ATI LPN
Critical Care Respiratory Questions Questions
Question 1 of 5
The nurse is performing nasotracheal suctioning of a client. What should the nurse do when suctioning this client?
Correct Answer: A
Rationale: Nasotracheal suctioning should apply suction for 5-10 seconds (A) to minimize hypoxia and trauma with intermittent suctioning. Suctioning for 10 minutes (B) is excessive and dangerous. Applying suction during insertion (C) risks mucosal damage. 20-30 seconds (D) is too long increasing hypoxia risk making A the correct technique.
Question 2 of 5
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?
Correct Answer: C
Rationale: The client should hold the cane on the stronger side of her body to increase support and maintain alignment. The top of the cane should be parallel to the greater trochanter, the client should only advance the cane 14-30 cm at a time, the client should move the weak leg with the cane for support.
Question 3 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reassure the client that this is an expected response to grief. The client might perceive the discussion of risk factors as challenging or argumentative, the nurse should focus the teaching on the present psychosocial adaptation and not the future management, unless the client requests material this is not a good time, this is when the client needs to express their feelings.
Question 4 of 5
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Make sure two fingers can fit under the sleeve to prevent inhibition of circulation. The client should be in dorsal recumbent or semi-Fowler's. The nurse should place the sleeve under each leg with an opening. The pressure should be between 35-65.
Question 5 of 5
A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Examine personal values about the issue. Nurses should give care that is without bias. The nurse should provide information but not push care as 'necessary', parents must give consent for blood transfusions, and the provider should give information about the procedure not a spiritual support person.