A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a ...

A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a headache, and difficulty with vision. Which action should the nurse take next?
 
  a. Collect the nasal drainage on a piece of filter paper.
  b. Encourage the client to blow his or her nose.
  c. Perform a test focused on a neurologic examination.
  d. Palpate the nose, face, and neck.

Question 2

A nurse assesses a client who reports waking up feeling very tired, even after 8 hours of good sleep. Which action should the nurse take first?
 
  a. Contact the provider for a prescription for sleep medication.
  b. Tell the client not to drink beverages with caffeine before bed.
  c. Educate the client to sleep upright in a reclining chair.
  d. Ask the client if he or she has ever been evaluated for sleep apnea.

Question 3

A nurse is assessing a client who has suffered a nasal fracture. Which assessment should the nurse perform first?
 
  a. Facial pain
  b. Vital signs
  c. Bone displacement
  d. Airway patency

Question 4

A nurse is teaching a client about possible complications and hazards of home oxygen therapy. About which complications does the nurse plan to teach the client? (Select all that apply.)
 
  a. Absorptive atelectasis
  b. Combustion
  c. Dried mucous membranes
  d. Oxygen-induced hyperventilation
  e. Toxicity

Question 5

A nurse is planning discharge teaching on tracheostomy care for an older client. What factors does the nurse need to assess before teaching this particular client? (Select all that apply.)
 
  a. Cognition
  b. Dexterity
  c. Hydration
  d. Range of motion
  e. Vision

Question 6

A home health nurse is visiting a new client who uses oxygen in the home. For which factors does the nurse assess when determining if the client is using the oxygen safely? (Select all that apply.)
 
  a. The client does not allow smoking in the house.
  b. Electrical cords are in good working order.
  c. Flammable liquids are stored in the garage.
  d. Household light bulbs are the fluorescent type.
  e. The client does not have pets inside the home.

Question 7

A client is being discharged home after having a tracheostomy placed. What suggestions does the nurse offer to help the client maintain self-esteem? (Select all that apply.)
 
  a. Create a communication system.
  b. Don't go out in public alone.
  c. Find hobbies to enjoy at home.
  d. Try loose-fitting shirts with collars.
  e. Wear fashionable scarves.

Question 8

A nurse is caring for a client who has a tracheostomy tube. What actions may the nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Applying water-soluble lip balm to the client's lips
  b. Ensuring the humidification provided is adequate
  c. Performing oral care with alcohol-based mouthwash
  d. Reminding the client to cough and deep breathe often
  e. Suctioning excess secretions through the tracheostomy