Find patient data about a client below.

After the nurse assesses the client, the physician writes orders. The nurse reviews the orders. Which 2 orders should the nurse complete first?

Provide a regular diet tray

Measure vital signs

Apply oxygen 1 L/min

Give Albuterol as ordered

Perform pulmonary function test

Answer and Explanation

Correct Answer : B,D

A)   Incorrect - Providing a regular diet tray is important for the client's nutritional needs, but it is not as urgent as assessing vital signs or administering Albuterol in response to the client's acute symptoms.
B)   Correct- This action is a priority after any assessment or intervention. Vital signs provide important information about the client's overall condition, including heart rate, blood pressure, respiratory rate, and oxygen saturation.
C)   Incorrect - Applying oxygen is important, but its priority depends on the client's vital signs and oxygen saturation, which should be assessed first.
D)   Correct- Administering Albuterol as ordered is crucial for addressing the client's acute breathing difficulty. Albuterol is a bronchodilator that helps alleviate asthma symptoms, and timely administration is essential.
E)   Incorrect - Performing a pulmonary function test is valuable for assessing lung function, but it's not an immediate concern compared to addressing the client's breathing difficulty.

Nursing Test Bank

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Correct Answer is A

Explanation

This finding requires immediate action, as it indicates that the client is not receiving the prescribed amount of oxygen, which can compromise the oxygenation and perfusion of the tissues. The PN should adjust the ﬂowmeter to deliver 3 liters per minute of oxygen, and check for any leaks or kinks in the tubing.

The other options are not correct because:

B. The absence of a humidifier does not require immediate action, as it is not a critical component of the oxygen delivery system. A humidifier can help moisten the dry oxygen and prevent mucosal irritation, but it is not essential for oxygenation.

C. The supine position does not require immediate action, as it is not a contraindication for oxygen therapy. The client may prefer this position for comfort or rest, and it does not aﬀect the oxygen delivery or uptake.

D. The snug fit of the cannula does not require immediate action, as it is not a problem for oxygen therapy. The cannula should fit snugly against the client's cheeks to prevent dislodgment or slippage, and it does not interfere with the oxygen ﬂow or diﬀusion.

A. Elevated energy level. B. Powerful craving for more. C. High self-esteem. D. Euphoria. E. None F. None

Correct Answer is B

Explanation

A. Elevated energy level: While cocaine use can initially cause increased energy, this is a temporary effect. The most consistent and concerning behavioral manifestation is drug-seeking behavior due to intense cravings.
B. Powerful craving for more: Cocaine is highly addictive and stimulates the brain's reward system, leading to a powerful and often uncontrollable craving for more of the drug, which is a hallmark of cocaine dependence.
C. High self-esteem: Cocaine use may cause temporary grandiosity, but it does not result in true or stable high self-esteem. Users often experience mood swings and depressive symptoms after the drug wears off.
D. Euphoria: Cocaine does cause euphoria, but it is short-lived. The craving for more, even after the initial high, is more defining and persistent in clients who test positive and are in the cycle of use.

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Find patient data about a client below. After the nurse assesses the client, the physician writes orders. The nurse reviews the orders. Which 2 orders should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is completing a focused assessment on a client who is prescribed oxygen at 3 liters per minute by nasal cannula. Which assessment finding by the PN requires immediate action?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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Find patient data about a client below.

After the nurse assesses the client, the physician writes orders. The nurse reviews the orders. Which 2 orders should the nurse complete first?