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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Correct Answer is A

Explanation

A. Maintaining strict intake and output is crucial in managing septic shock as it helps to monitor fluid balance, which is essential for managing hypovolemia and ensuring adequate perfusion.

B. While assessing warmth of extremities is important, it is not as directly related to the immediate management of septic shock as monitoring intake and output.

C. Monitoring blood glucose levels is important, especially in septic patients, but it is not the primary focus in the initial management of septic shock.

D. Keeping the head of the bed raised 45 degrees can help with breathing but is not the most critical intervention in the immediate management of septic shock.

A. 3-2-0-1-3. B. 5 -2-1-1-4. C. 4-2-1-0-2. D. 4-1-1-1-2 E. 4-1-1-1-2

Correct Answer is B

Explanation

Calculating the G-T-P-A-L Designation:

G (Gravida): 5 (current pregnancy + 4 previous pregnancies)

T (Term births): 2 (one singleton at 38 weeks and one singleton at 41 weeks)

P (Preterm births): 1 (twins at 35 weeks)

A (Abortions): 1 (spontaneous abortion at 10 weeks)

L (Living children): 4 (the three children born and the current pregnancy)

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

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