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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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Correct Answer is D

Explanation

A. Fried rice is typically made with rice, which is gluten-free, so this option would generally be safe for a client with celiac disease unless it contains gluten-containing soy sauce.
B. Potatoes are naturally gluten-free and can be safely included in a gluten-free diet.
C. Corn chips can also be gluten-free, but it’s important to check the label for potential cross-contamination.
D. Oatmeal can often contain gluten due to cross-contamination during processing unless it is specifically labeled as gluten-free, indicating that further teaching is needed for the client regarding safe food choices.

A. I will use my other inhaler in between uses. B. When I cough up sputum, the secretions should be less thick. C. I should use this medication in its handhaler every day. D. If I have sudden shortness of breath, I will use this inhaler.

Correct Answer is C

Explanation

A. Using another inhaler between doses may not align with the prescribed schedule for tiotropium, which is typically taken daily.
B. While reduced thickness of sputum is a desired outcome, it does not specifically indicate correct understanding of tiotropium use.
C. This statement indicates understanding, as tiotropium is a long-acting anticholinergic medication that should be used daily for maintenance therapy in COPD.
D. Tiotropium is not a rescue inhaler and should not be used for sudden shortness of breath; a short-acting bronchodilator is recommended for that situation.

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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

The nurse is discussing dietary choices with a client who is newly diagnosed with celiac disease. Which menu choice by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the instructions for using this medication?

Correct Answer is C

Explanation

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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.