A nurse instructs a client to use the pursed lip method of breathing. The client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed lip breathing is: A. Promote oxygen intake. B. Strengthen the diaphragm. C. Strengthen the intercostal muscles.… Read More »
Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop? A. Atelectasis B. Bronchiectasis C. Effusion D. Inflammation Correct Answer: D. Inflammation The most common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or… Read More »
A client is scheduled for blood to be drawn from the radial artery for an ABG determination. Before the blood is drawn, an Allen’s test is performed to determine the adequacy of the: A. Popliteal circulation B. Ulnar circulation C. Femoral circulation D. Carotid circulation Correct Answer:… Read More »
Emergency treatment of a client in status asthmaticus includes which of the following medications? A. Inhaled beta-adrenergic agents B. Inhaled corticosteroids C. I.V. beta-adrenergic agents D. Oral corticosteroids Correct Answer: A. Inhaled beta-adrenergic agents Inhaled beta-adrenergic agents help promote bronchodilation, which improves oxygenation. Albuterol is preferred over… Read More »
A nurse reviews the ABG values and notes a pH of 7.50, a PCO2 of 30 mm Hg, and an HCO3 of 25 mEq/L. The nurse interprets these values as indicating: A. Respiratory acidosis uncompensated B. Respiratory alkalosis uncompensated C. Metabolic acidosis uncompensated D. Metabolic acidosis partially compensated. … Read More »
Which of the following treatment goals is best for the client with status asthmaticus? A. Avoiding intubation. B. Determining the cause of the attack. C. Improving exercise tolerance. D. Reducing secretions. Correct Answer: A. Avoiding intubation Inhaled beta-adrenergic agents, I.V. corticosteroids, and supplemental oxygen are used to reduce bronchospasm,… Read More »
The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide? A. It helps prevent early airway collapse. B. It increases inspiratory muscle strength. C. It decreases use of… Read More »
Dani was given Dilaudid for pain. She’s sleeping and her respiratory rate is 4 breaths/minute. If action isn’t taken quickly, she might have which of the following reactions? A. Asthma attack B. Respiratory arrest C. Improve cardiac output D. Constipation Correct Answer: B. Respiratory arrest Narcotics can… Read More »
After receiving an oral dose of codeine for an intractable cough, the male client asks the nurse, “How long will it take for this drug to work?” How should the nurse respond? A. In 30 minutes B. In 1 hour C. In 2.5 hours D. In 4 hours … Read More »
Which of the following additional assessment data should immediately be gathered to determine the status of a client with a respiratory rate of 4 breaths/minute? A. Arterial blood gas (ABG) and breath sounds. B. Level of consciousness and a pulse oximetry value. C. Breath sounds and reflexes. D. Pulse oximetry value… Read More »