Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?
A. Decrease the head of the client’s bed.
B. Encourage the client to take deep breaths.
An oxygen saturation of 88% is below the normal range of 95-100%, indicating that the client may be experiencing hypoxia. Encouraging the client to take deep breaths can help increase their oxygen saturation level.
C. Ask the client to cough every 4 hr.
D. Request a prescription for an opioid analgesic.
This question is an excerpt from Nurse Dive's nursing test bank - NURS 100 fundamentals swami test 14.18.23 proctored exam. Take the full exam now
Full Explanation
An oxygen saturation of 88% is below the normal range of 95-100%, indicating that the client may be experiencing hypoxia. Encouraging the client to take deep breaths can help increase their oxygen saturation level.
Similar Questions
A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?
A. Indirect contact
The client acquired the infection through indirect contact transmission by touching a contaminated towel. Indirect contact transmission occurs when a person comes into contact with an object or surface that has been contaminated with infectious agents.
B. Vector
C. Droplet
D. Airborne
Full Explanation
The client acquired the infection through indirect contact transmission by touching a contaminated towel. Indirect contact transmission occurs when a person comes into contact with an object or surface that has been contaminated with infectious agents.
A nurse is caring for a client who reports sneezing, productive cough, muscle aches, headache, and fever that has progressed over the last 4 days. Which of the following stages of infection is the client likely experiencing?
A. Acute illness
The client is likely experiencing the acute illness stage of infection, which is characterized by the appearance of specific signs and symptoms of the disease. During this stage, the individual may feel ill and exhibit symptoms such as sneezing, productive cough, muscle aches, headache, and fever.
B. Incubation
C. Period of convalescence
D. Prodromal
Full Explanation
The client is likely experiencing the acute illness stage of infection, which is characterized by the appearance of specific signs and symptoms of the disease. During this stage, the individual may feel ill and exhibit symptoms such as sneezing, productive cough, muscle aches, headache, and fever.
A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?
A. Allow the client’s feet to air dry.
B. Soak the client’s feet prior to washing.
C. Apply moisturizer between the client’s toes.
D. Use warm water to wash the client’s feet.
The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.
Full Explanation
The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.
