A nurse is caring for a client receiving oxygen therapy through a transtracheal catheter. What is an important nursing consideration for this client?
- A. Ensuring the catheter is placed in the client's nostrils
- B. Assessing the client's respiratory rate every 15 minutes
- C. Monitoring the oxygen flow rate continuously
- D. Monitoring the client for signs of oxygen toxicity
Correct Answer: D
Rationale: Monitoring for oxygen toxicity (D) is critical with a transtracheal catheter, as high oxygen delivery directly to the trachea risks lung damage or neurological symptoms. Nasal placement (A) is incorrect transtracheal is tracheal. Q15min RR (B) is excessive. Continuous flow checks (C) are routine. Toxicity monitoring, per respiratory standards, ensures safe long-term use.
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In palpating the client's breast, Which of the following position is necessary for the patient to assume before the start of the procedure?
- A. Supine
- B. Dorsal recumbent
- C. Sitting
- D. Lithotomy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which position should the nurse use for a patient who is immobile to promote lung expansion and prevent respiratory complications?
- A. Supine position with the head of the bed elevated
- B. Prone position with the head turned to the side
- C. Lateral position with the affected side down
- D. Semi-Fowler's position with the knees slightly flexed
Correct Answer: D
Rationale: Semi-Fowler's position with knees flexed promotes lung expansion in immobile patients by easing diaphragm movement, reducing respiratory complication risks like pneumonia. Supine restricts breathing, prone is impractical, and lateral may compress lungs. Nurses adopt this to optimize oxygenation, supporting recovery and comfort in those unable to shift positions independently.
Which of the following statement is TRUE about informed consent?
- A. A one time procedure
- B. The nurse can sign for the client
- C. The client needs to understand the procedure
- D. Not needed in emergency cases
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is planning care for a client who has a new prescription for a high-protein diet. Which of the following foods should the healthcare professional recommend?
- A. Nuts
- B. Bananas
- C. Potatoes
- D. Apples
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse double-checked Mr. Gary's meds to avoid errors. This is an example of?
- A. Risk management
- B. Quality assurance
- C. Health literacy
- D. Patient advocacy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.