CMS
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Fun dam en tals
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Pr actice Question s W ith An sw er s
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A nurse is giving chance-
// // // //
of /
shift
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report
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about
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a /
client
/ /
they
/ /
admitted earlier that day who has pneumonia. Which of
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the /
following pieces of information is the priority for the nurse
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to provide?
// //
a) Admitting diagnosis.
// //
b) Breath sounds.
// //
c) Body temperature.
// //
d) /
Diagnostic
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results. - CORRECT ANSWERS(S)✅✅Correct answer: B.
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,Breath /
sounds -
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When using the airway, breathing, circulation approach to
/ // // // // // // //
client care, the nurse
// // // //
should /
determine
/ /
that
/ /
the
/ /
priority
/ /
information
/ /
to
/ /
provide is the current status of the client's breath sounds.
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A /
nurse
/ /
is
/ /
caring
/ /
for
/ //
a /
client
/ /
who
/ /
has
/ /
an
/ /
NG
/ /
tube
/ /
and
/ /
,/ is
/
/ receiving intermittent feedings through an open system.
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Which of the following actions should the nurse take first?
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a) Rinse the feeding bag with water between feedings.
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b) /
Tell
/ /
the
/ /
client to keep the head of the bed elevated at least 30°.
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c) Make sure the enteral formula is at room temperature.
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d) /
Wipe
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the
/ /
top
/ /
of
/ /
the
/ /
formula
/ /
can
/ /
with
/ /
alcohol. -
/ // /
CORRECT
/ /
ANSWERS(S)✅✅Correct
/ /
answer:
/ /
B. -
/ // /
The
/ /
first
/ /
action
/ /
the
/ /
, / nurse /
/ should /
/ take /
/ when using the airway, breathing, circulation approach to
// // // // // // //
client /
care
/ /
is
/ /
to
/ /
prevent
/ /
aspiration
/ /
of
/ /
the
/ /
enteral
/ /
formula;
/ /
therefore,
/ /
the priority intervention is to keep the head of the
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bed /
elevated
/ /
at
/ /
least
/ /
30° to prevent reflux of the formula into the esophagus
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A /
nurse
/ /
is
/ /
caring
/ /
for
/ //
a /