Patient Data.

What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

To prevent hypoxia and tissue damage due to pneumonia.

To lower the blood pressure and reduce the workload of the heart.

To increase the oxygen saturation and improve the respiratory function.

To dilate the bronchioles and decrease the inflammation of the lungs.

None

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Supplemental oxygen is given to the patient to prevent hypoxia and tissue damage due to pneumonia. Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing. Hypoxia occurs when the body or a region of the body is deprived of adequate oxygen supply at the tissue level. It can cause serious damage to your heart, brain, and other organs. Hence, supplemental oxygen is administered to ensure that the patient’s tissues receive adequate oxygen.

Choice B rationale:

While supplemental oxygen can indirectly help lower blood pressure by improving oxygen supply and reducing strain on the heart, it is not primarily used for this purpose. Enalapril, which the patient is already taking, is an angiotensin-converting enzyme (ACE) inhibitor that is commonly used to lower blood pressure and reduce the workload of the heart.

Choice C rationale:

Supplemental oxygen does increase the oxygen saturation and improve respiratory function. However, this is a more general rationale for providing supplemental oxygen and not specific to this patient’s condition of pneumonia.

Choice D rationale:

Supplemental oxygen does not directly dilate the bronchioles or decrease inflammation in the lungs. Medications such as bronchodilators and corticosteroids are typically used for these purposes. In this case, supplemental oxygen is being used to prevent hypoxia and tissue damage due to pneumonia.

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Correct Answer is B

Explanation

Choice A rationale:

Choice B rationale:

Choice C rationale:

Severe motor dysfunction determines the extent of successful habilitation is not entirely accurate. While the severity of motor dysfunction does play a role in the challenges a child with CP may face, it does not solely determine the extent of successful habilitation. Many factors, including early intervention, therapy, and individualized care, can influence a child's progress and potential for improvement.

Choice D rationale:

Continued development of the brain lesion determines the child's outcome is not an accurate statement. CP is primarily caused by non-pro

A. Prescribe medication for immediate relief. B. Educate the client about various relaxation techniques. C. Assist the client in challenging irrational thoughts. D. Develop measurable and realistic outcomes.

Correct Answer is D

Explanation

Choice A rationale:

Prescribing medication for immediate relief is not the primary goal when establishing a therapeutic relationship with a client with anxiety disorder. While medication may be a part of the treatment plan, the primary focus should be on building trust and addressing the client's emotional needs.

Choice B rationale:

Educating the client about various relaxation techniques can be beneficial, but it is not the primary goal of establishing a therapeutic relationship. The primary goal is to create a trusting and supportive environment in which the client feels comfortable discussing their feelings and concerns.

Choice C rationale:

Assisting the client in challenging irrational thoughts is an important aspect of cognitive-behavioral therapy, but it is not the primary goal of establishing the therapeutic relationship. Building rapport and trust come first.

Choice D rationale:

Developing measurable and realistic outcomes is the primary goal when establishing a therapeutic relationship. These outcomes provide a framework for assessing progress and ensuring that the therapeutic interventions are effective in addressing the client's anxiety disorder.

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Patient Data. What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is establishing a therapeutic relationship with a client with anxiety disorder.What is the primary goal of this intervention?

Correct Answer is D

Explanation

Patient Data. Exhibits What are the three goals of therapy for this client? Select three that apply.

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After an increase in the number of suicides in a community, the nurse is developing a class for adolescents about mental health.Which type of activity should the nurse include in the teaching?

A nurse is instructing a nursing assistant on how to assist a patient with bathing.The patient has hemiparesis on the left side due to a stroke.Which of the following statements by the nursing assistant demonstrates understanding of the teaching?

A nurse is documenting the data collected from an ongoing assessment of a client who has diabetes mellitus.The nurse writes, “The client reports feeling thirsty and hungry all the time.” How should the nurse label this type of data?

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

A client is admitted with an exacerbation of heart failure secondary to chronic obstructive pulmonary disease (COPD). Which observation(s) by the nurse require immediate intervention to reduce the likelihood of harm to this client? (Select all that apply.).

After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased.The family wish to see the body before it is taken to the funeral home.Which intervention(s) should the nurse take to prepare the body before the family enters the room? (Select all that apply.).

Patient Data.

What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.