1. A nurse is caring for a client who has a respiratory infection. Which of thefollowing

techniques should the nurse use when performing nasotracheal suctioning for the

client?

A) Insert the suction catheter while the client is swallowing.

B) Apply intermittent suction when withdrawing the catheter.

C) Place the catheter in a location that is clean and dry for later use.

D) Hold the suction catheter with her clean, nondominant hand.

Apply intermittent suction when withdrawing the catheter.

The nurse should apply intermittent suction during the withdrawal of the catheterto prevent

injury to the mucosa. Suctioning continuously for more than 10 seconds can cause

cardiopulmonary compromise.

2. A nurse is teaching a client about dietary management of hypercholesterolemia. Which

of the following foods should the nurse suggestthat the client add to his diet?

A) Beef liver

B) Shellfish

C) Egg yolks

D) Avocados

Avocados

Avocados contain no cholesterol. Plant foods contain no cholesterol; foods fromanimals contain

cholesterol.

3. A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative

and has fluid-volume deficit. Which of the following changes should the nurse identify as

an indication that the treatment was successful?

A) Increase in hematocrit

B) Increase in respiratory rate

C) Decrease in heart rate

D) Decrease in capillary refill time

Decrease in heart rate

Fluid-volume deficit causes tachycardia. With correction of the imbalance, theheart rate should

return to the expected range.

4. A nurse working in the emergency department is witnessing the signing ofinformed

consent forms for the treatment of multiple clients during her shift. Which of the

following individuals' signatures may the nurse legallywitness? (Select all that apply.)

A) A teacher who brings in a 7-year-old student

B) A 16-year-old client who is married