Nokea
A healthcare provider is caring for several clients who are receiving oxygen therapy. Which client should the provider assess most frequently for manifestations of oxygen toxicity?
- A. 100% oxygen via partial rebreathing mask
- B. 2 liters per minute via nasal cannula
- C. 4 liters per minute via simple mask
- D. 6 liters per minute via face mask
Correct Answer: A
Rationale: When a client is receiving 100% oxygen via a partial rebreathing mask, there is a higher risk for oxygen toxicity due to the higher concentration of oxygen delivered. This client should be assessed most frequently for manifestations of oxygen toxicity. Choices B, C, and D are less likely to result in oxygen toxicity compared to 100% oxygen delivery via a partial rebreathing mask.
You may also like to solve these questions
A nurse is providing teaching to a newly licensed nurse about the care of a client who has MRSA. Which of the following statements by the newly licensed nurse indicates an understanding of teaching?
- A. I will place the client in a private room
- B. I will tell the client's visitors to wear a mask when they are within 3 feet of the client
- C. I will remove my gown after leaving the client's room
- D. I will wear an N95 respirator mask when caring for the client
Correct Answer: A
Rationale: The correct answer is A: 'I will place the client in a private room.' Placing the client in a private room helps prevent the spread of MRSA, a contact precaution. Choice B is incorrect because visitors should be following standard precautions for MRSA, not just wearing a mask within a specific distance. Choice C is incorrect as the gown should be removed before exiting the client's room to prevent the spread of MRSA. Choice D is incorrect as an N95 respirator mask is not typically required for the care of a client with MRSA; standard precautions are usually sufficient.
A client with congestive heart failure (CHF) is receiving furosemide (Lasix). Which laboratory value should the LPN monitor closely while the client is taking this medication?
- A. Sodium
- B. Potassium
- C. Calcium
- D. Magnesium
Correct Answer: B
Rationale: The LPN should monitor potassium levels closely while the client is taking furosemide (Lasix) due to the medication's potential to cause hypokalemia. Furosemide is a loop diuretic that can lead to potassium loss through increased urine output. Hypokalemia can result in serious complications such as cardiac dysrhythmias. Monitoring sodium levels (choice A) is important but not as critical as monitoring potassium in this context. Calcium (choice C) and magnesium (choice D) levels are not typically affected by furosemide and are not the priority for monitoring in this scenario.
During an abdominal examination, a nurse in a provider's office determines that a client has abdominal distention. The protrusion is at midline, the skin over the area is taut, and the nurse notes no involvement of the flanks. Which of the following possible causes of distention should the nurse suspect?
- A. Fat
- B. Fluid
- C. Flatus
- D. Hernias
Correct Answer: D
Rationale: The correct answer is 'Hernias.' Abdominal distention with a midline protrusion, taut skin, and no involvement of the flanks is characteristic of hernias. Hernias are caused by a weakness in the abdominal wall, allowing organs or tissues to protrude through. Fluid accumulation (ascites) typically presents with a more generalized distention, while fat accumulation may cause more diffuse distension rather than a focal midline protrusion. Flatus, or gas, would not typically present with a visible midline protrusion and taut skin like hernias.
When assessing a client's neurologic system, what should the nurse ask the client to close their eyes and identify?
- A. A word whispered by the nurse 30cm from the ear
- B. A number traced on the palm of the hand
- C. The vibration of a tuning fork placed on the foot
- D. A familiar object placed in the hand
Correct Answer: B
Rationale: When a nurse asks a client to identify a number traced on the palm of the hand with their eyes closed, it assesses the client's ability to perceive touch sensations. This test specifically evaluates the tactile discrimination of the client. The other options do not test the client's ability to identify sensations accurately with eyes closed. Option A tests auditory perception, option C tests vibratory sense, and option D tests object recognition but not tactile discrimination, making them incorrect choices.
A nurse is providing teaching to an older adult client who has constipation. Which of the following statements should the nurse include in the teaching?
- A. Sit on the toilet 30 minutes after eating a meal.
- B. Increase your fluid intake to help with bowel movements.
- C. Exercise regularly to improve bowel function.
- D. Consume more high-fiber foods to prevent constipation.
Correct Answer: A
Rationale: The correct statement the nurse should include in the teaching is to 'Sit on the toilet 30 minutes after eating a meal.' This advice can help establish a regular bowel routine and improve bowel movement. Option B, 'Increase your fluid intake to help with bowel movements,' while important, is not specific to the time after eating and does not directly address the need for establishing a routine. Option C, 'Exercise regularly to improve bowel function,' is also important but does not address the timing of bowel movements. Option D, 'Consume more high-fiber foods to prevent constipation,' is beneficial for preventing constipation but does not address the timing aspect related to bowel movements.