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Exhibits

The nurse is preparing to set up the oxygen administration and apply the simple face mask. Which should the nurse do before applying the face mask? Select that apply.

Perform hand hygiene

Brush the client's teeth

Check the skin around the face

Identify the client using 2 client identifiers

Assess respiratory function

Don gloves

Determine if the client needs to go to the bathroom

Answer and Explanation

Correct Answer : A,C,D,E

A. Performing hand hygiene is crucial to prevent the spread of infection before any patient interaction or procedure.
B. Brushing the client’s teeth is not necessary before applying an oxygen mask and does not pertain to immediate care.
C. Checking the skin around the face is important to ensure there are no irritations or breakdowns that could affect the mask's fit and the patient's comfort.
D. Identifying the client using 2 identifiers is a critical safety step to ensure the correct patient receives the intended care.
E. Assessing respiratory function is important to determine the severity of the client’s condition and the appropriate oxygen delivery method.
F. Donning gloves is not required for applying a simple face mask unless there is potential for contact with blood or bodily fluids.
G. Determining if the client needs to go to the bathroom is not directly related to applying the face mask and should be assessed but is not critical before mask application.

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Correct Answer is B

Explanation

A. Step-by-step verbal directions may be confusing for clients with Huntington's disease due to cognitive and motor difficulties.
B. Escorting the client to the cafeteria ensures safety and provides direct assistance, which is crucial given the potential for impaired judgment and coordination in Huntington's disease.
C. While using a map might help some clients, it may overwhelm or confuse others, particularly those with cognitive impairments associated with Huntington's disease.
D. Orienting the client to a color-coding system could also be confusing andmay not be an effective method of navigation for someone with cognitive challenges.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

Tachypnea refers to an increased respiratory rate, which is noted as 29 breaths per minute in this client. Normal respiratory rates typically range from 12 to 20 breaths per minute.
Bradycardia typically refers to a slower than normal heart rate; however, in this context, the client’s heart rate is actually elevated at 104 beats per minute, which is not bradycardic. Thus, this term does not accurately apply to the client’s condition.

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Exhibits The nurse is preparing to set up the oxygen administration and apply the simple face mask. Which should the nurse do before applying the face mask? Select that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

Correct Answer is B

Explanation

Exhibits According to the client's vital signs, he is experiencing dropdownanddropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

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Exhibits

The nurse is preparing to set up the oxygen administration and apply the simple face mask. Which should the nurse do before applying the face mask? Select that apply.