The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

endotracheal tube

partial rebreather oxygen mask

tracheostomy

pharyngeal airway

Answer and Explanation

The Correct Answer is D

A) Endotracheal tube. An endotracheal tube is invasive and used for patients who require mechanical ventilation, not for simple airway maintenance.
B) Partial rebreather oxygen mask. A partial rebreather mask is used to deliver oxygen, not to maintain airway patency.
C) Tracheostomy. A tracheostomy is a surgical procedure for long-term airway management and is unnecessary in this scenario.
D) Pharyngeal airway. A pharyngeal airway helps maintain airway patency by preventing the tongue from obstructing the airway.

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Correct Answer is D

Explanation

A) "It delivers a specific concentration of oxygen constantly." A nasal cannula does not provide a constant or precise concentration of oxygen, as it is influenced by the client's breathing pattern.
B) "It allows you to remove it for a while when it gets uncomfortable." Removing the nasal cannula intermittently may disrupt oxygen therapy and decrease oxygen saturation.
C) "It delivers the highest concentration of oxygen possible." A nasal cannula delivers low-flow oxygen and does not provide the highest possible oxygen concentration.
D) "It delivers the low concentration of oxygen you need." A nasal cannula is designed for clients who need a low concentration of oxygen, typically between 1 to 6 liters per minute.

A. sitting upright and forward with arms supported on an over the bed table B. semi-Fowler's position with a single pillow behind the head C. high Fowler's position without a pillow behind the head D. right lateral with the head of the bed elevated 45 degrees.

Correct Answer is A

Explanation

A. Sitting upright and forward with arms supported on an over-the-bed table: This tripod position allows for maximum lung expansion by reducing pressure on the diaphragm and improving airflow, especially for patients with chronic obstructive pulmonary disease (COPD).
B. Semi-Fowler's position with a single pillow behind the head: This position does not optimize lung expansion as well as the tripod position.
C. High Fowler's position without a pillow behind the head: Although better than lying flat, this position lacks arm support, which helps in leveraging accessory muscles for breathing.
D. Right lateral with the head of the bed elevated 45 degrees: This position is not beneficial for promoting effective lung expansion in patients with emphysema.

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The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?

Correct Answer is D

Explanation

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?