The nurse notes thick, white secretions in the endotracheal tube (ET) of a patient who is receiving mechanical ventilation. Which intervention will be most effective in addressing this problem?

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NCLEX Practice Questions on Perioperative Care Questions

Question 1 of 5

The nurse notes thick, white secretions in the endotracheal tube (ET) of a patient who is receiving mechanical ventilation. Which intervention will be most effective in addressing this problem?

Correct Answer: C

Rationale: Choice C as increased hydration via enteral feedings thins secretions, addressing the cause. Frequent suctioning (choice A) risks trauma, repositioning (choice B) aids clearance but not thickness, and saline (choice D) doesn't liquefy effectively. This reflects NCLEX physiological integrity, enhancing airway management in critical care.

Question 2 of 5

The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place

Correct Answer: B

Rationale: Choice B as ossification begins at 3 weeks, requiring cast immobilization for at least that duration. Months (choice A) or full union (choice D) exceed initial needs, and swelling resolution (choice C) isn't a healing marker. This reflects NCLEX Physiological Integrity, providing accurate timelines for bone healing to guide patient expectations and care.

Question 3 of 5

After the health care provider has recommended amputation for a patient who has nonhealing ischemic foot ulcers, the patient tells the nurse that he would rather die than have an amputation. Which response by the nurse is best?

Correct Answer: C

Rationale: Choice C as assessing knowledge and feelings fosters understanding and coping, the best initial response. Dismissing emotions (choice A), focusing on prosthetics (choice B), or autonomy (choice D) skips exploration. This reflects NCLEX Psychosocial Integrity, prioritizing patient-centered communication in critical decisions.

Question 4 of 5

Which nursing action for a patient who has had right hip replacement surgery can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Correct Answer: A

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

Question 5 of 5

Which information obtained by the nurse about a 29-year-old patient with a lumbar vertebral compression fracture is most important to report to the health care provider?

Correct Answer: B

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

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