Exhibits
The nurse is preparing to set up the oxygen administration and apply the simple face mask. Which should the nurse do before applying the face mask? Select that apply.
Perform hand hygiene
Brush the client's teeth
Check the skin around the face
Identify the client using 2 client identifiers
Assess respiratory function
Don gloves
Determine if the client needs to go to the bathroom
Correct Answer : A,C,D,E
A. Performing hand hygiene is crucial to prevent the spread of infection before any patient interaction or procedure.
B. Brushing the client’s teeth is not necessary before applying an oxygen mask and does not pertain to immediate care.
C. Checking the skin around the face is important to ensure there are no irritations or breakdowns that could affect the mask's fit and the patient's comfort.
D. Identifying the client using 2 identifiers is a critical safety step to ensure the correct patient receives the intended care.
E. Assessing respiratory function is important to determine the severity of the client’s condition and the appropriate oxygen delivery method.
F. Donning gloves is not required for applying a simple face mask unless there is potential for contact with blood or bodily fluids.
G. Determining if the client needs to go to the bathroom is not directly related to applying the face mask and should be assessed but is not critical before mask application.
 
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lactulose typically increases the frequency of liquid stools as it helps to draw water into the intestines to facilitate bowel movements. 
B. The primary therapeutic goal of lactulose in hepatic encephalopathy is to reduce ammonia levels in the blood, which should result in improved mental status and cognitive function. 
C. While lactulose can affect fluid balance, an increase in urine output is not a direct therapeutic response associated with its use. 
D. Although improvement in ambulation may occur as the client's mental status improves, it is not the primary expected outcome of lactulose treatment.
Correct Answer is A
Explanation
A. The symptoms of persistent upper abdominal pain radiating to the back, elevated serum amylase and lipase levels, vomiting, and fever suggest acute pancreatitis, which can occur after cholecystectomy due to potential injury to the pancreas or bile duct obstruction. 
B. While biliary duct obstruction can occur postoperatively, the significantly elevated amylase and lipase levels, along with the described symptoms, more strongly indicate pancreatitis. 
C. Surgical site infection typically presents with localized symptoms rather than systemic symptoms like elevated amylase and lipase. 
D. Hepatorenal failure is unlikely to present with these specific gastrointestinal symptoms and enzyme elevations.
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