Nokea
Which intervention is most important for the nurse to implement before leaving a postoperative client with severe obstructive sleep apnea (OSA) alone?
- A. Remove dentures or other oral appliance.
- B. Elevate the head of the bed to a 45-degree angle.
- C. Apply the client’s positive airway pressure device.
- D. Put and lock the side rails in place.
Correct Answer: C
Rationale: CPAP prevents airway collapse.
You may also like to solve these questions
A child has experienced several episodes of vomiting. After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child. Which information should the nurse obtain about the popsicles?
- A. How many popsicles are available.
- B. The color and flavor of gelatin used.
- C. If the popsicles are completely frozen.
- D. Whether they contain pulp or fruit.
Correct Answer: C
Rationale: Pulp or fruit ensures clear liquid compliance.
The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?
- A. Ensure bevel of the needle is pointing up.
- B. Massage the site gently after injection.
- C. Hold the syringe perpendicular to the skin.
- D. Select upper arm as the injection site.
Correct Answer: A
Rationale: Bevel up ensures proper delivery.
After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?
- A. Request removal initiated by the Health Information Manager.
- B. Make an electronic addendum following the 1400 documentation.
- C. Create an electronic correction after 1400 notes are officially unlocked.
- D. Enter the occurrence after the 1400 notes and identify as 'late entry.'
Correct Answer: D
Rationale: Late entries maintain accuracy.
A client voided clear, yellow urine.
- A. The client is dehydrated.
- B. The client has a urinary tract infection.
- C. The client has normal urine output.
- D. The client has kidney stones.
Correct Answer: C
Rationale: Clear, yellow urine indicates hydration.
When assessing a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?
- A. Assess strength of deep tendon reflexes.
- B. Determine apical pulse rate and rhythm.
- C. Observe color and amount of urine.
- D. Compare muscle strength bilaterally.
Correct Answer: B
Rationale: Hyperkalemia risks arrhythmias; cardiac monitoring is critical.