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EAQ – Fundamentals 61 Quiz Questions Well Answered
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A client asks about the purpose of a pulse oximeter. Which measurement is a pulse oximeter used for? Respiratory rate Amount of oxygen in the blood Percentage of oxygen-carrying hemoglobin Amount of carbon dioxide in the blood - ️️Percentage of oxygen-carrying hemoglobin Rationale: The...

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  • August 20, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
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EAQ – Fundamentals 61 Quiz Questions
Well Answered
A client asks about the purpose of a pulse oximeter. Which measurement is a pulse oximeter used for?



Respiratory rate

Amount of oxygen in the blood

Percentage of oxygen-carrying hemoglobin

Amount of carbon dioxide in the blood - ✔ ✔ Percentage of oxygen-carrying hemoglobin



Rationale: The pulse oximeter measures the oxygen saturation of blood by determining the percentage
of oxygen-carrying hemoglobin.

A client calls out to all nursing staff members who pass by the door and asks them to get something.
How can the nurse best manage this problem while meeting this client's needs?



Assign one staff member to approach the client regularly and interact with the client.

Close the door to the room so that the client cannot see the staff members as they pass by.

Inform the client that one staff member will come in frequently and check whether the client has any
requests.

Arrange for a variety of staff members to take turns going into the room to see whether the client has
any requests. - ✔ ✔ Assign one staff member to approach the client regularly and interact with the
client.



Rationale: Assigning one staff member to approach and interact with the client regularly provides
continuity and demonstrates to the client that the nursing staff is concerned; frequent contact should
also reduce the client's need to call the staff for reassurance.

A client has a stage III pressure ulcer. Which nursing intervention can prevent further injury by
eliminating shearing force?

,a. Maintain the head of the bed at 35 degrees or less.



b. Use lift sheets to pull up, transfer, and position the client.



c. Reposition the client at least every 2 hours and support the client with pillows.



d. At least once every 8 hours, perform passive range-of-motion exercises of all extremities. - ✔ ✔ b.
Use lift sheets to pull up, transfer, and position the client.



Rationale: Shearing force is the pressure exerted on the skin when a debilitated client is pulled up in bed
without a draw sheet or when the client slides down in bed. With shearing, the skin adheres to the ned
linens while the layers of subcutaneous tissue and bone slide in the direction of the body movements,
causing tearing of the skin.

A client is admitted for surgery and appears apprehensive and withdrawn. Which is the nurse's best
action?



Orient the client to the unit environment.

Have a copy of hospital regulations available.

Explain that there is no reason to be concerned.

Reassure the client that the staff is available if the client has questions. - ✔ ✔ Orient the client to the
unit environment.



Rationale: Orienting the client to the hospital unit provides knowledge that may reduce the strangeness
of the environment. Having a copy of hospital regulations available and reassuring the client that the
staff is available to answer questions are part of orienting the client to the unit. Explaining that there is
no reason to be concerned may be false reassurance because no one can guarantee that there is no
reason to be concerned.

A client is diagnosed with a new disease. Which factor would the nurse consider when trying to promote
effective learning by the client?

, Client's past experiences

Client's personal resources

Stress of the total situation

Type of onset of the disease - ✔ ✔ Client's past experiences



Rationale: Past experiences have the most meaningful influence on present learning. Although the
client's personal resources, the stress of the total situation, and the type of onset of the disease affect
learning, their influence is not as great as that of past experiences.

A client is receiving therapy that includes a radioactive sealed implant. Which nursing intervention
would be implemented to protect against exposure to radiation?



Wearing a dosimeter film badge at all times

Limiting exposure to the client to 1 hour daily

Using long-handled forceps to retrieve a dislodged implant

Ensuring that visitors maintain a minimum distance of 3 feet from the client - ✔ ✔ Using long-
handled forceps to retrieve a dislodged implant



Rationale: Using long-handled forceps keeps the sealed implant away from the nurse as the implant is
retrieved and placed in a lead container kept in the client's room. Wearing a dosimeter film badge offers
no protection from exposure to radiation; it only measures the nurse's exposure to the radiation.
Exposure should be limited to no more than 30 minutes daily. Visitors should maintain a minimum
distance of 6 feet from the radiation source and visit for only 30 minutes daily.

A client reports abdominal cramping while undergoing a soapsuds enema. Which action would the nurse
take? - ✔ ✔ Lower the height of the enema bag.



Rationale: Abdominal cramping during a soapsuds enema could be due to too rapid administration of
the enema. Lowering the height of the bag will allow the flow to slow and give the bowel time to distend
without causing discomfort.

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