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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 D

Explanation

A. While H. pylori can be related to gastrointestinal issues, it is not the primary focus in pancreatitis management, and urine output is less critical than pancreatic enzyme levels.
B. Assessing bowel sounds and abdominal pain is important, but specific laboratory results provide more concrete information regarding the condition.
C. Chronic constipation and serum gastrin levels are not directly relevant to acute pancreatitis.
D. The severity of nausea and vomiting, along with serum amylase results, directly indicates the status of pancreatitis, as elevated amylase levels are typically associated with this condition. This information is vital for guiding treatment decisions.

A. Destruction of helper T-cells and CD4 cells. B. Increase in B-lymphocytes and IgM. C. Proliferation of suppressor T-cells. D. Deficiency of cytotoxic T cells.

Correct Answer is A

Explanation

A. HIV primarily targets and destroys helper T-cells (CD4 cells), which are crucial for orchestrating the immune response, leading to immune system suppression and increased vulnerability to infections.
B. An increase in B-lymphocytes and IgM is not a direct action of HIV; in fact, B-cell function is also impaired as the disease progresses.
C. Proliferation of suppressor T-cells is not a characteristic effect of HIV; instead, it is the helper T-cells that are predominantly affected, leading to immune dysfunction.
D. While cytotoxic T cells may be present, their function is impaired due to the loss of helper T-cells, but deficiency of cytotoxic T cells is not the primary mechanism by which HIV suppresses the immune system.

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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

Correct Answer is D

Explanation

Correct Answer is A

Explanation

The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?

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The antitubercular drug isoniazid is prescribed for a client with active tuberculosis. To evaluate the effectiveness of this medication, which outcome can the nurse expect this client to exhibit?

The nurse is caring for a client with chronic obstructive pulmonary disease who develops an onset of dyspnea and tachypnea with coughing. After positioning the client upright, which action should the nurse take next?

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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.