☄️Transition to RN Chp 6 Study Questions

1. Observe how well the patient performs pursed-lip breathing.

10. The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision?

1. Use a lift sheet when moving and positioning the patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 5. Be sure the patient ' s footwear has a non-slip sole when the patient ambulates.

2. A nurse is caring for a patient who has a pulmonary embolus. Th e patient is receiving anticoagulation with IV heparin. What instructions should the nurse give the NAP who will help the patient with activities of daily living? Select all that apply.

1. Assisting the patient to sit up on the side of the bed

3. A nurse is caring for a patient who has chronic obstructive pulmonary disease (COPD) and is 2 days postoperative after a laparoscopic cholecystectomy. Which intervention for airway management should the nurse delegate to an NAP?

3. Remind the patient to sleep on his side instead of his back.

4. A nurse is caring for a patient who is diagnosed with coronary artery disease and sleep apnea. Which action should the nurse delegate to the NAP?

4. A 50-year-old with asthma who complains of shortness of breath after using a bronchodilator

5. A nurse is assigned to care for the following patients. Which patient should the nurse assess first?

4. Tympanic temperature of 101.4°F (38.6°C)

6. A respiratory therapist performs suctioning on a patient with a closed head injury who has a tracheostomy. Afterward, the NAP obtains vital signs. The nurse should communicate that the NAP needs to report which vital sign value or values immediately? Select all that apply.

1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI).

7. An experienced LPN is working under the supervision of the RN. Th e LPN is providing nursing care for a patient who has a respiratory problem. Which activities should the RN delegate to the experienced LPN? Select all that apply.

4. A 72-year-old who needs teaching about the use of incentive spirometry

8. An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit?

The nursing assistant answers the phone while wearing gloves.

1. A nurse is helping an NAP provide a bed bath to a comatose patient who is incontinent. Which of the following actions requires the nurse to intervene?

1. Suggest that the patient ' s oxygen be humidified.

9. The nursing assistant tells a nurse that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should the nurse suggest to improve the patient ' s comfort for this problem?