NSG 3130 exam 4 (Latest )
Fundamental Concepts & Skills for Nursing
Practice II 100% Correct Questions &
Answers – Galen
The nurse notes the following findings when assessing a patient with COPD. Which
require prompt nursing intervention?
(Select all that apply.)
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
d. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
e. The patient has become confused and mildly disoriented. - correct answer a. The
patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
e. The patient has become confused and mildly disoriented.
,A patient who is unable to speak without gasping is indicative of poor airflow through
the airways, which must be addressed promptly. Greenish-brown sputum may indicate
pneumonia requiring antibiotic treatment. Dyspnea and wheezes are indicative of an
acute asthma attack. Confusion and disorientation in a patient with COPD may indicate
retention of carbon dioxide. Increased forced vital capacity is a positive sign.
The nurse is working with a nursing assistant to care for a patient with a new
tracheostomy. Which tasks may the nurse delegate to the assistant?
(Select all that apply.)
a. Obtaining masks, gloves, and suction supplies from the utility room
b. Helping to reassure the patient before, during, and after suctioning
c. Changing the Velcro or twill ties used to secure the tracheostomy
d. Transporting sputum specimens to the lab for culture and sensitivity testing
e. Assessing need for suctioning of the oropharynx or tracheostomy
f. Teaching the patient how to remove and clean the inner cannula - correct answer a.
Obtaining masks, gloves, and suction supplies from the utility room
b. Helping to reassure the patient before, during, and after suctioning
,d. Transporting sputum specimens to the lab for culture and sensitivity testing
Care of a new tracheostomy may not be delegated to a nursing assistant. Obtaining
supplies needed for care, helping to reassure the patient, and bringing specimens to
the lab are tasks that may be assigned to the assistant.
The preceptor is working with a new nurse to provide care for a patient with a new
tracheostomy. Which actions by the new nurse indicate need for additional teaching
about the procedure?
(Select all that apply.)
a. The outer cannula is cleaned with the brush and half-strength H2O2.
b. The new tracheostomy holder is secured before the old soiled one is removed.
c. A Yankauer suction catheter is used to remove secretions from the patient's
mouth.
d. Sterile gloves are applied before the soiled dressing is removed from the
tracheostomy.
, e. Half-strength H2O2 is used to remove crusted secretions around the tracheostomy
site.
f. Pain medication is administered to the patient prior to suctioning. - correct answer a.
The outer cannula is cleaned with the brush and half-strength H2O2.
d. Sterile gloves are applied before the soiled dressing is removed from the
tracheostomy.
e. Half-strength H2O2 is used to remove crusted secretions around the tracheostomy
site.
Only the inner cannula of the tracheostomy is removed for cleaning. The outer cannula
stays in the trachea to maintain airway patency. Clean gloves are applied before the
soiled dressing is removed. Normal sterile saline is used to remove secretions that
have built up on the inner cannula and also is used to clean the patient's skin as
needed.
The preceptor is working with a new nurse to suction a patient through a new
tracheostomy. Which actions by the new nurse indicate need for additional teaching
about the procedure?
Fundamental Concepts & Skills for Nursing
Practice II 100% Correct Questions &
Answers – Galen
The nurse notes the following findings when assessing a patient with COPD. Which
require prompt nursing intervention?
(Select all that apply.)
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
d. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
e. The patient has become confused and mildly disoriented. - correct answer a. The
patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
e. The patient has become confused and mildly disoriented.
,A patient who is unable to speak without gasping is indicative of poor airflow through
the airways, which must be addressed promptly. Greenish-brown sputum may indicate
pneumonia requiring antibiotic treatment. Dyspnea and wheezes are indicative of an
acute asthma attack. Confusion and disorientation in a patient with COPD may indicate
retention of carbon dioxide. Increased forced vital capacity is a positive sign.
The nurse is working with a nursing assistant to care for a patient with a new
tracheostomy. Which tasks may the nurse delegate to the assistant?
(Select all that apply.)
a. Obtaining masks, gloves, and suction supplies from the utility room
b. Helping to reassure the patient before, during, and after suctioning
c. Changing the Velcro or twill ties used to secure the tracheostomy
d. Transporting sputum specimens to the lab for culture and sensitivity testing
e. Assessing need for suctioning of the oropharynx or tracheostomy
f. Teaching the patient how to remove and clean the inner cannula - correct answer a.
Obtaining masks, gloves, and suction supplies from the utility room
b. Helping to reassure the patient before, during, and after suctioning
,d. Transporting sputum specimens to the lab for culture and sensitivity testing
Care of a new tracheostomy may not be delegated to a nursing assistant. Obtaining
supplies needed for care, helping to reassure the patient, and bringing specimens to
the lab are tasks that may be assigned to the assistant.
The preceptor is working with a new nurse to provide care for a patient with a new
tracheostomy. Which actions by the new nurse indicate need for additional teaching
about the procedure?
(Select all that apply.)
a. The outer cannula is cleaned with the brush and half-strength H2O2.
b. The new tracheostomy holder is secured before the old soiled one is removed.
c. A Yankauer suction catheter is used to remove secretions from the patient's
mouth.
d. Sterile gloves are applied before the soiled dressing is removed from the
tracheostomy.
, e. Half-strength H2O2 is used to remove crusted secretions around the tracheostomy
site.
f. Pain medication is administered to the patient prior to suctioning. - correct answer a.
The outer cannula is cleaned with the brush and half-strength H2O2.
d. Sterile gloves are applied before the soiled dressing is removed from the
tracheostomy.
e. Half-strength H2O2 is used to remove crusted secretions around the tracheostomy
site.
Only the inner cannula of the tracheostomy is removed for cleaning. The outer cannula
stays in the trachea to maintain airway patency. Clean gloves are applied before the
soiled dressing is removed. Normal sterile saline is used to remove secretions that
have built up on the inner cannula and also is used to clean the patient's skin as
needed.
The preceptor is working with a new nurse to suction a patient through a new
tracheostomy. Which actions by the new nurse indicate need for additional teaching
about the procedure?
