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Comprehensive guide for NUR 518 Clinical Essentials 2025
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Includes 100 expert-verified questions with solutions
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Proven strategies for nursing student success
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Focuses on clinical essentials for exam prep
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Enhances understanding and confidence
Preview
1. When caring for a patient receiving oxygen by nasal cannula, which of the following is
a priority to help maintain good skin integrity?
A. Frequently applying moisturizing lotion to facial areas that come into contact with the
cannula.
B. Removing the cannula every 2 hours for no longer than 10 minutes.
C. Assessing the patient’s external ears, nares, and nasal mucosa for breakdown at
least once per shift.
D. Instructing the patient to inform staff of any problems with facial dryness or cracking. – – correct ans- -C. Assessing the patient’s external ears, nares, and nasal mucosa for
breakdown at least once per shift.
Rationale: Frequent assessment is a priority and will help the nurse identify early signs
of skin breakdown. Although applying lotion is appropriate, this option is not the best
way to maintain good skin integrity. It may not be appropriate to remove the cannula in a
patient for whom oxygen therapy has been ordered. The patient may be unaware of
facial skin areas that are dry or cracking.
What is the best way for the nurse to minimize the risk of contaminating the patient’s
eye during the instillation of eye drops?
A. Encourage the patient to self-apply the medication.
B. Wear gloves during the entire application process.
C. Introduce the medication onto the inner canthus of the eye.
D. Perform effective hand hygiene before and after the instillation. – – correct ans- -B.
Wear gloves during the entire application process.
2. When caring for a patient who is receiving oxygen by simple face mask, which action
ensures that the rate of oxygen being delivered is appropriate?
A. Frequently asking the patient how he or she is breathing.
B. Ensuring that the oxygen tubing is pulled tight, with little or no slack.
C. Securing the oxygen tubing to the patient’s clothing to prevent tugging.
D. Assessing for proper placement of the mask on the patient’s face. – – correct ans- -D.
Assessing for proper placement of the mask on the patient’s face.
Rationale: Monitoring placement of the cannula tips helps ensure that the patient
receives the oxygen prescribed. Asking the patient if he or she is having trouble
breathing does not address oxygen delivery. Oxygen tubing should not be pulled tight.
There should be enough slack in the tubing to allow the patient to turn his or her head
comfortably. Securing the oxygen tubing to keep the patient from pulling out the
cannula does not address oxygen delivery.
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