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Exhibits

Which actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.

Positioning the client with the head of the bed elevated

Avoid treating fever with antipyretics

Encourage the client to take breaks from the oxygen mask every few hours

Providing suctioning so the client does not have to cough

Assist the client in ambulating safely

Asking the client to do quick, shallow breaths

Teaching the client to cough at least once an hour

Answer and Explanation

Correct Answer : A,E,G

A. Positioning the client with the head of the bed elevated helps improve lung expansion and facilitates better ventilation and oxygenation, reducing the work of breathing.
B. Avoid treating fever with antipyretics is not appropriate, as managing fever can help reduce metabolic demand and improve overall comfort, which aids in ventilation.
C. Encouraging the client to take breaks from the oxygen mask is not advisable, as consistent oxygen delivery is critical for maintaining adequate oxygen saturation, especially in cases of pneumonia.
D. Providing suctioning so the client does not have to cough may not be necessary; coughing is a natural mechanism to clear secretions and improve airway patency.
E. Assisting the client in ambulating safely promotes lung expansion, enhances circulation, and aids in the mobilization of secretions, contributing positively to ventilation and oxygenation.
F. Asking the client to do quick, shallow breaths is counterproductive, as it can lead to inadequate ventilation and decreased oxygenation; deep breathing is preferred.
G. Teaching the client to cough at least once an hour is essential for clearing secretions and improving lung function, thereby enhancing ventilation and oxygenation.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Topical corticosteroids are the first-line treatment for psoriasis as they help reduce inflammation and alleviate symptoms like burning and bleeding.
B. Topical analgesics may relieve pain but do not address the underlying inflammation or scaling associated with psoriasis.
C. Topical antifungals are used to treat fungal infections and are not appropriate for psoriasis.
D. Colloidal oatmeal-based lotion can provide soothing effects but does not treat the underlying condition effectively like topical corticosteroids do.

A. Determine the client's last dose of corticosteroids. B. Determine neurological baseline prior to the fall. C. Administer a PRN IV antiemetic as prescribed. D. Complete head-to-toe neurological assessment.

Correct Answer is C

Explanation

A. While knowing the last dose of corticosteroids may be relevant, it does not address the immediate symptoms of confusion and vomiting.
B. Establishing a neurological baseline is important, but the priority is to manage the client's acute symptoms first.
C. Administering a PRN IV antiemetic is essential to manage the projectile vomiting, which can lead to further complications like aspiration or dehydration. This intervention directly addresses the client's current distress.
D. A complete head-to-toe neurological assessment is important for ongoing monitoring, but it should be conducted after stabilizing the client's immediate symptoms.

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Exhibits Which actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

Correct Answer is A

Explanation

A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

Correct Answer is C

Explanation

Exhibits Which actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.

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Exhibits

Which actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.