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QUESTIONS
A nurse is providing discharge instructions to a client who has a prescription for the use of
oxygen in
his home. Which of the following should the nurse teach the client about using oxygen safely in
his
home? (Select all that apply.)
A. Family members who smoke must be at least 10 ft from the client when oxygen is in use.
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home.
- CORRECT ANS-B
C
E
A nurse is providing home safety instructions to a group of older adult clients. Match the safety
risk
with the appropriate instruction.
____ Passive smoking
____ Carbon monoxide poisoning
____ Food poisoning
A. Have water heaters inspected on an annual
,basis.
B. Cook all meat at an appropriate temperature.
C. Avoid enclosed areas with others who may be
smoking.
- CORRECT ANS-C
A
B
When performing nasotracheal suctioning what technique should be used?
- CORRECT ANS-Sterile asepsis bc the trachea is considered sterile and prevents infections
A nurse educator is presenting a module on basic first aid for newly licensed home health
nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse
states the client who has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
- CORRECT ANS-A
What do you do when a client has a seizure
- CORRECT ANS-- lower to bed/floor
- protect head, move nearby furniture, provide privacy, - - put on side with head flexed slightly
forward, and loosen clothing to prevent injury
-in event of seizure, stay with client and call for help
-admin meds as ordered
-note duration of seizure and sequence and type of movement
, seclusion and restraints
- CORRECT ANS--must be ordered
-should be ordered for the shortest duration necessary and only if less restrictive measures are
not sufficient
-a client may voluntarily request temp seclusion
-restraints can be physical or chemical
-if used, frequency of client assessments in regards to food, fluid, comfort, and safety should be
performed and documented every 15-30 min
What position is good to use for a patient who is at high risk for a pressure ulcer
- CORRECT ANS-30 degree lateral position is recommended for clients at risk for pressure ulcers
health promotion (injury prevention-suffocation): infant (birth-1 yr)
- CORRECT ANS--avoid plastic bags
-keep balloons out of reach
-ensure crib mattress fits snugly
-ensure crib slats are no more than 6 cm (2.4 in) apart
-remove crib mobiles and gyms by 4-5 months
-do not use pillows in crib
-place infant on back for sleep
-keep toys with small parts out of reach
-remove drawstrings from jackets and other clothing
hypotension is classified with a reading below normal;
- CORRECT ANS-systolic < 90 mm Hg; can be a result of fluid depletion, heart failure, or
vasodilation
What temperature should pork be cooked a
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