A nurse working in an assisted living facility has been made aware that a chemical disaster has occurred within the community and is a threat to the facility. Which of the following actions should the nurse take? (select all that apply)

Turn off fans and heaters.

Evacuate the entire facility of all residents and staff.

Close the doors and windows of each resident’s apartment.

Be sure the fireplaces in each room are burning.

Place wet towels under the doors.

Answer and Explanation

Correct Answer : A,C,E

A.   Turning off fans and heaters can help prevent the circulation of potentially contaminated air.
B.   Evacuation may be necessary in extreme cases but should be done following established protocols and considering the safety of residents.
C.   Closing doors and windows helps minimize the entry of external air, reducing exposure to potential contaminants.
D.   Keeping fireplaces burning may increase the risk of indoor air pollution and is not a recommended action during a chemical disaster.
E.   Placing wet towels under doors can help create a barrier to limit the entry of external air and contaminants.

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Correct Answer is A

Explanation

A. Elevating the head of the client's bed to 45° during meals helps prevent aspiration by promoting proper swallowing and reducing the risk of food or liquids entering the airway.
B. Instructing the client to tilt their head back while swallowing is not recommended, as it may increase the risk of aspiration.
C. Turning on the television during meals is unrelated to reducing the risk of aspiration pneumonia.
D. Providing the client with oral hygiene is important for overall health but does not specifically address the risk of aspiration pneumonia.

Correct Answer is ["25"]

Explanation

To answer this question, you need to use the formula:

gtt/min = (Volume x Drop factor) / Time

Plug in the given values:

gtt/min = (100 mL x 15 gtt/mL) / 60 min

Simplify and solve:

gtt/min = 1500 gtt / 60 min gtt/min = 25 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 25 gtt/min.

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A nurse working in an assisted living facility has been made aware that a chemical disaster has occurred within the community and is a threat to the facility. Which of the following actions should the nurse take? (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client’s risk of aspiration pneumonia?

Correct Answer is A

Explanation

A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

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