Patient Data

Exhibits

The nurse is precepting a new graduate nurse and explains the placement of a face mask on the client.

Mark whether the statements by the new graduate nurse indicates understanding or no understanding of the use of the face mask in the care of this client. Each row must have one option selected.

"The mask should cover only the mouth and leave the nose open for expiration."

"I can adjust the oxygen level on the flowmeter to keep the client's oxygen saturation greater than 94%."

"I should put gauze under the elastic straps over the ears."

"The client should take a 1 to 2-minute break from the Face mask each hour.”

"I should clean the face mask once per shift."

"I should place the mask first over the nose and then cover the mouth."

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}

The mask should cover both the nose and mouth to ensure effective oxygen delivery and prevent air leaks.

The oxygen flowmeter should be adjusted to maintain the client’s oxygen saturation within the target range.

Placing gauze under the straps can help prevent skin irritation from prolonged use of the mask.

Continuous mask use is usually necessary for effective oxygen therapy. Breaks are generally not recommended unless instructed by a healthcare provider.

Face masks should be cleaned more frequently, typically after every shift or as needed, to maintain hygiene and prevent infection.

The mask should be placed over both the nose and mouth simultaneously to ensure proper fit and effective oxygen delivery.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E","G"]

Explanation

Neurological: Restlessness and anxiety can both be symptoms of hypoxia due to the brain's sensitivity to changes in oxygen levels.

Respiratory: Low oxygen saturation directly indicates hypoxia, and an increased respiratory rate can be a compensatory response to low oxygen levels.

Cardiovascular: Elevated heart rate can be a compensatory mechanism for hypoxia, and delayed capillary refill may indicate poor perfusion related to low oxygen levels.

A. Keep the infant home from daycare for the next two days. B. Apply a cool pack to the injection site to reduce discomfort. C. Any level of fever is serious and should be reported right away. D. Administer children's aspirin to help prevent inflammation.

Correct Answer is B

Explanation

A. It is not necessary to keep the infant home from daycare unless the infant has a fever or other signs of illness.

B. Applying a cool pack to the injection site can help reduce discomfort and swelling.

C. Mild fever after vaccinations is common and not typically serious, but high or persistent fever should be reported.

D. Aspirin should not be given to children due to the risk of Reye's syndrome. Acetaminophen or ibuprofen (for infants older than 6 months) are safer alternatives for reducing fever and discomfort.

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Body System	Assessment Finding
Neurological	Restless Awake and alert Anxious
Respiratory	Respiratory rate 28 breaths/minute Oxygen Saturation 90% on room air Productive cough
Cardiovascular	Heart rate 101 beats/minute Capillary refill 4 seconds Blood pressure 145/89 mm Hg

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D","E","G"]

Explanation

A parent brings their 2-month-old infant to the clinic to receive the recommended primary vaccines. Which instruction should the nurse provide the parent about care of the infant after the injections?

Correct Answer is B

Explanation

Exhibits The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Select all that apply.

Patient Data Exhibits To start the client on oxygen as prescribed, which item(s) should the nurse collect from the supply room? Select all that apply.