A client has an order to have radial ABG drawn. Before drawing the sample, a nurse occludes the: A. Brachial and radial arteries, and then releases them and observes the circulation of the hand. B. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the… Read More »
A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as needed. Which assessment finding indicates that the patient needs another pancuronium dose? 1. Leg movement A. Leg movement B. Finger movement C. Lip movement D. Fighting the ventilator Correct Answer: D. Fighting… Read More »
A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest.” The nurse interprets that this client has which of the following forms of chronic airflow limitation? A. Chronic obstructive bronchitis B. Emphysema C. Bronchial asthma D. Bronchial asthma and bronchitis … Read More »
On auscultation, which finding suggests a right pneumothorax? A. Bilateral inspiratory and expiratory crackles. B. Absence of breaths sound in the right thorax. C. Inspiratory wheezes in the right thorax. D. Bilateral pleural friction rub. Correct Answer: B. Absence of breaths sound in the right thorax In… Read More »
A client has been taking benzonatate (Tessalon Perles) as prescribed. A nurse concludes that the medication is having the intended effect if the client experiences: A. Decreased anxiety level. B. Increased comfort level. C. Reduction of N/V. D. Decreased frequency and intensity of cough. Correct Answer: D.… Read More »
Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses see many abbreviations. What does… Read More »
Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? The client will: A. Maintain a fluid intake of 800 ml every 24 hours. B. Experience chills only once a day. C. Cough productively without chest discomfort. D. Experience less nasal obstruction… Read More »
A male patient is admitted to the healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient? A. Activity intolerance related to fatigue. B. Anxiety related to actual threat to health status. C. Risk for infection related to retained secretions. D. Impaired gas exchange related… Read More »
Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present? A. Dehydration B. Group living C. Malnutrition D. Severe periodontal disease Correct Answer: B. Group living Clients with chronic illnesses generally have poor immune systems. Often, residing in group… Read More »
A comatose client needs a nasopharyngeal airway for suctioning. After the airway is inserted, he gags and coughs. Which action should the nurse take? A. Remove the airway and insert a shorter one. B. Reposition the airway. C. Leave the airway in place until the client gets used to it. D.… Read More »