a. debridement - Answers What is the removal of devitalized tissue from a wound called?
a. debridement
b. pressure reduction
c. negative pressure wound therapy
d. sanitization
b. oropharyngeal suctioning of a stable patient
d. permanent tracheostomy tube suctioning - Answers Which of the following skills can the nurse
delegate to nursing assistive personnel? Select all that apply.
a. nasotracheal suctioning
b. oropharyngeal suctioning of a stable patient
c. suctioning a new artificial airway
d. permanent tracheostomy tube suctioning
e. care of an endotracheal tube
4. verify functioning of suction device and pressure
6. increased supplemental oxygen
1. open kit and basin
3. lubricate catheter
2. apply gloves
5. connect suction tubing to suction catheter
8. suction airway
7. reapply oxygen - Answers Place the following in correct sequence for suctioning a patient.
1. open kit and basin
2. apply gloves
3. lubricate catheter
4. verify functioning of suction device and pressure
,5. connect suction tubing to suction catheter
6. increased supplemental oxygen
7. reapply oxygen
8. suction airway
a. sharp pleuritic pain that worsens on inspiration
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side - Answers A patient was admitted following a
motor vehicle accident with multiple fractured ribs. Respiratory assessment includes signs/symptoms of
secondary pneumothorax. Which are the most common assessment findings associated with a
pneumothorax? Select all that apply.
a. sharp pleuritic pain that worsens on inspiration
b. crackles over lung bases of affected lung
c. tracheal deviation toward the affected lung
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side
B (Frequent change of position)
(Movement not only mobilizes secretions but helps strengthen respiratory muscles by impacting the
effectiveness of gas exchange processes.) - Answers The nurse is caring for a patient who has decreased
mobility. Which intervention is a simple and cost-effective method for reducing the risks of pulmonary
complication?
a. antibiotics
b. frequent change of position
c. oxygen humidification
d. chest physiotherapy
B. Decrease or avoid caffeine
D. Avoid drinking alcohol - Answers A nurse in a provider's office is evaluating a client who reports losing
control of urine whenever she coughs, laughs, or sneezes. THe client relates a history of three vaginal
, births, but no serious accidents or illnesses. Which of the following interventions should the nurse
suggest for helping to control or eliminate the client's incontinence? Select all that apply.
A. limit total daily fluid intake
B. decrease or avoid caffeine
C. take calcium supplements
D. avoid drinking alcohol
E. use the Crede maneuver.
A. Check to see whether the catheter is patent. - Answers A client who has an indwelling catheter
reports a need to urinate. which of the following actions should the nurse take?
a) check to see whether to catheter is patent
b) reassure the client that it is not possible for her to urinate
c) recatheterize the bladder with a larger-gauge catheter
d) collect a urine specimen for analysis
A. discard the first voiding. - Answers A nurse is caring for a client who has a prescription for a 24-hr
urine collection. Which of the following actions should the nurse take?
A. discard the first voiding.
B. keep the urine in a single container at room temperature.
C. ask the client to urinate and pour the urine into a specimen container.
D. ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen
container.
A. frequent sexual intercourse
D. location of the urethra in relation to the anus.
E. frequent catheterization - Answers A nurse is reviewing factors that increase the risk of urinary tract
infections with a client who has recurrent UTIs. Which of the following factors should the nurse include?
Select all that apply.
A. frequent sexual intercourse.
B. lowering of testosterone levels.
C. wiping from front to back.