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A client is receiving oxygen via nasal cannula at 2 L/min.
What should the
nurse do to ensure safety?
a) Secure the cannula tightly around the ears
b) Check the nares for irritation
c) Increase the flow to 4 L/min
d) Place the client in a prone position
b) Check the nares for irritation
Rationale: Prolonged oxygen use can cause nasal
irritation or dryness, requiring regular
assessment to ensure client comfort and prevent
complications.
,. A client is on bed rest and requires repositioning. How
often should the
nurse reposition the client?
a) Every 4 hours
b) Every 2 hours
c) Once per shift
d) Every 6 hours
, b) Every 2 hours
Rationale: Repositioning every 2 hours prevents pressure
ulcers in clients on bed rest.
The nurse is turning a client in bed. Where would the
nurse stand when using the friction-reducing sheet to turn
,the client to the opposite side of the bed? - ANSWER-
Opposite the center of the client's body.
. A client with limited mobility needs assistance with
ambulation. What
should the nurse use?
a) A wheelchair
b) A gait belt
c) A stretcher
d) A Hoyer lift
b) A gait belt
Rationale: A gait belt ensures safety by providing support
during ambulation.
, . A client reports difficulty swallowing. What should the
nurse do first?
a) Encourage thin liquids
b) Assess swallowing ability
c) Provide a regular diet
d) Restrict all oral intake
b) Assess swallowing ability
Rationale: Assessing swallowing ability identifies
dysphagia and prevents aspiration.
. A client is prescribed a low-sodium diet. Which food
should the nurse
recommend?
a) Canned soup
b) Fresh fruit
c) Processed cheese