Fundamentals Practice Quiz 2, Questions & Answers. A+ Guide-A nurse is caring for a toddler when the mother calls to the nurse "Help! My baby is choking on his food!. Which of the following findings i... ndicate the baby has an airway obstruction? Flushing of the skin Inability of the toddler to cry or speak Presence of nausea and mild emesis Capillary refill time of 1.5 seconds - Inability of the toddler to cry or speak A nurse is planning care for a client who has a prescription for a collection of sputum specimen for culture and sensitivity. Which of the following actions should the nurse take when obtaining the specimen? Collect the specimen upon arising in the morning Force fluids during the day and collect the specimen in the evening Collect the specimen after antibiotics have been started. Collect 2 mL of sputum before sending the specimen to the lab. - Collect the specimen upon arising in the morning A nurse is performing eye irrigation for a client who has been exposed to smoke and ash. Which action should the nurse take? Hold the irrigator 1.25 cm (0.5 in) above the eye. Direct the irrigation solution upward toward the upper eyelid. Exert pressure on the bony prominences when holding the eyelids open. Direct the irrigation from the outer canthus to the inner canthus of the eye. - Exert pressure on the bony prominences when holding the eyelids open. A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the following actions should the nurse take? Maintain suction while removing the NG tube Instill 100 mL of air into the NG tube before removal Pinch the NG tube when removing the tube Instruct the client to breathe in and out during the removal of the NG tube. - Pinch the NG tube while removing the tube Where should the nurse administer an intramuscular injection an adult client who is overweight? Lower, medial quadrant of buttock near the coccyx Side hip between iliac crest and anterior iliac spine Tissue of posterior upper arm Lower, inner thigh 4 finger widths above the patella - Side hip between the iliac crest and anterior iliac spine A nurse is changing bed linens for a client who is on bed rest. Which action should the nurse take? Place the soiled linens on the chair while making the bed. Hold the linens away the body and clothing Place the linens on the floor until able to place it in a linen bag. Shake the clean linens to unfold. - Hold the linens away from the body and clothing The nurse observes yellow, thick drainage on the dressing for a client who is 3 days post-operative from cholecystectomy. How should she document this finding? Sanguineous exudate Serous exudate Serosanguineous exudate Purulent exudate - Purulent exudate A nurse is caring for an older adult client who has dysphagia. Which action should the nurse take when assisting the client at mealtime? Encourage the client to drink fluids before swallowing food. Offer the client tart or sour foods first. Tilt the client's head backward when swallowing Turn on the television - Offer the client tart or sour foods first A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Which of the following adhering devices is the best choice for skin irritation? Abdominal binder Montgomery straps Hypoallergenic tape Plastic tape - Montgomery strap [Show More]
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