PASS SOLUTION A+ GRADE
What would the nurse do first when preparing to begin oxygen therapy for a patient?
A. Ensure that suction equipment is present in the room
B. Review the medical prescription for delivery method and flow rate
C. Place a No Smoking sign outside of the hospital room
D. Educate the NAP about the oxygen orders - answer>>B. Review the medical prescription for
delivery method and flow rate
When preparing the patient's environment for safe oxygen therapy, which intervention is a
priority to minimize the patient's risk for injury?
A. Ensure that the patient receives the prescribed amount of oxygen via the appropriate method
B. Place appropriate signage to alert staff and visitors to the presence of oxygen in the patient's
room
C. Inspect all electrical equipment in the patient's room for the presence of safety-check tags
D. Instruct nursing assistive personnel (NAP) to immediately correct or report safety hazards -
answer>>C. Inspect all electrical equipment in the patient's room for the presence of safety-
check tags
Which of the following patients would require follow up?
A. An adult with a respiratory rate of 10
B. A newborn with a respiratory rate of 40 breaths per minute.
C. A child with a respiratory rate of 20 breaths per minute.
D. An adolescent with a respiratory rate of 16 breaths per minute. - answer>>A. An adult with a
respiratory rate of 10
When a patient is receiving oxygen at home, which instruction to the family would help them
understand how to use the oxygen safely?
A. Keep oxygen 5 feet (about 1.5 meters) away from anything that could generate a spark
B. Place a No Smoking sign at the entrance to the house
C. Increase the oxygen level as needed for the patient's comfort
,D. Store extra oxygen cylinders horizontally - answer>>B. Place a No Smoking sign at the
entrance to the hous
What would the nurse do first when preparing to educate the patient about safe administration
of oxygen therapy at home?
A. Arrange for a capable family member to be present during the initial discussion
B. Assess the patient's emotional readiness and physical ability to provide autonomous care
C. Evaluate the patient's understanding of the combustible nature of oxygen
D. Collect written information to present to the patient as supplemental instructional materials -
answer>>B. Assess the patient's emotional readiness and physical ability to provide autonomous
care
Which statement by the patient would indicate that he or she understands the safe use of
oxygen?
A. I often experience difficulty breathing for no apparent reason, but that is expected
B. I know that oxygen is a medication I an adjust whenever I need to
C. I'll alert the nurse immediately if I have any increased difficulty breathing
D. The nurse told me that my oxygen saturation must be maintained at 85% or above -
answer>>C. I'll alert the nurse immediately if I have any increased difficulty breathing
What would be the nurse's priority in order to minimize a patient's risk for injury during oxygen
therapy?
A. Instructing nursing assistive personnel (NAP) to immediately correct the flow rate if the
oxygen regulator is not set as prescribed
B. Advising the patient to call for assistance before getting out of bed
C. Monitoring the patient for signs of hypoxia
D. Observing the six rights of medication administration - answer>>D. Observing the six rights of
medication administration
What can the nurse do to evaluate a patient's response to continuous oxygen therapy delivered
at 4 L/min by nasal cannula?
A. Monitor the patient's arterial blood gas (ABG) levels hourly
,B. Assess the patient for compliance with the prescribed therapy
C. Evaluate venous blood levels every morning
D. Regularly measure and trend the patient's pulse oximetry (SpO2) values - answer>>D.
Regularly measure and trend the patient's pulse oximetry (SpO2) values
Why is it important for the nurse to set the correct flow rate for a patient to whom oxygen is
prescribed?
A. To ensure the therapeutic effects of oxygen therapy
B. To prevent any adverse reaction to the prescribed oxygen therapy
C. To provide the correct amount of oxygen to the patient
D. To minimize the risk of combustion during oxygen delivery - answer>>C. To provide the
correct amount of oxygen to the patient
What should the nurse do when a patient is ordered to receive 4 L/min oxygen by nasal
cannula?
A. Encourage oral fluids
B. Restrict fluids
C. Measure blood pressure every hour
D. Ensure that humidification is present - answer>>D. Ensure that humidification is present
What would the nurse monitor frequently to ensure that the prescribed amount of oxygen is
being delivered to a patient?
A. Arterial blood gas (ABG) levels
B. Respiratory rate
C. Oxygen flow meter setting
D. Temperature - answer>>C. Oxygen flow meter setting
Which of the following demonstrate that further teaching is required to prevent an infection
related to being catheterized? (Select all that apply.)
A. An elderly female patient carries her urinary drainage bag like a purse under her arm as she
ambulates
, B. A patient drinks an entire pitcher of water over the period of 1 day
C. As a patient is being transferred in a wheelchair, he places the drainage bag in his lap
D. The NAP places a patient's drainage bag on a lowered side rail or on the floor - answer>>A. An
elderly female patient carries her urinary drainage bag like a purse under her arm as she
ambulates
C. As a patient is being transferred in a wheelchair, he places the drainage bag in his lap
D. The NAP places a patient's drainage bag on a lowered side rail or on the floor
Which of the following are true regarding the impact of aging related to urinary elimination?
(Select all that apply.)
A. The elderly are better able to concentrate urine than the middle-aged adult
B. Aging can affect continence if the patient experiences impaired mobility or decreased muscle
tone
C. The elderly are less likely to experience urinary frequency than middle-aged adults because
they tend to drink less
D. The elderly are at increased risk for urinary tract infection because of retained urine in the
bladder - answer>>B. Aging can affect continence if the patient experiences impaired mobility or
decreased muscle tone
D. The elderly are at increased risk for urinary tract infection because of retained urine in the
bladder
During change-of-shift report the nurse states that a patient has early renal failure and to be
alert to this when administering medications. Why would this be a concern?
A. The kidneys assist in the detoxification of medication metabolites
B. The patient may not be able to absorb all of the medications
C. The bladder acts as a filter to remove wastes and form urine
D. The kidneys are the primary site for medication metabolism - answer>>A. The kidneys assist
in the detoxification of medication metabolites.
The nursing instructor is reviewing the renal system and urinary catheterization with her
students. Which statement, if made by a nursing student, indicates that further instruction is
needed?
A. "The urinary tract is considered to be sterile."