Ms. Xing, paraplegia caused by a car accident, coma for 24 hours, weak breathing, the method of measuring respiratory rate for her is

Questions 46

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ATI Vital Signs Test 58 Questions Quizlet Questions

Question 1 of 5

Ms. Xing, paraplegia caused by a car accident, coma for 24 hours, weak breathing, the method of measuring respiratory rate for her is

Correct Answer: B

Rationale: For a comatose patient with weak breathing, placing cotton wool near the nostrils to observe fluttering (B) is a non-invasive, effective way to count respirations without disturbing the patient. Chest movement (A) or breath sounds (C) may be too subtle, and airflow (D) requires close proximity.

Question 2 of 5

Which position is appropriate for a patient receiving a rectal lavage?

Correct Answer: A

Rationale: Sims’ allows rectal access and drainage. Supine (B) and prone (C) limit access, lithotomy (D) is gynecological.

Question 3 of 5

The use of 'surgical asepsis' is important during:

Correct Answer: B

Rationale: Surgical asepsis (sterility) is critical for dressing changes to prevent infection, not handwashing (A), meals (C), or oral meds (D).

Question 4 of 5

To ensure proper nutrition in a bedridden patient, the nurse should:

Correct Answer: B

Rationale: Balanced diet and assistance ensure nutrition. Speed (A) risks aspiration, limiting intake (C) or preferences (D) neglects needs.

Question 5 of 5

The most effective way to perform hand hygiene is by:

Correct Answer: B

Rationale: Soap and water for 40-60 seconds (not just 20) removes pathogens effectively. Sanitizer (A) is less effective when dirty, 10 seconds (C) is too short, and gloves (D) don’t replace washing.

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