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Multiple Response

Identify one or more choices that best complete the statement or answer the question.

1.The nurse is providing preoperative teaching with the client about the use of an incentive spirometer in the postoperative period. The nurse should include which of the following pieces of information in discussions with the client? Select all that apply.

a.Sit leaning forward.

b.Inhale deeply and quickly.

c.Sit upright or lean slightly back.

d.Hold the mouthpiece tightly with the teeth.

e.Keep a tight seal between the lips and the mouthpiece.

f.After maximum inspiration, hold the breath for 2 to 3 seconds and exhale.

2.From the following list of nursing activities, select those that the registered nurse (RN) can delegate to the licensed practical nurse or licensed vocational nurse (LPN/LVN).Select all that apply.

a.Assessment

b.Urinary catheterization

c.Endotracheal suctioning

d.Intravenous push medication administration

e.Intramuscular medication administration

f.Subcutaneous medication administration

3.Of the following list of responsibilities for disaster preparedness in the United States, identify those that are functions of the American Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA). Select all that apply.

a.Provide monetary relief.

b.Provide crisis counseling.

c.Identify and train personnel.

d.Deploy National Guard troops.

e.Handle inquiries from families.

f.Issue presidential declarations.

4.The community health nurse is preparing to teach "personal and family preparedness for disasters" to a group of parents of school-age children. From the following list of items to be kept ready, identify the appropriate items that should be identified by the nurse. Select all that apply.

a.Flashlight

b.Supply of batteries

c.Battery-operated radio

d.Extra pair of eyeglasses

e.Three-week supply of nonperishable food

f.Three-week supply of water (1 gallon per person per day)

5.The nurse is providing instructions to the client being discharged to home with a peripherally inserted central catheter (PICC). The nurse provides which instructions to the client? Select all that apply.

a.Wear a Medic-Alert tag or bracelet.

b.Report redness or swelling at the catheter insertion site.

c.Have a repair kit available in the home for use if needed.

d.Keep activity level to a minimum while this catheter is in place.

e.Cover the PICC dressing with plastic when in the shower or bath.

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