QUESTIONS AND VERIFIED
CORRECT ANSWERS
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when suctioning a client's airway, the maximum amount of time to apply suction is which of the
following? - CORRECT ANSWER-10-15 sec
a nurse is delivering oxygen to a patient via oxygen mask. which of the following is a
recommended guideline for this procedure to decrease the risk for impaired skin integrity? -
CORRECT ANSWER-remove the mask and dry the skin every 2-3 hours if the oxygen is
continuous
a nurse if preparing to administer oxygen to a client with pneumonia via a mask with a reservoir.
what step would the nurse take prior to placing the mask on the client's face? - CORRECT
ANSWER-allow the reservoir bag to fully inflate with oxygen
a nurse is preparing to administer an inhaled medication to a client. the client states "i have
taken this inhaler for years" what is the best action the nurse would take next? - CORRECT
ANSWER-ask the client to teach back the steps to take when self-administering this med
which of the following described the proper method for measuring the appropriate length to
use when inserting a nasopharyngeal airway? - CORRECT ANSWER-when holding the airway on
the side of the patient's face, it should reach from the tip of the nose to the ear lobe
, which of the following oxygen delivery systems is most commonly used and does not impede
eating or speaking - CORRECT ANSWER-nasal cannula
a nurse is assessing cap refill of the client's right hand prior to placing a pulse oximeter for
oxygen saturation measurement. if circulation at this site is found to be inadequate, what other
sites may be acceptable to use assuming there is an appropriate oximeter sensor available? -
CORRECT ANSWER-the bridge of the nose and the ear lobe
a nurse is preparing to check an O2 on a client using a pulse oximeter finger probe. the client is
wearing dark colored nail polish. what is the most prudent action for the nurse to take next? -
CORRECT ANSWER-remove the nail polish completely from the selected site's finger nail using a
nail polish remover wipe
Oxygen hoods are generally used to deliver oxygen at rates approaching 100% to which of the
following developmental groups? - CORRECT ANSWER-infants
a nurse assessing a client's respiratory effort notes that the client is breathing six shallow
breaths/min. which of the following oxygen delivery system should the nurse use? - CORRECT
ANSWER-ambu bag
after suctioning a client, the nurse would document which of the following? - CORRECT
ANSWER-characteristics and amount
respiratory assessment before and after
time suctioning occured
route used
a nurse is assessing a client receiving oxygen via a nasal cannula and notes reddened areas on
the top of the ears. what action would the nurse take next? - CORRECT ANSWER-apply padding
to the tubing going over the ear