A nurse cares for a client who has hypertension that has not responded well to several medications. The client states compliance is not an issue. What action would the nurse take next?

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Multiple Choice Questions on Respiratory System Questions

Question 1 of 5

A nurse cares for a client who has hypertension that has not responded well to several medications. The client states compliance is not an issue. What action would the nurse take next?

Correct Answer: A

Rationale: The correct answer is A: Assess the client for obstructive sleep apnea. Hypertension that is not responding to medications may be due to underlying sleep apnea, a common comorbidity. By assessing for obstructive sleep apnea, the nurse can identify a potential contributing factor to the client's uncontrolled hypertension. This step is crucial in managing the client's condition effectively. Summary of other choices: B: Arranging a home sleep apnea test may be premature without first assessing the client for obstructive sleep apnea. C: Encouraging the client to begin exercising is important for overall health but may not directly address the uncontrolled hypertension. D: Scheduling a polysomnography may be necessary if obstructive sleep apnea is suspected after the initial assessment.

Question 2 of 5

Which of the following nursing interventions regarding nutrition is used until the suture line heals, usually 10 to 14 days postoperatively?

Correct Answer: A

Rationale: The correct answer is A. Enteral feedings bypass the oral route, allowing the suture line to heal without strain. B (meticulous mouth care) is important but not directly related to nutrition. C (gradual advancement of the diet) occurs later. D (reassurance) addresses psychological concerns but not nutritional needs.

Question 3 of 5

After change of shift, you are assigned to care for the following clients. Which client should you assess first?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

What is an advantage of a tracheostomy over an endotracheal (ET) tube for long-term management of an upper airway obstruction?

Correct Answer: C

Rationale: A tracheostomy tube allows for more comfort and mobility compared to an endotracheal tube, making it preferable for long-term management of an upper airway obstruction. The ability to speak, eat, and move more freely with a tracheostomy tube can significantly improve the quality of life for the patient.

Question 5 of 5

Delegation Decision: The nurse is caring for a patient with COPD. Which intervention could be delegated to unlicensed assistive personnel (UAP)?

Correct Answer: A

Rationale: Assisting the patient to get out of bed can be safely delegated to unlicensed assistive personnel (UAP) as it does not require specialized nursing knowledge or skills. It is a basic activity of daily living that can be delegated to support staff while allowing nurses to focus on more complex patient care tasks.

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