A male client who is anxious and fearful removed his rebreather face mask. The mask now needs to be reapplied. Which action should the practical nurse (PN) take first?
Request that a respiratory therapist come to the room.
Secure the straps around each of the client's ears.
Place mask over the bridge of the nose and then the mouth.
Check that the reservoir bag inflates during exhalation.
The Correct Answer is C
A. Request that a respiratory therapist come to the room: While a respiratory therapist can assist, the immediate need is to ensure the client receives oxygen. Delaying to call for help does not address the urgent requirement for oxygen delivery.
B. Secure the straps around each of the client's ears: Straps should be secured after properly positioning the mask. Securing straps first may result in improper fit and ineffective oxygen delivery.
C. Place mask over the bridge of the nose and then the mouth: Correct placement of the mask over the nose and mouth is the first priority to ensure an adequate oxygen seal and effective therapy. Proper positioning allows oxygen to be delivered safely before checking other components.
D. Check that the reservoir bag inflates during exhalation: Observing the reservoir bag is important to verify oxygen flow, but it cannot be done effectively until the mask is correctly positioned on the client’s face.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Brown spots on hands and arms: These are common age-related changes (lentigines) and are not an urgent concern related to hot pack use or psoriatic care.
B. Areas of decreased pigmentation: Hypopigmentation can occur in psoriasis or with chronic skin changes, but it is not typically a sign of acute injury or complication from heat therapy.
C. Erythema and edematous areas: Redness and swelling indicate possible skin irritation or burns from hot packs. These findings require prompt referral to the charge nurse for assessment and intervention to prevent further injury or infection.
D. Yellow-white scales on the skin: These are characteristic of psoriatic plaques and are expected findings. They do not signal a complication from the heat therapy and do not require immediate referral.
Correct Answer is D
Explanation
A. The LPN Nursing Practice Standards of Care: These standards guide safe and competent nursing practice, but they do not provide legal protection for voluntary care rendered outside a formal healthcare setting.
B. The Patient's Bill of Rights: This document outlines the rights of patients within healthcare settings, but it does not grant legal immunity to nurses providing emergency aid at accident sites.
C. The Practical Nurse Code of Ethics: The code of ethics provides moral and professional guidance for nursing behavior, but it does not offer legal protection from liability in emergency situations.
D. The Good Samaritan Act: This law protects healthcare professionals who voluntarily provide emergency care at the scene of an accident from liability, as long as the care is reasonable, prudent, and within the provider’s scope of practice.
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