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Homework answers / question archive / 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? Assess preprocedure medications the client took that day

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? Assess preprocedure medications the client took that day

Nursing

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).

 

  1. 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.

 

  1. 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

 

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

 

  1. 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%

 

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. The peak pressure alarm is sounding on the ventilator of the client with a recent tracheostomy. What intervention should be done first?
  1. Assess the client's respiratory status.
  2. Decrease the sensitivity of the alarm.
  3. Ensure that the connecting tubing is not kinked.
  4. Suction the client.

 

 

  1. A client who smokes is being discharged home on oxygen. The client states, "My lungs are already damaged, so I'm not going to quit smoking." What is the discharge nurse's best response?
  1. "You can quit when you are ready."
  2. "It's never too late to quit."
  3. "Just turn off your oxygen when you smoke."
  4. "You are right, the damage has been done. But let's talk about why smoking around oxygen is dangerous."

 

  1. Which client has the most urgent need for frequent nursing assessment?
  1. An older adult client who was admitted 2 hours ago with emphysema and dyspnea and has a 45- year 2-pack-per-day smoking history, and is receiving 50% oxygen through a Venturi mask
  2. A young client who has had a tracheostomy for 1 week, who is on room air with SpO2 at percents in the upper 90's, who has been receiving antibiotic therapy for 16 hours, and who has foul-smelling drainage on the tracheostomy ties
  3. An older adult client who is anxious to go home with her new tank of oxygen and supply of nasal cannulas and is being discharged with a new prescription for home oxygen therapy
  4. A middle-aged client who was admitted yesterday with pneumonia and is receiving oxygen at 2

 

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