Western Governors University

NURSING BS C471

Quiz 5

1)Which action should the nurse delegate to experienced unlicensed assistive personnel (UAP) working in the cardiac catheterization laboratory?

1. Assess preprocedure medications the client took that day.
2. Have the client sign the consent form before the procedure is performed.
3. Educate the client about the need to remain on bedrest after the procedure.
4. Obtain client vital signs and a resting electrocardiogram (ECG).

2. All of this information is obtained by the nurse who is admitting a client for a coronary arteriogram. Which information is most important to report to the physician before the procedure begins?

1. The client has had intermittent substernal chest pain for 6 months.
2. The client develops wheezes and dyspnea after eating crab or lobster.
3. The client reports that a previous arteriogram was negative for coronary artery disease.
4. The client has peripheral vascular disease, and the dorsalis pedis pulses are difficult to palpate.

3. An RN from the orthopedic unit has been floated to the medical unit. Which client assignment for the floated RN is the best?

1. The client with a resolving pulmonary embolus who is receiving oxygen at 6 L/min through a nasal cannula

2. The client with chronic lung disease who is being evaluated for possible home oxygen use
3. The client with a newly placed tracheostomy who is receiving oxygen through a tracheostomy collar
4. The client with chronic bronchitis who is receiving oxygen at 60% through a Venturi mask

4. Which value indicates clinical hypoxemia and the need to increase oxygen delivery?

1. Hemoglobin of 22 g/dL
2. PaCO2 of 30 mm Hg
3. PaO2 of 65 mm Hg
4. Oxygen saturation of 88%

5. For client safety and quality care, which technique is best for the nurse to use when suctioning the client with a tracheostomy tube?

1. Hyperoxygenate before and after suctioning.
2. Repeat suctioning until the tube is clear.
3. Apply suction during insertion of the tube.
4. Suction for 30 seconds.

6. A client with chronic obstructive pulmonary disease has a physician's prescription stating, "Adjust oxygen to keep SpO2 at 90% to 92%." Which nursing action can be delegated to a nursing assistant working under the supervision of an RN?

1. Adjust the position of the oxygen tubing.
2. Assess for signs and symptoms of hypoventilation.
3. Change the O2 flow rate to keep SpO2 as prescribed.
4. Choose which O2 delivery device should be used for the client.

7. An older adult client is being discharged home with a tracheostomy. Which nursing action is an acceptable assignment for an experienced LPN/LVN?

1. Complete the referral form for a home health agency.
2. Suction the tracheostomy using sterile technique.
3. Teach the client and spouse about tracheostomy care.
4. Consult with the physician about using a fenestrated tube.