A male client who weighs 175 lb (79.4 kg) is receiving aminophylline (Aminophylline) (400 mg in 500 ml) at 50 ml/hour. The theophylline level is reported as 6 mcg/ml. The nurse calls the physician who instructs the nurse to change the dosage to 0.45 mg/kg/hour. The nurse should: A. Question the order because it’s… Read More »
A cyanotic client with an unknown diagnosis is admitted to the E.R. In relation to oxygen, the first nursing action would be to: A. Wait until the client’s lab work is done. B. Not administer oxygen unless ordered by the physician. C. Administer oxygen at 2 L flow per minute. D. Administer oxygen… Read More »
The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching? A. Make inhalation longer than exhalation. B. Exhale through an open mouth. C. Use diaphragmatic breathing. D. Use chest breathing. Correct Answer: C.… Read More »
Immediately following a thoracentesis, which clinical manifestations indicate that a complication has occurred and the physician should be notified? A. Serosanguineous drainage from the puncture site. B. Increased temperature and blood pressure. C. Increased pulse and pallor. D. Hypotension and hypothermia. Correct Answer: C. Increased pulse and… Read More »
Which phrase is used to describe the volume of air inspired and expired with a normal breath? A. Total lung capacity B. Forced vital capacity C. Tidal volume D. Residual volume Correct Answer: C. Tidal volume Tidal volume refers to the volume of air inspired and expired… Read More »
A female client is scheduled to have a chest radiograph. Which of the following questions is of most importance to the nurse assessing this client? A. “Is there any possibility that you could be pregnant?” B. “Are you wearing any metal chains or jewelry?” C. “Can you hold your breath easily?” … Read More »
Before administering ephedrine, Nurse Tony assesses the patient’s history. Because of ephedrine’s central nervous system (CNS) effects, it is not recommended for: A. Patients with an acute asthma attack. B. Patients with narcolepsy. C. Patients under age D. Elderly patients. Correct Answer: D. Elderly patients Ephedrine is… Read More »
If a client continues to hypoventilate, the nurse will continually assess for a complication of: A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis Correct Answer: A. Respiratory acidosis Respiratory acidosis represents an increase in the acid component, carbon dioxide, and an increase in… Read More »
A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations? A. Simple mask B. Non-rebreather mask C. Face tent D. Nasal cannula Correct Answer: B. Non-rebreather mask A… Read More »
A client is admitted to the hospital with acute bronchitis. While taking the client’s VS, the nurse notices he has an irregular pulse. The nurse understands that cardiac arrhythmias in chronic respiratory distress are usually the result of: A. Respiratory acidosis B. A build-up of carbon dioxide C. A build-up of oxygen… Read More »