ii ii ii ii ii
ii (questions) verified correct answers latest
ii ii ii ii
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ii ii ii ii ii ii
ii
A iinurse iiis iicaring iifor iia iiclient iiwho iiis iireceiving iicontinuous iiNG iitube iifeedings. iiThe
iinurse ii
ii
listens iito iithe iiclient's iibowel iisounds. iiWhich iiof iithe iifollowing iiactions iishould iithe
iinurse
take? ii(Click iion iithe iiaudio iibutton iito iilisten iito iithe iiclip.) ii- iiDecrease iithe iirate iiof iithe
iifeeding
ii
- iiRationality: iiThe iinurse iishould iiexpect iito iihear iibowel iisounds iievery ii5 iito ii35 iiseconds.
iiThis iiaudio iiclip iiindicates iihypermotility iibecause iithere iiare iigreater iithan ii40 iibowel
iisounds/min. iiHypermotility iileads iito iidiarrhea iiand iiis iian iiindication iiof iiintolerance iito iithe
iienteral iifeeding. iiTherefore, iithe iinurse iishould iislow iithe iirate iiof iithe iifeeding iito iipromote
iithe iiclient's iitolerance iiof iithe iifeeding. ii
ii
The iinurse iishould iimaintain iia iiclient iiwho iiis iireceiving iicontinuous iiNG iitube iifeedings
iiin iia ii
ii
position iiwith iithe iihead iiof iithe iibed iielevated ii30° iito ii45° iito iiprevent iiaspiration iiof
iithe
ii
formula.
ii
A iinurse iiis iipreparing iito iiadminister iioxygen iito iia iiclient iiwho iihas iiheart iifailure iiand iiis
iihaving ii
severe iidifficulty iibreathing. iiWhich iiof iithe iifollowing iioxygen iidelivery iiequipment iishould
iithe ii
ii
nurse iiselect iito iiprovide iithe iihighest iiconcentration iiof iioxygen iito iithe
iiclient? ii-
ii
Nonrebreather
iimask
ii
Rationality: ii
A iinonrebreather iimask iiprovides iithe iihighest iipercentage iiof iioxygen iiconcentration
iiwithout iiintubation iiand iimechanical iiventilation. ii
ii
A iiVenturi iimask iican iibe iiadjusted iito iiprovide iia iiconsistent iilower iioxygen iiconcentration. ii
ii
A iisimple iiface iimask iican iibe iiadjusted iifor iishort-term iidelivery iiof iilow iito iimedium
iioxygen ii
ii
concentration.
ii
A iinasal iicannula iiprovides iia iilow iioxygen iiconcentration. ii
ii
,A iicharge iinurse iismells iismoke, iienters iithe iivisitor iirestroom, iiand iisees iiflames iiin iithe
iitrash iican. iiWhat iiis iithe iisequence iiof iiactions iithat iithe iinurse iishould iitake? ii(Move iithe
iisteps iiinto iithe iibox iion iithe iiright, iiplacing iithem iiin iithe iiselected iiorder iiof iiperformance.
iiUse iiall iithe iisteps.) ii- iiEvacuate iiclients iifrom iithe iiarea iiis iithe iifirst iistep. ii ii
ii
Rationality: iiThe iifirst iiaction iithe iinurse iishould iitake iiwhen iiusing iithe iiRACE iiprotocol
iiis iito ii
ii
"rescue" iior iievacuate iithe iiclients iifrom iithe iiarea iito iiprevent
iiharm.
ii
Pull iithe iilever iion iithe iifire iialarm iibox iiis iithe iisecond iistep. ii ii
ii
Rationality: iiFor iithe iinext iistep, ii"alarm," iithe iinurse iishould iiactivate iithe iifacility iifire
iialarm ii
ii
and iicall iito iireport iithe iifire iito iithe iifacility iiemergency
iiextension.
ii
Close iithe iifire iidoors iion iithe iiunit iiis iithe iithird iistep. ii ii
ii
Rationality: iiClose iithe iifire iidoors iion iithe iiunit iiis iithe iithird iistep. iiFor iithe iithird iistep,
ii"confine," ii
ii
the iinurse iishould iiclose iithe iiunit iifire iidoors iito iiprevent iithe iifire iifrom
iispreading.
ii
Use iia iifire iiextinguisher iito iiput iiout iithe iifire iiis iithe iifourth iistep. ii
ii
ii
Rationality: iiFor iithe iifinal iistep, ii"extinguish," iithe iinurse iishould iiuse iia iifire iiextinguisher
iito
put iiout iithe iifire iiby iiaiming iithe iinozzle iiat iithe iibase iiof iithe iifire iiand iiusing iia iisweeping
iimotion.
ii
A iinurse iiis iicaring iifor iia iiclient iiwho iihas iimetastatic iicancer iiand iipractices iiCatholicism.
iiThe iiclient iiasks iithe iinurse iito iidiscuss iithe iiafterlife iiwith iithem. iiWhich iiof iithe iifollowing
iistatements iiby iithe iinurse iiassists iiin iimeeting iithe iiclient's iispiritual iineeds? ii- ii"Tell iime
iiwhat iithe iiafterlife iimeans iito iiyou." ii
ii
Rationale: iiThis iistatement iirespects iithe iiclient's iispiritual iineeds iiby iiusing iiopen-
ended ii
ii
therapeutic iicommunication iito iiassist iithe iiclient iito iitalk iiabout iitheir
iiconcerns.
ii
A iinurse iiis iireinforcing iiteaching iiwith iia iiclient iiabout iithe iiprevention iiof iistress iiinjuries.
iiWhich iiof iithe iifollowing iiinstructions iishould iithe iinurse iiinclude? ii- ii"When iilifting iia iiheavy
iiobject, iikeep iiit iiclose iito iiyour iibody." ii
ii
Rationality: iiThe iinurse iishould iiinstruct iithe iiclient iito iikeep iithe iiobject iias iiclose iito iitheir
iibody ii
ii
as iipossible iito iiincrease iistability iiand iidecrease iiback iistrain iiwhen iilifting iia iiheavy
iiobject.
, ii
A iinurse iiis iireinforcing iiteaching iiwith iia iiclient iiabout iithe iiuse iiof iicrutches. iiWhich iiof iithe
iifollowing iiactions iiby iithe iiclient iiindicates iian iiunderstanding iiof iithe iiteaching? ii- iiThe
iiclient iiadvances iithe iiunaffected iileg iifirst iiwhile iiclimbing iistairs. ii
ii
Rationality: iiWhen iiascending iistairs, iithe iiclient iishould iifirst iiadvance iithe iiunaffected iileg.
ii
ii
The iinurse iishould iireinforce iiwith iithe iiclient iithat iitheir iiaxilla iishould iinot iibear iiany
iiweight iiwhile iiin iithe iitripod iiposition iibecause iithis iican iicause iipressure iiinjury iiformation.
iiThe iiclient iishould iibear iitheir iiweight iiwith iitheir iiarms iiand iihands. ii
ii
A iiclient iiwho iihas iiadvanced iicancer iitells iithe iinurse iithat iithey iihave iia iidifficult iitime
iitalking iito ii
ii
anyone iiabout iithe iiillness. iiWhich iiof iithe iifollowing iiactions iishould iithe iinurse iitake
iito
ii
encourage iitherapeutic iicommunication? ii- iiLet iithe iiclient iiknow iithat, iias iitheir iinurse,
iithey
ii
are iiavailable iiand iiwilling iito
iilisten.
ii
- iiRationality: iiActive iilistening iiconveys iithe iinurse's iirespect iiand iiacceptance iifor iithe
iiclient's ii
ii
feelings iiand iigives iithe iiclient iian iiopportunity iito iiexpress iitheir iithoughts iiand
iineeds.
ii
A iinurse iiis iipreparing iito iiremove iia iiclient's iiperipheral iiIV iicatheter. iiAfter iiperforming
iihand iihygiene iiand iiapplying iiclean iigloves, iiwhich iiof iithe iifollowing iiactions iishould iithe
iinurse iitake iifirst? ii- iiClamp iithe iiinfusion iitubing. ii
ii
Rationality: iiEvidence-based iipractice iiindicates iithat iithe iinurse iishould iifirst iiclamp iithe
iiinfusion iitubing iiafter iiapplying iiclean iigloves. iiThis iiaction iistops iithe iiflow iiof iithe iiIV iifluid
iiand iiprevents iiit iifrom iileaking iiout iiduring iithe iiIV iiremoval. ii
ii
A iinurse iiis iicontributing iito iithe iiplan iiof iicare iifor iia iiclient iiwho iihas iia iipositive iithroat
iiculture iifor iistreptococci. iiWhich iiof iithe iifollowing iiinterventions iishould iithe iinurse
iirecommend iito iibe iiincluded iiin iithe iiplan iiof iicare? ii- iiEnsure iithat iithe iiclient iiwears iia
iisurgical iimask iiduring iitransportation iithroughout iithe iifacility. ii
ii
rationality: ii
Streptococcal iipharyngitis iirequires iidroplet iiprecautions. iiThe iinurse iishould iiinstruct iithe
iiclient iito iiwear iia iisurgical iimask iiwhen iioutside iiof iithe iiroom iito iiprevent iithe iispread iiof
iiinfection. iiStaff iishould iimake iievery iiattempt iito iilimit iithe iiclient's iimovement iioutside iiof
iithe iiroom. ii
ii
The iinurse iishould iiprovide iia iiroom iiwith iinegative-pressure iiairflow iifor iiclients iiwho
iirequire ii
ii
airborne
iiprecautions.
ii