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39 a nurse is reviewing evidence based practice

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39.A nurse is reviewing evidence-based practice principles about administration of oxygentherapy with a newly licensed nurse. Which of thefollowing actions should the nurseinclude?
A)Regulate the flow rate by aligning the rate with the top of the ball insidethe flow meter.B)Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.C)Make sure the reservoir bag of a partial rebreathing mask remainsdeflated.D)Use petroleum jelly to lubricate the client's nares, face, and lips.Regulate oxygenvia nasal cannula at a flow rate of no more than 6 L/min.Evidence-based practice supportsa flow rate of 1 to 6 L/min via nasal cannula.Rates above 6 L/min force clients to swallow air excessively without increasingtheir fraction of inspired oxygen (FiO2).40.A nurse is planning care for a client who has had a stroke, resulting in aphasia anddysphagia. Which of the following tasks should the nurse assignto an assistive personnel(AP)? (Select all that apply.)A)Assist the client with a partial bed bath.B)Measure the client's BP after the nurse administers an antihypertensivemedication.C)Test the client's swallowing ability by providing thickened liquids.D)Use a communication board to ask what the client wants for lunch.E)Irrigate the client's indwelling urinary catheter.Assist the client with a partial bed bath is correct.Assisting a client with abed bath posesminimal risk to the client and fits within the AP's range of function.Measure the client's BP after the nurse administers an antihypertensive medication iscorrect.Measuring a client's BP poses minimal risk to the clientand fits within the AP's rangeof function.Use a communication board to ask what the client wants for lunch is correct.Using acommunication board poses minimal risk to the client and fits within the AP's range offunction.41.A charge nurse is observing a newly licensed nurse prepare a sterile field.Which ofthe following actions should the charge nurse identify as contaminating the sterilefield?A)The nurse opens the sterile field on a wet surface.B)The nurse opens the first fold away from his body.C)The nurse holds sterile objects above the waist.D)The outer edge of the sterile field is touching a bottle.The nurse opens the sterile field on a wet surface.Opening a sterile field on a wet surface contaminates it because capillary action
can wick bacteria through the sterile drape.42.A nurse is performing a skin assessment of a client who has a lesion on hisanteriorthigh and expresses concern about skin cancer. Which of the following findingsshould the nurse report to the provider as a possible indication of a skin malignancy?A)Uniform pigmentationB)A regular borderC)An uneven shapeD)A diameter smaller than 6 mmAn uneven shapeAn uneven shape is a possible indication of a cutaneous malignancy. Each half ofthe lesionlooks different from the other half.

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Term
Spring
Professor
N/A
Tags
Nursing, Black and white films, Prescription drug, Intravenous therapy

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