The nurse is providing endotracheal suctioning to a client who is mechanically ventilated, when the client becomes restless and tachycardic. Which action should the nurse take?

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LPN Fundamentals of Nursing Quizlet Questions

Question 1 of 5

The nurse is providing endotracheal suctioning to a client who is mechanically ventilated, when the client becomes restless and tachycardic. Which action should the nurse take?

Correct Answer: D

Rationale: Restlessness and tachycardia during suctioning suggest hypoxia or distress; discontinuing suctioning and monitoring vital signs (D) is the priority to stabilize the client. Notifying the provider (A) or respiratory (B) delays immediate action. Hyperoxygenating and resuctioning (C) risks worsening hypoxia. D is correct. Rationale: Stopping suctioning halts oxygen depletion, allowing recovery, while monitoring guides further intervention, a standard response per airway management protocols. This prevents complications like arrhythmias or desaturation, prioritizing patient safety over premature escalation or repeated procedures in an unstable state.

Question 2 of 5

The nurse is caring for a client with a spinal cord injury at T10. Which finding indicates that the client is experiencing spinal shock?

Correct Answer: A

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

Question 3 of 5

In Virginia Henderson's 1966 definition of nursing, a person/client has which of the following numbers of fundamental needs?

Correct Answer: B

Rationale: Virginia Henderson's 1966 definition identifies 14 fundamental needs that nursing addresses to help clients achieve independence or a peaceful death. These include breathing, eating, elimination, and rest, among others, forming a comprehensive framework for holistic care. Unlike narrower or broader counts, 14 captures the essentials Henderson deemed universal, guiding nurses to assess and support each area. For example, assisting a client with mobility meets one need, while ensuring nutrition meets another, illustrating practical application. This specificity distinguishes her model, balancing detail with practicality in nursing practice.

Question 4 of 5

Your assigned client has encephalitis, and there are other cases in the community. In a team meeting regarding your client and prevention of other cases of encephalitis, the nurse supervisor talks about breaking the chain of infection at the second link: the reservoir. You realize the nurse supervisor is talking about which of the following things?

Correct Answer: C

Rationale: Breaking the infection chain at the reservoir means targeting where the microorganism naturally lives like mosquitoes for encephalitis. This differs from the pathogen itself, entry portals, or unrelated water storage. Controlling reservoirs, such as vector elimination, stops transmission early, a vital nursing strategy in outbreak prevention discussed in team settings.

Question 5 of 5

The skeletal system acts as a storehouse for calcium, which is a very important component in muscle contractions, as well as which of the following activities in the body?

Correct Answer: D

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

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