Patient Data

Exhibits

What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

To prevent hypoxia and tissue damage due to pneumonia.

To lower the blood pressure and reduce the workload of the heart.

To increase the oxygen saturation and improve the respiratory function.

To dilate the bronchioles and decrease the inflammation of the lungs.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Supplemental oxygen is given to the patient to prevent hypoxia and tissue damage due to pneumonia. Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing. Hypoxia occurs when the body or a region of the body is deprived of adequate oxygen supply at the tissue level. It can cause serious damage to your heart, brain, and other organs. Hence, supplemental oxygen is administered to ensure that the patient’s tissues receive adequate oxygen.

Choice B rationale:

While supplemental oxygen can indirectly help lower blood pressure by improving oxygen supply and reducing strain on the heart, it is not primarily used for this purpose. Enalapril, which the patient is already taking, is an angiotensin-converting enzyme (ACE) inhibitor that is commonly used to lower blood pressure and reduce the workload of the heart.

Choice C rationale:

Supplemental oxygen does increase the oxygen saturation and improve respiratory function. However, this is a more general rationale for providing supplemental oxygen and not specific to this patient’s condition of pneumonia.

Choice D rationale:

Supplemental oxygen does not directly dilate the bronchioles or decrease inflammation in the lungs. Medications such as bronchodilators and corticosteroids are typically used for these purposes. In this case, supplemental oxygen is being used to prevent hypoxia and tissue damage due to pneumonia.

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Free Nursing Study Resources

Correct Answer is ["B","D"]

Explanation

Choice A rationale: Orange juice contains pulp and is not considered a clear liquid. A clear liquid diet is restricted to fat-free liquids and those that are transparent at room temperature.

Choice B rationale: Apple juice is a transparent liquid that remains liquid at room temperature. It provides carbohydrates and fluid without leaving residue in the gastrointestinal tract, fitting the clear liquid requirement.

Choice C rationale: Hot chocolate contains dairy or cocoa solids, making it an opaque liquid. It is excluded from a clear liquid diet and also contains caffeine, which Mormons typically avoid.

Choice D rationale: Chicken broth is a clear, fat-free liquid that provides electrolytes and hydration. It is an essential component of a clear liquid diet and does not violate any Mormon dietary restrictions.

Choice E rationale: Black coffee is a caffeinated beverage. The Word of Wisdom in Mormon belief prohibits the consumption of "hot drinks," specifically interpreted as coffee and tea, regardless of the diet type.

A. “Antihypertensive drugs work by increasing the blood flow to my heart and kidneys.” B. “Antihypertensive drugs can lower my blood pressure by affecting different parts of my cardiovascular system.” C. “Antihypertensive drugs are safe to use with any other medications or supplements I might take.” D. “Antihypertensive drugs will cure my hypertension if I take them as prescribed.”. E. “Antihypertensive drugs will cure my hypertension if I take them as prescribed.”.

Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect. Antihypertensive drugs typically work by reducing blood pressure through various mechanisms, such as dilating blood vessels, reducing blood volume, or affecting the heart's workload. They do not increase blood flow to the heart and kidneys.

Choice B rationale:

This is the correct answer. Antihypertensive drugs work by affecting different aspects of the cardiovascular system, such as reducing blood vessel constriction (vasodilation), decreasing blood volume, or slowing the heart rate. By affecting these components, they can lower blood pressure.

Choice C rationale:

This statement is incorrect. Antihypertensive drugs can interact with other medications or supplements, potentially causing adverse effects or drug interactions. It's essential for the client to inform their healthcare provider of all medications and supplements they are taking to ensure safe and effective treatment.

Choice D rationale:

This statement is incorrect. Antihypertensive drugs do not cure hypertension but help control it. Clients need to understand that they will likely need to take these medications long-term to manage their blood pressure effectively.

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Patient Data Exhibits What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery. Which menu item(s) should the nurse request for this client? (Select all that apply).

Correct Answer is ["B","D"]

Explanation

A nurse is teaching a client with hypertension about antihypertensive drugs. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

The nurse is planning discharge instructions for a client with type 2 diabetes who will be starting exenatide. Which information should be included in the discharge instructions?

A nurse is planning care for a client with a phobia. Which nursing intervention is appropriate for this client?

A nurse is documenting the data collected from an ongoing assessment of a client who has diabetes mellitus. The nurse writes, “The client reports feeling thirsty and hungry all the time.” How should the nurse label this type of data?

A client is admitted with an exacerbation of heart failure secondary to chronic obstructive pulmonary disease (COPD). Which observation(s) by the nurse require immediate intervention to reduce the likelihood of harm to this client? (Select all that apply.).

A nurse is reviewing laboratory results for a client who has been taking amoxicillin-clavulanate (Augmentin) for a bacterial respiratory tract infection. Which of the following findings should alert the nurse to a possible adverse effect of this medication? (Select all that apply.).

The nurse is caring for a client who has been admitted with recurring migraine headaches. To assess the quality of the client's pain experienced from the migraine headache, which approach should the nurse use?

A nurse is instructing a nursing assistant on how to assist a patient with bathing. The patient has hemiparesis on the left side due to a stroke. Which of the following statements by the nursing assistant demonstrates understanding of the teaching?

Patient Data

Exhibits

What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.