RN Comprehensive Online Practice 2019 A with NGN

A nurse is assessing a client who has obstructive sleep apnea. For which of the following complications should the nurse monitor? A. Weight loss B. Urinary retention C. Hypertension D. Hypoglycemia - Correct Answer C. Hypertension A nurse is providing teaching to a parent of a child who has a permanent tracheostomy tube. Identify the sequence of steps the parent should follow to perform tracheostomy care. Clean the stoma with 0.9% sodium chloride irrigation. Remove the inner cannula. Change the tracheostomy collar. Remove the soiled dressing. - Correct Answer 1.Remove the inner cannula. 2.Remove the soiled dressing. 3.Clean the stoma with 0.9% sodium chloride irrigation. 4.Change the tracheostomy collar. A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse? A. Instills 100mL of air into the NG tube after checking for residual B. Flushes the NG tube with 0.9% sodium chloride irrigation every 2 hr. C. Adds 20 mL of blue dye to each feeding to help detect aspiration. D. Keeps the head of the bed elevated to 45 for 1 hr after feedings. - Correct Answer D. Keeps the head of the bed elevated to 45 for 1 hr after feedings. A nurse is caring for a client who has a closed-head injury and is receiving mechanical ventilation. The nurse should expect to administer which of the following medications to reduce intracranial pressure? A. Propranolol B. Phenytoin C. Lorazepam D. Mannitol - Correct Answer D. Mannitol An assistive personnel (AP) and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene?