For the client with obstructive sleep apnea (OSA), the nurse should expect the following findings:

Decreased energy

Thyroid disease

Pneumonia

Hypotension

Answer and Explanation

The Correct Answer is A

Choice A reason: Decreased energy is a common symptom of OSA due to disrupted sleep patterns and the body's struggle to maintain adequate oxygen levels during apneic episodes. This can lead to excessive daytime sleepiness and fatigue.

Choice B reason: While thyroid disease can be associated with sleep disorders, it is not a direct finding of OSA. However, hypothyroidism can contribute to the development of OSA due to myxedematous changes leading to airway obstruction.

Choice C reason: Pneumonia is not a direct finding of OSA. However, individuals with OSA may be at increased risk for respiratory infections due to repeated episodes of upper airway collapse during sleep, which can lead to aspiration.

Choice D reason: Hypotension is generally not associated with OSA. In fact, OSA is more commonly linked with hypertension due to the sympathetic nervous system activation that occurs with each apneic episode.

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Correct Answer is A

Explanation

Choice A reason: This documentation is correct as it includes the pulse rate and the client's position when the measurement was taken, which can affect the reading.

Choice B reason: The temperature is documented with the correct unit of measurement, but it does not specify the method of measurement (oral, axillary, tympanic, etc.), which is important for accurate interpretation.

Choice C reason: Respirations should be observed, not auscultated, and the documentation should include the client's position. The term 'even' is unnecessary and could be confusing.

Choice D reason: The blood pressure reading is correctly documented with both systolic and diastolic values. However, it should also include the client's position and the arm in which the measurement was taken for clarity.

A. "I will wear gloves when measuring a client's blood pressure (BP)." B. "I will wear gloves whenever I am in contact with clients." C. "I will wear gloves to reduce the number of times I have to wash my hands." D. "I will wear gloves and a gown when bathing a client who has open skin lesions."

Correct Answer is D

Explanation

Choice A reason: Wearing gloves when measuring a client's blood pressure is not typically necessary unless there is a risk of exposure to bodily fluids or if the client has an infectious disease. The use of gloves is based on the type of contact and potential for exposure, not routine tasks like BP measurement.

Choice B reason: Wearing gloves for all client contact is not necessary and is not consistent with standard precautions. Gloves should be used when there is potential contact with blood, body fluids, secretions, excretions, contaminated items, or mucous membranes.

Choice C reason: Gloves are not a substitute for hand hygiene. The primary reason for wearing gloves is to provide a barrier against infection, not to reduce handwashing. Hand hygiene is still required before donning gloves and after removing them, regardless of whether the gloves are soiled or not.

Choice D reason: Wearing gloves and a gown when bathing a client with open skin lesions is correct because it protects both the healthcare worker and the client from the risk of infection. Open skin lesions can be a source of infection, and PPE is necessary to prevent the transmission of pathogens.

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For the client with obstructive sleep apnea (OSA), the nurse should expect the following findings:

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Naxlex Comprehensive Predictor Exams

For documenting vital signs, the following documentation made by the nurse indicates an understanding of the teaching:

Correct Answer is A

Explanation

A nurse is reinforcing teaching with an assistive personnel (AP) about using personal protective equipment (PPE) while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?

Correct Answer is D

Explanation

A nurse is assisting with the admission of a client who has meningococcal pneumonia. Which of the following isolation precautions should the nurse initiate?

A nurse is assisting with the admission of a client who has leukemia. Which of the following transmission precautions should the nurse implement?

A nurse is reinforcing teaching with a group of assistive personnel (AP) about hand hygiene. Which of the following statements by an AP should the nurse identify as an indication that the AP requires further teaching?

A nurse is changing the dressing on a client's wound. The nurse should recognize that which of the following findings is an indication of a wound infection?

A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

A nurse is preparing an in-service presentation about preventing healthcare-associated infections (HAIs). The nurse should include which of the following as a common cause of these infections?

A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator when caring for a client who has which of the following disorders?

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following items should the nurse wear?