| Asthma | ARDS | COPD | TB | Misc Resp Stuffs |
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D-Albuterol may cause nervousness.
A physician orders albuterol for a client with newly diagnosed asthma. When teaching the client about this drug, the nurse should explain that it may cause:
a) nasal congestion. b) hyperkalemia. c) lethargy. d) nervousness. |
B)Hypercapnia, hypoventilation, and hypoxemia
When caring for a client with acute respiratory failure, the nurse should expect to focus on resolving which set of problems?
a)Hyperventilation, hypertension, and hypocapnia b)Hypercapnia, hypoventilation, and hypoxemia c)Hypotension, hyperoxemia, and hy |
b)Reduce bronchial secretions
An expected outcome of theophylline ethylenediamine when administered to a client with chronic obstructive pulmonary disease is:
a) Strengthen myocardial contractions. b) Relax bronchial smooth muscle. c) Reduce bronchial secretions. d) Decrease alveola |
D) A history of immunocompromised status, such as that which occurs with liver transplantation, places the client at a higher risk for contracting tuberculosis. Other risk factors include inadequate health care, traveling to countries with high rates of t
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After suctioning a client’s tracheostomy tube, the nurse waits a few minutes before suctioning again. The nurse should use intermittent suction primarily to help prevent:
a) Dislodging the tracheostomy tube. b) Obstructing the suctioning catheter
After suctioning, the client should rest at least 3 minutes or until respirations return to normal before suctioning is repeated, unless secretions interfere with breathing. Intermittent suctioning prevents oxygen deprivation. Hypoxia can lead to cardiac
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d) uses the sternocleidomastoid muscles.
A nurse is caring for a client admitted with an exacerbation of asthma. The nurse knows the client's condition is worsening when he:
a) wants the head of the bed raised to a 90-degree level. b) has a pulse oximetry reading of 93%. c) sits in tripod pos |
b)Respiratory alkalosis.
A client exhibits increased restlessness. The results of the arterial blood gas test are as follows: pH, 7.52; partial pressure of carbon dioxide, 38 mm Hg (5.1 kPa); bicarbonate, 34 mg/L (34 mmol/L). The nurse should plan care based on the fact that the
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b) The client should eat high-calorie, high-protein
Which of the following diets would be most appropriate for a client with chronic obstructive pulmonary disease (COPD)?
a)Low-fat, low-cholesterol diet. b)High-calorie, high-protein diet. c)Bland, soft diet. d)Low-sodium diet. |
The client with tuberculosis is to be discharged home with community health nursing follow-up. Of the following nursing interventions, which should have the highest priority?
a) Coordinating various agency services. b) Assessing the client's environ
C)Ensuring that the client is well educated about tuberculosis is the highest priority. Education of the client and family is essential to help the client understand the need for completing the prescribed drug therapy to cure the disease. Offering the cli
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When caring for a client with a chest tube and water-seal drainage system, the nurse should:
a) Ensure that the chest tube is clamped when moving the client out of the bed. b) Verify that the air vent on the water-seal drainage system is capped when
c)The drainage apparatus is always kept below the client's chest level to prevent back flow of fluid into the pleural space. The air vent must always be open in the closed chest drainage system to allow air from the client to escape. Stripping a chest tub
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4-Administer bronchodialors
A 34-year-old female with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/ minute, nasal flaring, and use of accessory muscles. Auscultation of the lung fields
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4-Pulmonary Embolism
The client has the following arterial blood gas values, pH 7.52; PaO2, 50mm Hg ; PaCo2 28mm Hg; HCO3-, 24mEq/L. The nurse determines that which of the following is a possible cause for these findings?
1-Chronic obstructive pulmkonary disease 2-Diabetic Ke |
b)acute adrenocortical insufficiency.
A physician orders prednisone (Apo-Prednisone/Winipred) to control inflammation in a client with interstitial lung disease. During client teaching, the nurse stresses the importance of taking prednisone exactly as ordered and cautions against discontinuin
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A client with tuberculosis is taking Isoniazid (INH). To help prevent development of peripheral neuropathies, the nurse should instruct the client to:
a) Get extra rest. b) Avoid excessive sun exposure. c) Adhere to a low-cholesterol diet. d)
D)INH competes for the available vitamin B6 in the body and leaves the client at risk for development of neuropathies related to vitamin deficiency. Supplemental vitamin B6 is routinely prescribed. Following a low-cholesterol diet, getting extra rest, and
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The nurse is preparing a client for a thoracentesis. How should the nurse position the client for the procedure?
a) Sitting forward with the arms supported on the bedside table. b) Prone position without a pillow. c) Supine with the arms over the
A)In preparation for a thoracentesis, the client should be asked to sit forward and place his arms on the bedside table for support. This position provides access to the chest wall and intercostal spaces for insertion of the needle. The supine, Sims', or
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1, 4
the nurse is teaching the client how to use a metered –dose inhaler(mdi) to administer a corticosteroid. Which of the following client actions indicates that he is using the mdi correctly? Select all that apply
1-The inhaler is held upright. 2-The head is |
A,B,C
Select all answer choices that apply.
The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for 30 minutes. Which of the following would require the nurse to discontinue prone positioning and return th |
C-Open the airway
While making rounds, the nurse finds a client with COPD sitting in a wheelchair, slumped over a lunch tray. After determining the client is unresponsive and calling for help, the nurse's first action should be to:
a)Push the "code blue" (emergency respons |
1-A client must take streptomycin for tuberculosis. Before therapy begins, the nurse should instruct the client to notify the physician if which health concern occurs?
a) Decreased hearing acuity b) Increased urinary frequency c) Increased appeti
A)Decreased hearing acuity indicates ototoxicity, a serious adverse effect of streptomycin therapy. The client should notify the physician immediately if it occurs so that streptomycin can be discontinued and an alternative drug can be ordered. The other
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Two days after placement of a pleural chest tube, the tube is accidentally pulled out of the chest wall. The nurse should first:
a) Auscultate the lung to determine whether it collapsed. b) Apply an occlusive dressing such as petroleum jelly gauze.
If the chest tube is accidentally pulled out (a rare occurrence), a petroleum jelly gauze and sterile 4-× 4-inch dressing should be applied over the chest wall insertion site immediately. The dressing should be covered with adhesive tape and be occlusive,
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2- Viral respiratory infections
The nurse should teach he client with asthma that which of the following is one of the most common precipitating factors of an acute asthma attack?
1-occupational exposure to toxins 2-viral respiratory infections 3-exposure to cigarette smoke 4-excercisin |
1-Septic Shock
Which of the following can place a client at risk for acute respiratory distress syndrome (ARDS)?
1-Spetic shock 2-COPD 3-Asthm 4-Heart Failure |
2-1-3-4
The nurse is teaching the client with COPD how to do pursed lip breathing. In which order should the nurse explain the steps to the client?
1-“Breathe in normally through your nose for 2 counts (while counting to yourself, one, two) 2-“Relax your neck and |
A client who has been placed on drug therapy. The medication regimin includes rifampin (Rifadin). Which of the following instructions should the nurse include in the client’s teaching plan related to the potential adverse effects of rifampin? Select all t
2,4,5. A potential adverse effect of rifampin (Rifadin) is hepatoxicit. Cliebts should be instructed to avoid alcohol intake while taking rifampin and keep follow up appointments for periodic monitoring of liver enzyme levels to detect liver toxicity Rifa
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A nurse is instructing a client on how to use an incentive spirometer. The nurse should instruct the client to use the spirometer using the following steps. Place the steps in order from first to last.
1- Instruct the client to take a deep breath and coug
2,3,4,1
The nurse should instruct the client to first exhale fully. The client should then place the mouthpiece of the spirometer in the mouth and inhale and hold the breath for 3 seconds. The client should then exhale passively. Finally, the client shoul |
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