In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an:

decreased carbon dioxide level.

increased oxygen level.

increased carbon dioxide level.

decreased oxygen level.

Answer and Explanation

The Correct Answer is C

Choice A rationale: The normal stimulus to breathe is an increased carbon dioxide level, which stimulates the respiratory center in the brain.

Choice B rationale: Increased oxygen levels do not serve as the primary stimulus for breathing. The respiratory center is primarily responsive to carbon dioxide levels.

Choice C rationale: Increased carbon dioxide level is the correct stimulus for normal breathing.

Choice D rationale: Decreased oxygen level is not the primary stimulus for normal breathing.

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Correct Answer is B

Explanation

Choice A rationale: Promotion of oxygenation by enhancing air circulation around the wound is not the primary treatment for a "yellow" wound.

Choice B rationale: Removal of nonviable tissue followed by a moist wound dressing is the expected treatment for a wound with yellow color, indicating the presence of slough (nonviable tissue).

Choice C rationale: Use of barrier cream and a foam dressing may be indicated for other types of wounds but may not address the specific issue of nonviable tissue in a "yellow" wound.

Choice D rationale: No treatment is necessary is not appropriate for a wound with evidence of nonviable tissue.

A. Place the client in reverse Trendelenburg position B. Administer IV antibiotics STAT C. Use sterile gloves to replace the protruding parts D. Apply a sterile normal saline dressing

Correct Answer is D

Explanation

Choice A rationale: Placing the client in reverse Trendelenburg position is not the first priority; protecting the wound is more critical.

Choice B rationale: Administering IV antibiotics STAT is not the first priority in the presence of evisceration.

Choice C rationale: Using sterile gloves to replace the protruding parts is not the first intervention; covering the wound takes precedence.

Choice D rationale: Applying a sterile normal saline dressing is the first priority to cover and protect the exposed abdominal contents.

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In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On admission to the hospital, the nurse notes that the client has a sacral wound that is "yellow" in color. What wound treatment would the nurse expect the health care provider to order?

Correct Answer is B

Explanation

The nurse enters a client's room to find that his abdominal wound has eviscerated. Which intervention should the nurse implement first?

Correct Answer is D

Explanation

An adult client is to receive ear drops four times a day to treat an inner ear infection. What is the correct nursing procedure to follow when administering this type of medication?

The nurse misreads the medication Kardex and administers twice the amount of antihypertensive medication that was ordered for the client. When she realizes the mistake, her first action should be to:

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to: (SELECT ALL THAT APPLY)

A group that has transformed itself from a collection of individuals into a productive, problem-solving highly functioning team would be functioning in which stage of group development?

The nurse is aware that a common cause of under delegation in client care is:

The nurse knows that which form of medication delivery results in the most predictable onset and most bioavailability to the client?

The nurse recognizes that the most appropriate reason to suction a client is that:

A client is admitted to the hospital with a diagnosis of R/O appendicitis. Which abbreviation would describe the location of a client's appendix?