While assessing a client who has facial trauma, the nurse auscultates stridor. The client is anxious and restless. Which action should the nurse take first?
a. Contact the provider and prepare for intubation.
b. Administer prescribed albuterol nebulizer therapy.
c. Place the client in high-Fowler's position.
d. Ask the client to perform deep-breathing exercises.
Question 2A nurse cares for a client who is experiencing epistaxis. Which action should the nurse take first?
a. Initiate Standard Precautions.
b. Apply direct pressure.
c. Sit the client upright.
d. Loosely pack the nares with gauze.
Question 3A nurse cares for a client after radiation therapy for lung cancer. The client reports a sore throat. Which action should the nurse take first?
a. Ask the client to gargle with mouthwash containing lidocaine.
b. Administer prescribed intravenous pain medications.
c. Explain that soreness is normal and will improve in a couple days.
d. Assess the client's neck for redness and swelling.
Question 4A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?
a. A 26-year-old woman who is 8 months pregnant
b. A 42-year-old man with gastroesophageal reflux disease
c. A 55-year-old woman who is 50 pounds overweight
d. A 73-year-old man with type 2 diabetes mellitus
Question 5A nurse teaches a client who has open vocal cord paralysis. Which technique should the nurse teach the client to prevent aspiration?
a. Tilt the head back as far as possible when swallowing.
b. Tuck the chin down when swallowing.
c. Breathe slowly and deeply while swallowing.
d. Keep the head very still and straight while swallowing.
Question 6After teaching a client who is prescribed voice rest therapy for vocal cord polyps, a nurse assesses the client's understanding. Which statement indicates the client needs further teaching?
a. I will stay away from smokers to minimize inhalation of secondhand smoke.
b. When I speak, I will whisper rather than use a normal tone of voice.
c. For the next several weeks, I will not lift more than 10 pounds.
d. I will drink at least three quarts of water each day to stay hydrated.
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