strap on the mask and the client's face.
The therapeutic dose of albuterol is being inhaled.
The mask fits loosely so air can escape from underneath.
The mask is secured over the client's mouth and the client's nose is uncovered.
The Correct Answer is A
A. There is one finger width between the strap on the mask and the client's face is correct. A properly fitted CPAP mask should have a snug fit, with a space of about one finger width between the strap and the face to ensure adequate seal and comfort. A mask that is too tight can cause discomfort, while a loose mask may not provide the necessary pressure to treat sleep apnea.
B. The therapeutic dose of albuterol is being inhaled is incorrect. Albuterol is used for bronchodilation in conditions like asthma, but it is not related to CPAP use. CPAP is designed to provide positive pressure to keep the airways open, not to treat asthma or other respiratory issues directly.
C. The mask fits loosely so air can escape from underneath is incorrect. A loose fit would lead to air leakage, reducing the effectiveness of the CPAP therapy. The mask should fit securely to ensure the proper amount of air pressure is delivered during sleep.
D. The mask is secured over the client's mouth and the client's nose is uncovered is incorrect. For effective CPAP therapy, the mask should cover both the nose and mouth, unless the client specifically uses a nasal CPAP mask designed to deliver pressure only through the nose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Provide informational updates to members of the media" is incorrect. This task typically falls under the responsibility of the hospital’s public relations or communications team. Nurses do not usually handle media updates in the context of mass casualty events.
B. "Assist in discharging stable clients to home" is correct. During a mass casualty event, it is important to make room for incoming patients. Discharging stable patients helps free up beds and resources for those who need immediate care.
C. "Delegate tasks to emergency health care specialists" is incorrect. While nurses may delegate some tasks, the nurse’s primary responsibility in this scenario would be managing care within the medical-surgical unit, not directing emergency health care specialists.
D. "Determine the acuity and number of casualties arriving at the facility" is incorrect. This task is generally managed by triage teams or emergency management staff who assess incoming patients at the point of injury or arrival at the facility.
Correct Answer is A
Explanation
A. Initiates speech rarely: This is a negative symptom of schizophrenia, where the individual may exhibit a lack of motivation or interest in social interaction, leading to reduced speech or verbal communication. Negative symptoms refer to the absence or decrease of normal functioning or behaviors, such as lack of speech, emotional expression, or motivation.
B. Has a preoccupation with religious thoughts: This is more of a positive symptom, potentially indicating delusions or hallucinations. Positive symptoms involve the presence of abnormal thoughts or behaviors.
C. Mimics the nurse's movements: This behavior, called echopraxia, is a positive symptom of schizophrenia, which involves involuntary imitation of another person's movements.
D. Smells odors that don't exist: This is a hallucination, which is a positive symptom of schizophrenia. Hallucinations are sensory perceptions without external stimuli, such as hearing voices or smelling things that aren’t there.
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