Exam 2: NR224 / NR 224 Fundamentals: Skills Review| Questions and Verified Answers| 100% Correct | A Grade (2024/2025 Update)-Chamberlain

Exam 2: NR224 / NR 224 Fundamentals: Skills Review| Questions and Verified Answers| 100% Correct | A Grade (2024/2025 Update)-Chamberlain the nurse is suctioning a client via a tracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which nursing intervention is most appropriate? A. Continue to suction. B. Notify the health care provider immediately. C. Stop the procedure and re-oxygenate the client. D. Ensure that the suction is limited to 15 seconds. Answer: C. Stop the procedure and re-oxygenate the client. QUESTION you are assessing a client who has an acute respiratory infection which puts her at risk for hypoxemia. Which of the following is/are early indications that the client is developing hypoxemia? Select all that apply 1. Restlessness 2. Tachypnea 3. Bradycardia 4. Confusion 5. Pallor Answer: essness pnea r QUESTION a nurse is caring for a client that is experiencing labored breathing, using accessory muscles, and is coughing up pink frothy sputum. The client has Diminished breath sounds in posterior bilateral bases. What are the priority nursing assessments for the nurse to perform prior to notifying the provider? (select all that apply) 1. Spo2 level 2. Amount, color, and consistency of sputum production 3. Level of consciousness 4. Change in respiratory rate and pattern 5. Pain in lower extremity Answer: 2 level t, color, and consistency of sputum production e in respiratory rate and pattern QUESTION organs involved in micturition Answer: Kidneys ureters Bladder urethra brain QUESTION what is the average urine output per hour? Answer: 30ml QUESTION assessing urine Answer: -intake and output -characteristics of urine: • color • clarity • odor QUESTION what factors influence urination? Answer: -age/growth & develop- ment -sociocultural factors -psychological factors -personal habits -conditions -immobility -medications -procedures/surgery/diagnostic exams -self care ability/inability QUESTION define diuresis Increased rate of formation and excretion of urine