A client with obstructive sleep apnea (OSA ambulates in the hallway with the nurse prior to bedtime and then returns to bed. Which intervention is most important for the nurse to implement before leaving the client?

Apply the client's positive airway pressure device.

Elevate the head of the bed to a 45-degree angle.

Remove dentures or other oral appliance.

Lift and lock the side rails in place.

Answer and Explanation

The Correct Answer is A

A. Applying the positive airway pressure (PAP) device is crucial for managing obstructive sleep apnea (OSA and ensuring the client receives continuous positive airway pressure during sleep to prevent airway obstruction.
B. Elevating the head of the bed may be helpful in managing OSA, but ensuring the client uses the PAP device takes precedence.
C. Removing dentures or other oral appliances may improve comfort but is not as essential as ensuring proper use of the PAP device.
D. Lifting and locking the side rails may be important for safety but is not directly related to managing OSA.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Knowledge deficit: While the client may benefit from more information, the immediate concern is the emotional response to the anticipated pain.

B. Anxiety: This is the correct answer as the client is expressing worry about the ability to cope with future pain.

C. Pain (acute): Acute pain is not currently an issue; the client is anxious about future pain.

D. Anticipatory grieving: There is no indication that the client is experiencing a loss, which is required for anticipatory grieving. The concern is about managing future pain.

A. Remove the catheter and palpate the client's bladder for residual distention. B. Allow the bladder to empty completely or up to 1,000 mL of urine. C. Clamp the catheter for thirty minutes and then resume draining. D. Remove the catheter and replace with an indwelling catheter.

Correct Answer is B

Explanation

A. Remove the catheter and palpate the client's bladder for residual distention:
This is not the next appropriate action. Palpating the bladder does not address the immediate need to relieve the remaining urine or monitor for signs of overdistension.

B. Allow the bladder to empty completely or up to 1,000 mL of urine:
Gradual emptying is recommended to prevent bladder spasms and circulatory compromise due to rapid decompression of a distended bladder. It is safe to continue draining the urine up to 1,000 mL in a controlled manner before considering clamping the catheter temporarily if needed.

C. Clamp the catheter for thirty minutes and then resume draining:
Clamping after draining only 500 mL is unnecessary. The bladder should be allowed to empty up to 1,000 mL first, as gradual decompression is generally safe and therapeutic. Clamping prematurely might cause unnecessary discomfort or delay effective bladder emptying.

D. Remove the catheter and replace with an indwelling catheter:
Replacing the catheter is not required unless there is a clinical indication, such as repeated urinary retention or prolonged voiding difficulties. A straight catheter is appropriate for one-time use unless otherwise specified.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with obstructive sleep apnea (OSA ambulates in the hallway with the nurse prior to bedtime and then returns to bed. Which intervention is most important for the nurse to implement before leaving the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At the end of a preoperative teaching session on pain management techniques, a client starts to cry and states. "I just know I can't handle all the pain." Which is the priority nursing problem for this client?

Correct Answer is B

Explanation

A client is unable to void following a procedure, so the nurse obtains a prescription to perform a straight catheterization. After inserting the catheter, the nurse observes that the client has an immediate output of 500 mL of clear yellow urine. Which action should the nurse implement next?

Correct Answer is B

Explanation

A client is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in level of consciousness. The client is orally intubated and has a left lateral chest tube to 20 cm suction. Which action is most important for the nurse to take?

When preparing to administer a prescribed medication to a homeless male at a community psychiatric clinic, the client tells the nurse that he usually takes a different dosage. Which action should the nurse take?

A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

The nurse is providing lifestyle change education for a client to slow the progression of coronary artery disease. Which statement(s) made by the client should the nurse recognize as needing additional education? (Select all that apply.)

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

A child with peripheral edema who weighs 44 pounds receives a prescription for furosemide 2 mg/kg intravenously every 12 hours. The vial is labeled, "10 mg/mL." How many mL should the nurse administer? (Enter numeric value only)