ATI PN FUNDAMENTALS PRACTICE A EXAM/REMEDIATION QUESTIONS 2023
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Nurse assessing client has acute respiratory infection that puts her at risk for hypoxemia. Which findings r early indications that should alert nurse client is developing hypoxemia (select all that a... pply) Restlessness, tachypnea, pallor Nurse preparing to perform endotracheal suctioning. Which r appropriate guidelines 4 nurse 2 follow (select all that apply) Suction pressure while withdrawing catheter (NOT inserting it) Not reuse suction catheter unless inline suctioning system is in place 2 prevent hypoxemia, nurse should limit each suctioning session to 2-3. Attempts & allow 1 minute b2ween passes 4 ventilation & oxygenation Nurse caring 4 patient having difficulty breathing. Client lying in bed. & is already receiving oxygen therapy via nasal cannula. Which intervention is nurses priority? Put in Fowlers position. Relieves dyspnea. Fowlers position facilitates maximal lung expansion & thus optimizes breathing. With client in this position, nurse can better assess & determine the cause of client's dyspnea. Nurse caring 4 client has tracheostomy. Which actions should nurse take each time he provides tracheostomy care? (Select all that apply) Nurse must b prepared 2 provide supplemental oxygen in response 2 any decline in oxygen saturation while performing tracheostomy care Nurse should use sterile disposable tracheostomy cleaning kit or sterile supplies & maintain surgical asepsis thru-out this part of procedure Clean the outer surfaces in circular motion from stoma site outward A provider is discharging client w/prescription for home oxygen therapy via nasal cannula. Client & family teaching by nurse should include: Check position of cannula frequently Replace tracheostomy ties w/new ties Report any nasal stuffiness, nausea, fatigue Post "no smoking" signs in prominent location Nurse reviewing group w/group of nursing students how 2 perform postural drainage. List specific positions facilitate secretion drainage from 8 specific lung areas Both lobes in general Apical segments R. Upper lobe R. Middle lobe L. Upper lobe Both Lower lobes [Show More]
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