A client with a spinal cord injury at C5 is experiencing respiratory distress. Which intervention should the nurse perform first?

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LPN Fundamentals of Nursing Course Questions

Question 1 of 5

A client with a spinal cord injury at C5 is experiencing respiratory distress. Which intervention should the nurse perform first?

Correct Answer: B

Rationale: C5 SCI with respiratory distress (diaphragm impairment) requires preparing for intubation (B) first to secure the airway. Oxygen (A), suctioning (C), or positioning (D) follow. B is correct. Rationale: C5 affects phrenic nerve function; intubation ensures ventilation, per trauma airway priorities, preventing hypoxia.

Question 2 of 5

The nurse finds that an assigned client is restless, agitated, and confused and is thinking of restraining the client. Which of the following questions is most important for the nurse to ask?

Correct Answer: C

Rationale: Before restraining a restless, agitated, confused client, identifying the underlying cause is most important. This question drives assessment like checking for hypoxia or pain addressing the root issue rather than masking it with restraints. Restraint type or orders follow, and medication might treat symptoms but not the cause. Understanding why, such as delirium from infection, guides safer, less restrictive interventions, aligning with nursing's least-restraint principle and client dignity.

Question 3 of 5

Which of the following words represents the basic unit of all life and is the simplest structure that possesses all the characteristics of life: organization, metabolism, responsiveness, homeostasis, growth, and reproduction?

Correct Answer: A

Rationale: The cell is life's basic unit, exhibiting all characteristics organization, metabolism, responsiveness, homeostasis, growth, reproduction unlike genes, chromosomes, or organelles, which are components. This foundational knowledge guides nursing understanding of bodily functions and cellular-level care.

Question 4 of 5

You are preparing to bathe and wash the hair of an African American woman. Which of the following questions would be most important to ask the client?

Correct Answer: B

Rationale: Asking about oil use respects cultural hair care practices for African American women, often needed for moisture. Unbraiding, double shampooing, or brushing are secondary. Nurses tailor care to client preferences.

Question 5 of 5

A client asks which of the vitamins can be stored in the body. Which of the following answers by the nurse would be correct?

Correct Answer: D

Rationale: Vitamin D is fat-soluble and stored, unlike water-soluble C, B1, or biotin. Nurses educate on this for supplementation risks.

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