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.

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Inform the client that the healthcare provider will need to increase the prescribed dose of levothyroxine sodium: An increased heart rate is a sign of excessive thyroid hormone activity. Increasing the dosage could worsen tachycardia and precipitate complications such as arrhythmias or cardiac strain.

B. Hold the next dose of levothyroxine sodium and notify the charge nurse of the change in the client's pulse rate: Holding the next dose and promptly reporting to the charge nurse allows further evaluation and prevents potential cardiac complications from excessive thyroid hormone levels.

C. Explain to the client that this is an expected side effect and administer the next dose of levothyroxine sodium as prescribed: A rise from 98 to 120 beats/minute is excessive and warrants concern. Continuing the medication without evaluation could exacerbate symptoms of hyperthyroidism, including palpitations and chest pain.

D. Administer the scheduled dose of levothyroxine sodium unless the client's blood pressure is greater than 140/90 mm Hg: Blood pressure is not the most relevant indicator for levothyroxine dosage adjustment. The primary concern here is the elevated pulse rate, which signals potential overstimulation from the thyroid medication.

A. Radial pulse distal to AVF is absent and ulnar pulse is present B. Bruising at the AVF site is purple and green in color. C. Descriptions of numbness and tingling in fingers distal to the AVF. D. A loud and consistent bruit is auscultated at the AVF site.

Correct Answer is C

Explanation

A. Radial pulse distal to AVF is absent and ulnar pulse is present: The presence of a palpable ulnar pulse suggests some distal perfusion remains. While changes in distal pulses should be monitored, this finding alone may not indicate an acute complication requiring immediate reporting.

B. Bruising at the AVF site is purple and green in color: Minor bruising can occur after fistula creation and is typically expected during healing. Unless accompanied by swelling, pain, or signs of hematoma expansion, it does not necessitate immediate reporting.

C. Descriptions of numbness and tingling in fingers distal to the AVF: Numbness and tingling may indicate ischemia or compromised circulation distal to the fistula, a serious complication that requires prompt evaluation by the healthcare provider to prevent tissue damage.

D. A loud and consistent bruit is auscultated at the AVF site: A palpable thrill and auscultated bruit are normal findings indicating proper fistula function. Continuous monitoring is necessary, but this finding does not require reporting if consistent and expected.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) notes that the pulse rate of a client newly started on levothyroxine sodium has increased from 98 to 120 beats/minute since the initial dose was administered the previous day. Which action should the PN implement?

Correct Answer is B

Explanation

Which finding for a client with an arteriovenous fistula (AV Fistula) should the practical nurse (PN) report to the healthcare provider?

Correct Answer is C

Explanation

In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?

A client receives ondansetron prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication?

The practical nurse (PN) plans to administer a PRN dose of loperamide via a client's gastrostomy tube. The prescribed dose is 3 mg. The label on the medication bottle reads, "1 mg/5 mL." How many mL should the PN administer? (Enter numeric value only.)

In caring for a client with Buck's traction, the practical nurse (PN) observes that the prescribed amount of weights are hanging freely and the traction rope is on the pulley. Which action should the PN implement next?

An older client who had a colon resection 8 days ago is straining at stool. The practical nurse (PN) observes sudden spillage of serosanguinous drainage from the client's wound followed by appearance of bowel on the skin. Which complication has occurred?

Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is prescribed for a client with severe chronic back pain. Thirty minutes after initiating the PCA pump, the practical nurse (PN) notes that the client has become lethargic. Which action should the PN take?

A client with schizophrenia reports auditory hallucinations when admitted to the hospital. What question is most important for the practical nurse (PN) to include in the assessment of this client?

A client is using an incentive spirometer on the first postoperative day after an inguinal herniorrhaphy. The practical nurse (PN) should reteach the proper use of the spirometer when the client demonstrates which action?