Nokea
An adult who has COPD is to start receiving oxygen at home. What teaching is essential for this client and his family?
- A. The client should wear synthetic clothes as much as possible.
- B. Oxygen flow should be 6 L/min.
- C. The wall-to-wall carpets should be covered with a cotton sheet where the client walks.
- D. If the client gets short of breath, the oxygen level should be increased 1 L at a time until breathing is easier.
Correct Answer: D
Rationale: Adjusting oxygen flow incrementally for shortness of breath ensures safety, as fixed 6 L/min may be excessive, synthetic clothes increase static risk, and carpet covering is unnecessary.
You may also like to solve these questions
The nurse is assigned to care for a client who has a leaking intracranial aneurysm. To minimize the risk of rebleeding, the nurse should plan to
- A. restrict visitors to immediate family
- B. avoid arousal of the client except for family visits
- C. keep client's hips flexed at no less than 90 degrees
- D. apply a warming blanket for temperatures of 98 degrees Fahrenheit or less
Correct Answer: A
Rationale: restrict visitors to immediate family. Maintaining a quiet environment will assist in minimizing cerebral rebleeding. When family visit, the client should not be disturbed. If the client is awake, topics of a general nature are better choices for discussion than topics that result in emotional or physiological stimulation.
A male client is preparing for discharge following an acute myocardial infarction. He asks the nurse about his sexual activity once he is home. What would be the nurse's initial response?
- A. Give him written material from the American Heart Association about sexual activity with heart disease
- B. Answer his questions accurately in a private environment
- C. Schedule a private, uninterrupted teaching session with both the client and his wife
- D. Assess the client's knowledge about his health problems
Correct Answer: D
Rationale: The nursing process is continuous and cyclical in nature. When a client expresses a specific concern, the nurse performs a focused assessment to gather additional data prior to planning and implementing nursing interventions.
The nurse plans care for a 36-year-old woman with Graves' disease. The nurse knows that which of the following foods or fluids should be restricted for this client?
- A. Milk.
- B. Apples.
- C. Orange juice.
- D. Tea.
Correct Answer: D
Rationale: Tea contains caffeine, which can exacerbate hyperthyroidism symptoms like tachycardia in Graves’ disease. Options A, B, and C are not contraindicated.
Which client data should the nurse act upon when a home health aide calls the nurse from the client's home to report these items?
- A. The client has complaints of not sleeping well for the past week
- B. The family wants to discontinue the home meal service, meals on wheels
- C. The urine in the client has been cloudy for the last 2 days
- D. The partner says the client has slower days every other day
Correct Answer: C
Rationale: Home health aides need to report diverse information to nurses through phone calls and documentation. The nurse who develops the plan of care for a specific client, and supervises the aide, must identify potential danger signs which require immediate action and follow-up. The color of the urine requires follow-up evaluation.
A patient with type I diabetes mellitus (IDDM) asks the nurse why the doctor ordered human insulin instead of beef or pork insulin. Which of the following responses by the nurse is BEST?
- A. Human insulin is less likely to cause you to have a localized allergic reaction to the injection.'
- B. Human insulin will cause you to experience fewer problems with hypoglycemia or hyperglycemia.'
- C. Human insulin prevents the development of long-term damage to the eyes and kidneys.'
- D. Human insulin does not cause the formation of antibodies because the protein structure is identical to your own.'
Correct Answer: D
Rationale: protein molecules are identical with human insulin