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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.

Tape

Flowmeter

Lamb's wool

Nasal cannula

Sterile water

Humidifier bottle

Suction cannister

Answer and Explanation

Correct Answer : B,D,F

A. Tape: While tape might be useful for securing the nasal cannula, it is not specifically required for starting oxygen therapy.

B. Flowmeter: A flowmeter is necessary to regulate and measure the flow rate of the oxygen being delivered to the client.

C. Lamb's wool: This is not related to oxygen therapy; it is used for other purposes like padding.

D. Nasal cannula: This is the device prescribed for delivering supplemental oxygen at 3 L/minute.

E. Sterile water: Sterile water is not typically required for starting oxygen therapy but may be used with certain humidification systems.

F. Humidifier bottle: When providing oxygen at higher flow rates, a humidifier bottle may be needed to prevent dryness of the nasal passages.

G. Suction cannister: This is used for suctioning and is not needed for administering oxygen.

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Correct Answer is D

Explanation

A. Agreeing with the delusions can reinforce the false beliefs and is not an effective therapeutic approach.

B. Disagreeing and setting limits may escalate the client's anxiety or agitation and does not address the delusion in a therapeutic manner.

C. While informing the provider is important, the immediate action should focus on therapeutic communication with the client.

D. Presenting a personal perception of reality in a non-confrontational manner helps the client to gently challenge their delusion and encourages a more grounded conversation.

A. Ask the client for a description of the exercise schedule that is being followed. B. Encourage the client to exercise every day to eliminate bedtime wakefulness. C. Advise the client that lifestyle changes often take several weeks to be effective. D. Determine the amount of weight the client has lost since increasing activity.

Correct Answer is A

Explanation

A. Understanding the exercise schedule can help the nurse determine if the timing or type of exercise is contributing to sleep issues.

B. Exercising every day can be beneficial, but the timing of exercise (e.g., too close to bedtime) can impact sleep.

C. While lifestyle changes do take time, the nurse should first assess the current exercise habits to provide tailored advice.

D. Weight loss is an important outcome but does not directly address the sleep issue.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

Correct Answer is D

Explanation

A client tells the nurse about beginning an exercise program a month ago to lose weight and improve sleep. The client states, "It still takes at least two hours to fall asleep at night." Which action should the nurse implement?

Correct Answer is A

Explanation

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The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

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Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?

The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?

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.