A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul’s respirations. Based on this documentation, which of the following did the nurse observe? A. Respirations that are abnormally deep, regular, and increased in rate. B. Respirations that are regular but abnormally slow. C. Respirations… Read More »
A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away? A. Beta-adrenergic blockers B. Bronchodilators C. Inhaled steroids D. Oral steroids Correct Answer: B. Bronchodilators Bronchodilators are the first… Read More »
A nurse understands that the excessive use of oral antacids containing bicarbonate can result in which acid-base disturbance? A. Respiratory alkalosis B. Respiratory acidosis C. Metabolic acidosis D. Metabolic alkalosis Correct Answer: D. Metabolic alkalosis Increases in base components occur as a result of oral or parenteral… Read More »
A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first? A. Take a full medication history. B. Give a bronchodilator by nebulizer. C. Apply a cardiac monitor to the… Read More »
A nurse is caring for a client with renal failure. Blood gas results indicate a pH of 7.30; a PCO2 of 32 mm Hg, and a bicarbonate concentration of 20 mEq/L. The nurse has determined that the client is experiencing metabolic acidosis. Which of the following laboratory values would the nurse expect to note? … Read More »
A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions? A. Adult respiratory distress syndrome (ARDS) B. Asthma C.… Read More »
The term “blue bloater” refers to which of the following conditions? A. Adult respiratory distress syndrome (ARDS) B. Asthma C. Chronic obstructive bronchitis D. Emphysema Correct Answer: C. Chronic obstructive bronchitis Clients with chronic obstructive bronchitis appear bloated; they have large barrel chests and peripheral edema, cyanotic… Read More »
A nurse is preparing to obtain a sputum specimen from a client. Which of the following nursing actions will facilitate obtaining the specimen? A. Limiting fluids. B. Having the client take 3 deep breaths. C. Asking the client to spit into the collection container. D. Asking the client to obtain the… Read More »
Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to: A. Promote expectoration. B. Suppress the cough. C. Relax smooth muscles of the bronchial airway. D. Prevent infection. Correct Answer: C. Relax… Read More »
Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnosed asthma. When teaching the patient about this drug, the nurse should explain that it may cause: A. Nasal congestion B. Nervousness C. Lethargy D. Hyperkalemia Correct Answer: B. Nervousness Albuterol may cause nervousness. The primary… Read More »