N105: Essentials of Nursing Care - Health Differences

Essentials of Nursing Study Guide

7. Which of the following is TRUE in postural drainage? a. Patient assumes position for 10 to 15minutes b. Should last only for 60minutes c. Done best P.C. d. An independent nursing action 8. When should a nurse suction a client? a. As desired b. As needed c. Every 1 hour d. Every 4 hours 9. Ernest Arnold Hamilton, a 60-year-old American client, was mobbed by teen gangsters near New York, Cuba. He was rushed to John Hopio Medical Center and was unconscious. You are his nurse and you are to suction his secretions. In which position should you place Mr.Hamilton? a. High fowlers b. Semi fowlers c. Prone d. Side lying 10. Which of the following, if done by the nurse, indicates incompetence during suctioning an unconscious client? a. Measure the length of the suction catheter to be inserted by measuring from the tip of the nose, to the earlobe, to the xiphoid process b. Use KY Jelly if suctioning nasopharyngeal secretion c. The maximum time of suctioning should not exceed 15seconds d. Allow 30 seconds interval betweensuctioning 11. Which of the following is the initial sign of hypoxemia in an adult client? 1. Tachypnea 2. Tachycardia 3. Cyanosis 4. Pallor 5. Irritability 6. Flaring of Nares a.

1, 2 b. 2, 5 c. 2, 6 d. 3, 4

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