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38. The nurse assesses a client’s respirations and finds abn…

38. The nurse assesses a client’s respirations and finds abnormal respirations marked by a cycle which begins with slow, shallow respirations and gradually become deep and rapid and then stop briefly.  The nurse will document the presence of:

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36. The nurse is planning care for clients and understands t…

36. The nurse is planning care for clients and understands that which client cannot have care delegated to the unlicensed assistive personnel (UAP)?

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17.  The use of noninvasive positive-pressure ventilation (C…

17.  The use of noninvasive positive-pressure ventilation (CPAP or BiPAP) has the potential to cause carbon dioxide retention in which of the following patients?

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23.  If the physician has ordered Chest physiotherapy for a…

23.  If the physician has ordered Chest physiotherapy for a client with a bronchodilator administered. The nurse will plan on performing the chest physiotherapy and administration of the bronchodilator at what time?

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43. An elderly client in a skilled nursing facility is given…

43. An elderly client in a skilled nursing facility is given the diagnosis of emphysema and is receiving oxygen therapy. Upon entering the room, the nurse notices flames coming from the garbage can. Which of the interventions will the nurse perform first?

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1.  A nurse is caring for a 4-year-old child who is postoper…

1.  A nurse is caring for a 4-year-old child who is postoperative following abdominal surgery. Which of the following statements should the nurse make to encourage the child to take deep breaths?

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32. The nurse is reviewing tracheostomy care and understands…

32. The nurse is reviewing tracheostomy care and understands that which of the following is used in performing this procedure?

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7.  The nurse is reinforcing education to a client who will…

7.  The nurse is reinforcing education to a client who will be going home on oxygen.  The nurse will state that because of its effects, oxygen should be considered a:

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26. A nurse is caring for a client who is having difficulty…

26. 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?

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25.  Prior to suctioning a patient, what action will the nur…

25.  Prior to suctioning a patient, what action will the nurse take to assist in reducing suction-induced hypoxemia?

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