A nurse provides care for a client who is 1-day post-partum following a vaginal delivery. Which task can be delegated to the assistive personnel (AP)?

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Fundamentals of Nursing Oxygenation Practice Questions Questions

Question 1 of 5

A nurse provides care for a client who is 1-day post-partum following a vaginal delivery. Which task can be delegated to the assistive personnel (AP)?

Correct Answer: A

Rationale: Obtaining vital signs may be delegated (right task) as long as the client is stable (right circumstance). In the scenario, the client is 1 day postpartum and there is no indication the client is unstable.

Question 2 of 5

A nurse provides care for a client who reports sudden onset of sweating, shortness of breath, dizziness, and pounding heart. Which ABG value should be expected?

Correct Answer: B

Rationale: The client is reporting symptoms characteristic of an acute attack. This ABG value represents respiratory alkalosis (↑pH, ↓PaCO₂) which can result from excessive loss of carbon dioxide. Examples of conditions that can cause this include: hyperventilation, anxiety, fear, mechanical ventilation, high altitudes, salicylate toxicity, and early stages of shock and acute pulmonary problems.

Question 3 of 5

An older adult who has facial drooping, a weak cough, and absent gag reflex is admitted for treatment. Which action should the nurse implement?

Correct Answer: D

Rationale: The nurse should contact the speech-language pathologist and request an evaluation. A speech-language pathologist will evaluate the client’s ability to swallow. If dysphagia is present, the nurse should implement additional measures to prevent aspiration and promote nutrition.

Question 4 of 5

A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include?

Correct Answer: C

Rationale: Carbon monoxide (CO) is odorless and colorless (A is incorrect). Water heater inspections (B) are relevant but not the primary focus. CO damages tissues by binding to hemoglobin (D) forming carboxyhemoglobin which impairs oxygen delivery and can harm organs like the lungs (C). Thus C and D are correct to educate the client on CO's effects and risks.

Question 5 of 5

After learning of a terminal illness and life expectancy,the client begins to hyperventilate and complains of being light-headed with the fingers toes and mouth tingling. What action should be taken by the nurse?

Correct Answer: B

Rationale: The client's symptoms (light-headedness tingling) indicate hyperventilation likely due to anxiety causing respiratory alkalosis. Slowing respirations (B) by counting or matching the nurse's slower rate corrects CO2 levels alleviating symptoms. Resuscitation (A) is unnecessary as this is not cardiac arrest. Trendelenburg and coughing (C) are inappropriate and could worsen symptoms. Meperidine (D) is for pain not hyperventilation making B the correct action. not cough reflex making B correct.

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