The pt is receiving oxygen at 5L/min by nasal cannula. What priority intervention must the nurse use at this time?
a. switch to a mask delivery system
b. humidify the oxygen with sterile water
c. monitor for manifestations of oxygen toxicity
d. add extension tubing for pt mobility
Answer: b. humidify the oxygen with sterile water
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A nurse is applying a condom catheter to a client who is incontinent, when the client has an erection. Which of these actions should the nurse take?
a. Discontinue the procedure. b. Discuss the situation with a colleague. c. Continue with the catheter application. d. Wait until the erection ends before applying the catheter.
The home health nurse is visiting a client who is treating a chronic wound. The nurse assesses that the client only performs daily wound care twice a week owing to cost. Which statement by the nurse best addresses this issue?
a. "You can use tap water instead of sterile saline to clean your wound." b. "If you don't clean the wound properly, you could end up in the hospital." c. "Sterile procedure is necessary to keep this wound from getting bigger." d. "The only thing that really matters is good handwashing with wound care."
When giving a class presentation on self-concept, a student nurse notices that a classmate has fallen asleep
The student nurse immediately decides that the presentation must be boring and that she will fail this assignment and subsequently obtain a poor grade in the course. This is an example of a. selective attention. b. negative self-talk. c. self-fulfilling prophecy. d. negative feedback.
Following a brain attack, the 45-year-old female client was very confused She was having diffi-culty responding appropriately to the nurse and to her family members
The client's daughter was concerned that her mother was suffering from a mental breakdown, even though she had no history of mental illness. The best information that the nurse can share with the client's daughter is: 1. "Your mother appears to have aphasia as a result of her stroke." 2. "Your mother will be just fine in no time." 3. "Your mother has been through a lot as a result of her stroke." 4. "We can have a psychiatric workup done if you would like."