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 Nursing Fundamentals 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 indicate distress (e.g., hypoxia); discontinuing suctioning (D) is priority. Rationale: Stopping prevents further oxygen depletion, stabilizing the client first per airway management protocols.

Question 2 of 5

Explain, using an example, how females but not males can be carriers of some recessive alleles.

Correct Answer: A

Rationale: Females (A) can carry recessive X-linked alleles (e.g., haemophilia) without expression due to a second X. Males (B) express them with one X. C and D are examples, not explanations. A is correct. Rationale: XX females mask recessive traits, unlike XY males, a genetic principle per sex-linked inheritance.

Question 3 of 5

The nurse is caring for a client with a diagnosis of necrotizing fasciitis. Which is the priority concern of the nurse when caring for this client?

Correct Answer: B

Rationale: Necrotizing fasciitis, a flesh-eating infection, prioritizes skin integrity (B) due to rapid tissue destruction. Fluid (A), mobility (C), and urination (D) are secondary. B is correct. Rationale: Skin breakdown drives sepsis risk, requiring urgent debridement and antibiotics, per infectious disease care, over other systemic concerns.

Question 4 of 5

A client with a T2 spinal cord injury reports a sudden onset of flushing and sweating above the level of injury. Which condition does the nurse suspect?

Correct Answer: B

Rationale: Flushing and sweating above T2 injury suggest autonomic dysreflexia (B) from a stimulus below. Neurogenic (A) or hypovolemic (C) shock has different signs. Spinal shock (D) is early flaccidity. B is correct. Rationale: Dysreflexia causes upper-body symptoms from sympathetic activation, per SCI care, needing trigger identification.

Question 5 of 5

When the nurse problem solves and has implemented a solution from several solutions identified, the nurse most needs to do which of the following things?

Correct Answer: C

Rationale: After implementing a solution, evaluating its effectiveness is the most critical step in the nursing process. This ensures the chosen intervention meets the client's needs, allowing adjustments if goals aren't achieved. Discarding unused solutions ignores potential future relevance, while implementing a second solution without evaluation risks inefficiency or harm. Declaring problem-solving complete without assessing outcomes neglects accountability and client safety. Evaluation involves observing results like reduced pain after medication and comparing them to expected outcomes, refining care as needed. This reflective practice upholds evidence-based care, ensuring interventions are successful and responsive to the client's evolving condition.

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