What is the maximum amount of time that a nurse should suction an artificial airway?

a. 1 second
b. 5 seconds
c. 30 seconds
d. 1 minute


ANS: B
The nurse should limit suctioning to no more than 5 seconds.

Nursing

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The client has an elevated temperature. Which statement is the most clinically appropriate for the nurse to use when documenting this finding in the medical record?

1. The client is fever. 2. The client is febrile. 3. The client is hyperpyrexia. 4. The client is hyperthermia.

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A client has been admitted to a health care facility with acute bronchospasm. The primary health care provider prescribes the drug epinephrine. The nurse anticipates administering this drug by which route?

A) Intravenous B) Intramuscular C) Subcutaneous D) Intradermal

Nursing

A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing the client, a nurse identifies signs and symptoms of a dystonic reaction. Which agent would the nurse expect to administer?

A) Diphenhydramine B) Propranolol C) Risperidone D) Aripiprazole

Nursing

The nurse is educating a first-time mother who has a 1-week-old boy. Which is the most accurate anticipatory guidance?

A) Describing the effect of neonatal teeth on breastfeeding B) Explaining that the stomach holds less than 1 ounce C) Informing that fontanels will close by 6 months D) Telling that the step reflex persists until the child walks

Nursing