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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Trouble sleeping may be relevant to the client's overall health but does not directly impact the administration of pyridostigmine.
B. Recent oral intake is crucial to determine if the client can swallow effectively, as pyridostigmine can affect muscle strength, including those involved in swallowing.
C. Unexplained weight loss could indicate other issues but is not immediately pertinent to the administration of this medication.
D. Difficulty with urination may be important for other reasons but does not directly relate to the effects or administration of pyridostigmine.

A. Use salt tablets after strenuous exercise. B. Drink plenty of water whenever thirsty. C. Monitor daily urine output volume. D. Review food labels for sodium content.

Correct Answer is D

Explanation

A. Use salt tablets after strenuous exercise is incorrect. Clients with hypernatremia should avoid excessive sodium intake, including salt tablets, as this can worsen the condition.

B. Drink plenty of water whenever thirsty is incorrect. Thirst is a late sign of dehydration, and clients with hypernatremia should be encouraged to drink water regularly, even before feeling thirsty, to maintain proper hydration and correct sodium imbalances.

C. Monitor daily urine output volume is incorrect. While monitoring fluid balance is important, urine output alone does not directly address sodium intake or management, making reviewing food labels for sodium content a more critical intervention.

D. Review food labels for sodium content is correct. Clients with hypernatremia should limit sodium intake by carefully reading food labels and avoiding processed, canned, and fast foods that are high in sodium.

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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

A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication?

Correct Answer is B

Explanation

Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

Correct Answer is D

Explanation

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When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

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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.