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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Chapter 1 Introduction to Nursing Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient seen in the asthma clinic has recorded daily peak flowrates that are 75% of the baseline. Which action will the nurse plan to take next?

A. Teach the patient about the use of oral corticosteroids.
B. Administer a bronchodilator and recheck the spirometry.
C. Recommend increasing the dose of the leukotriene inhibitor.
D. Instruct the patient to keep the scheduled follow-up appointment.

Expert Explanatory Rationale

Correct Answer: Administer a bronchodilator and recheck the spirometry.

Question 2 of 5

This refers to the stiffening of the body that occurs 2–4 hours after death.

A. Algor mortis
B. Rigor mortis
C. Livor mortis
D. Manor mortis

Expert Explanatory Rationale

Correct Answer: Rigor mortis

Question 3 of 5

During palpation of the breast, the client is instructed to extend an arm over her head, and a small pillow or folded towel is placed under her shoulder. What for?

A. Spread tissue more evenly over the chest wall for easier palpation
B. Keep client from guarding during the exam
C. Expose the tail of Spence for easier inspection
D. Determine whether or not a breast mass is consistently irregular when palpating a nodule.

Expert Explanatory Rationale

Correct Answer: Spread tissue more evenly over the chest wall for easier palpation

Question 4 of 5

To properly perform the endotracheal insertion, the nurse:

A. Turns on the wall suction to 180 mmHg
B. Inserts the catheter until coughing or resistance is felt
C. Withdraws the catheter while continuously suctioning
D. Reenters the tracheostomy after suctioning the mouth

Expert Explanatory Rationale

Correct Answer: Inserts the catheter until coughing or resistance is felt

Question 5 of 5

The nurse is assisting the physician with insertion of a chest tube the nurse notes fluctuations of the fluid level in the water seal chamber after the tube is inserted based on this observations the nurse takes which of the following actions?

A. Document the accurate functioning of the tube
B. Notify the physician immediately
C. Clamp the chest tube
D. Increase the suction pressure

Expert Explanatory Rationale

Correct Answer: Document the accurate functioning of the tube

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