Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to: A. Call the physician. B. Place the tube in a bottle of sterile water. C. Immediately replace the chest tube system. D. Place a sterile… Read More »
A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. The nurse monitors the client for which side effect of this medication? A. Constipation B. Diarrhea C. Bradycardia D. Tachycardia Correct Answer: D. Tachycardia Side effects that can occur from a beta 2 agonist include tremors, nausea,… Read More »
Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In acute rhinitis, nasal drainage normally is: A. Yellow B. Green C. Clear D. Gray Correct Answer: C. Clear Normally,… Read More »
Which of the following is a priority goal for the client with COPD? A. Maintaining functional ability. B. Minimizing chest pain. C. Increasing carbon dioxide levels in the blood. D. Treating infectious agents. Correct Answer: A. Maintaining functional ability A priority goal for the client with COPD… Read More »
A nurse is assisting a physician with the removal of a chest tube. The nurse should instruct the client to: A. Exhale slowly B. Stay very still C. Inhale and exhale quickly D. Perform the Valsalva maneuver Correct Answer: D. Perform the Valsalva maneuver. When the chest… Read More »
A client’s arterial blood gas levels are as follows: pH 7.31; PaO2 80 mm Hg, PaCO2 65 mm Hg; HCO3- 36 mEq/L. Which of the following signs or symptoms would the nurse expect? A. Cyanosis B. Flushed skin C. Irritability D. Anxiety Correct Answer: B. Flushed skin… Read More »
While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The initial nursing action is to: A. Call the physician to reinsert the tube. B. Grasp the retention sutures to spread the opening. C. Call the respiratory therapy department to reinsert the tracheotomy. D. Cover the… Read More »
When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects: A. While inhaling through an open mouth. B. While exhaling through pursed lips. C. After exhaling but before inhaling. D. While taking a deep breath and holding it. Correct… Read More »
Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nurse reports which of the following signs immediately if experienced by the client? A. Stridor B. Occasional pink-tinged sputum C. A few basilar lung crackles on the right D. Respiratory rate 24 breaths/min Correct… Read More »
The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. Which of the following s/s would be included in the teaching plan? A. Clubbing of nail beds B. Hypertension C. Peripheral edema D. Increased appetite Correct Answer: C. Peripheral edema Right-sided heart… Read More »