210 Exam 3

A nurse is caring for an asthmatic client who requires a low concentration of oxygen. Which of the following delivery devices should the nurse use in order to administer oxygen to the client? Simple mask Face tent Non-rebreather mask Nasal cannula

Nasal cannula

Which of the following oxygen delivery systems is most commonly used because it does not impede eating or speaking? Nasal cannula Oxygen mask Oxygen hood Oxygen tent

Nasal cannula

A client requires low-flow oxygen. How will the oxygen be administered? Select all that apply. Venturi mask Partial rebreather mask Humidified venturi mask Nasal cannula Simple oxygen mask

Nasal cannula Simple oxygen mask Partial rebreather mask

A nurse observes that a client who underwent knee surgery two weeks ago needs progressively larger doses of analgesics to get relief from pain. The nurse interprets this as which of the following? Sedation Addiction Tolerance Dependence

Tolerance

A client sustained second- and third-degree burns to the chest and neck 4 days ago and is now refusing analgesics stating, "I don't want to become addicted to pain medication."What is the best response by the nurse? "Don't worry about this now; take the pain medications, and we will worry about addiction later." "I don't blame you for feeling that way; we have people who do become addicted." "The physician has ordered the medication every 4 hours, and you must take it so that you will heal quicker." "Although misusing the medication may cause addiction, there is little evidence that those who require narcotics for legitimate pain become addicted."

"Although misusing the medication may cause addiction, there is little evidence that those who require narcotics for legitimate pain become addicted."

A home health nurse visits a client with chronic obstructive pulmonary disease who requires oxygen. Which statement by the client indicates the need for additional teaching about home oxygen use? "I have a 'no smoking' sign posted at my front door to remind guests not to smoke." "I clean my mask with water after every meal." "I lubricate my lips and nose with a topical emollient." "I make sure my oxygen mask is on tightly so it won't fall off while I nap."

"I make sure my oxygen mask is on tightly so it won't fall off while I nap."

Which statement by the client indicates further teaching about epidural anesthesia is necessary? "A needle will deliver the anesthetic into the area around my spinal cord." "I will lose the ability to move my legs." "I will become unconscious." "I will be able to hear the surgeon during the surgery."

"I will become unconscious."

You have completed a preoperative teaching session with a patient who will receive morphine via a patient-controlled analgesia pump (PCA) after surgery. Which of the following statements by the patient indicates the need for further teaching? "I can push the button whenever I feel pain." "I will use the PCA pump until oral pain medication controls my pain." "I will remind my family member to push the PCA pump button for me if I doze off during the day." "I will let my nurse know if the pain medication is not effective enough to help me move after surgery."

"I will remind my family member to push the PCA pump button for me if I doze off during the day."

The nurse is teaching the client how to use the patient-controlled analgesia (PCA) pump. The nurse determines that the client understands the use of the PCA pump when the client makes which statement? "I should wait until the pain is really bad before I push the button to get more pain medicine." "The machine will only give me the prescribed amount of pain medication even if I push the button too soon." "It's okay for my family to press the button for me if I'm too tired to do it myself." "I have to be careful about pushing the button too many times or I will overdose myself."

"The machine will only give me the prescribed amount of pain medication even if I push the button too soon."

The nurse is preparing a client for surgery tomorrow at 0800. The client will receive general anesthesia. What should the nurse tell the client to explain why they should not have anything to eat or drink 8 hours before the surgery? "You may have pressure on the diaphragm causing poor lung expansion during surgery." "There is a possibility of gas pains and distention during the immediate postoperative period." "This will prevent constipation during the immediate postoperative period." "There is a risk for vomiting and possible aspiration of vomitus during surgery if your stomach is full."

"There is a risk for vomiting and possible aspiration of vomitus during surgery if your stomach is full."

A nurse having difficulty setting up humidified oxygen at 40% per Venturi mask doesn't know how many liters of flow should be used. Which intervention should the nurse perform to ensure that the oxygen is properly administered? Ask a nursing assistant what to do. Read the package directions. Consult with a respiratory therapist. Use a conventional oxygen mask.

Consult with a respiratory therapist.

The nurse is preparing to care for an 86-year-old client who just returned to the unit after surgery to repair a fractured hip. The client has severe dementia. Which pain management strategy would be most appropriate for this client? As needed (PRN)IV pain medication IV patient-controlled analgesia Around-the-clock oral pain medication Oral patient-controlled analgesia (PCA)

Around-the-clock oral pain medication

A client is receiving morphine sulfate by a patient-controlled analgesia (PCA) system after a left lower lobectomy 4 hours ago. The client reports moderately severe pain in the left thorax that worsens when coughing. What should the nurse do first? Request a prescription for a cough suppressant Reassure the client that the PCA system is working and will relieve pain. Assess the pain using a pain scale and compare to the previous assessment. Encourage the client to take deep breaths and expectorate the mucous that is stimulating the cough.

Assess the pain using a pain scale and compare to the previous assessment.

The nurse is preparing a patient for a colonoscopy. The nurse is familiar with the colonoscopy procedures at the hospital and is aware that which type of anesthesia is commonly used for this procedure? Epidural anesthesia Conscious sedation Nerve block Spinal anesthesia

Conscious sedation

A client who is 1 day postoperative is using a morphine patient-controlled analgesia (PCA) pump. The client is confused and disoriented. What is the priority intervention by the nurse? Check for shortness of breath, signifying a pulmonary embolism. Check the pulse rate and blood pressure. Check respiratory rate and depth as well as oxygen saturation levels. Check whether the client is self-administering a bolus too frequently.

Check respiratory rate and depth as well as oxygen saturation levels.

A physician has ordered a nurse to administer conscious sedation to a client. Which of the following is possible after administering conscious sedation to a client? Client can respond verbally despite physical immobility Client's consciousness level can be monitored by equipment Client is relaxed, emotionally comfortable, and conscious Client can tolerate long therapeutic surgical procedures

Client is relaxed, emotionally comfortable, and conscious

The nurse is making rounds and observes a client receiving oxygen (see figure). What should the nurse do next? Verify that the reservoir bag remains deflated. Loosen the elastic band on the client's face. Confirm that the flow rate is set to deliver oxygen at 6 to 10 L per minute. Position the mask lower on the client's nose.

Confirm that the flow rate is set to deliver oxygen at 6 to 10 L per minute.

Which of the following is the most effective treatment for obstructive sleep apnea (OSA)?

Continuous positive airway pressure (CPAP)

A client who is recovering from a bilateral adrenalectomy has a patient-controlled analgesia (PCA) system with morphine sulfate. What should the nurse do to manage the safe administration of the morphine? Increase the amount of morphine if the client does not administer the medication. Observe the client at regular intervals for opioid addiction. Encourage the client to reduce analgesic use and tolerate the pain. Evaluate pain control at least every 2 hours.

Evaluate pain control at least every 2 hours.

During oxygen administration to the client, which of the following pieces of equipment would enable the nurse to regulate the amount of oxygen delivered? Humidifier Oxygen analyzer Nasal cannula Flowmeter

Flowmeter

You are caring for a patient who is receiving morphine via a patient-controlled analgesia (PCA) pump. You note that the patient's respiratory rate is 10 breaths per minute. The patient is somnolent, with minimal response to physical stimulation. You should prepare to administer which of the following medications? Intravenous flumazenil (Romazicon) Intravenous naloxone (Narcan) Oral modafinil (Provigil) Nebulized albuterol (Proventil)

Intravenous naloxone (Narcan)

A client who underwent a left lower lobectomy has been out of surgery for 48 hours. The client is receiving morphine sulfate via a patient-controlled analgesia (PCA) system and reports having pain in the left thorax that worsens when coughing. After checking the PCA system, what should the nurse do next? Obtain a more detailed assessment of the client's pain using a pain scale. Reassure the client that the PCA machine is working and will administer medication to relieve the pain. Encourage the client to take deep breaths to help control the pain. Let the client rest so the client is not stimulated to cough.

Obtain a more detailed assessment of the client's pain using a pain scale.

The nurse is administering oxycodone to a client. To which category of analgesics does this belong? Nonsteroidal anti-inflammatory Opioid Adjuvant Multipurpose

Opioid

A patient vomits as a nurse is inserting his oropharyngeal airway. What would be the appropriate intervention in this situation? Ask the patient to extend the neck slightly to adjust the airway. Leave the airway in place and notify the physician for further instructions. Immediately remove the airway and reinsert it because it has probably inadvertently caused the gag reflex. Remove the airway, turn the patient to the side and provide mouth suction, if necessary.

Remove the airway, turn the patient to the side and provide mouth suction, if necessary.

Which of the following is the priority assessment for a nurse caring for a client with a Patient Controlled Analgesia (PCA) pump? Respiratory Peripheral Vascular Cardiovascular Nueromuscular

Respiratory

A patient has required frequent scheduled and breakthrough doses of opioid analgesics in the 6 days since admission to the hospital. The patient's medication regimen may necessitate which of the following interventions? Frequent turns and application of skin emollients Supplementary oxygen and chest physiotherapy Stool softeners and increased fluid intake Calorie restriction and dietary supplements

Stool softeners and increased fluid intake

The use of a patient-controlled analgesia (PCA) pump is effective in which situation? The family can assist the client in managing the pain. There is decreased cost by decreasing use of intramuscular (IM) injections. The client achieves a therapeutic level of analgesia. The client does not become dependent on opioids postoperatively.

The client achieves a therapeutic level of analgesia.

A client has requested to have patient-controlled analgesia (PCA) after surgery. When is it appropriate for a client to receive PCA? The client has the ability to self-administer. There is a nurse to assist with self-administration. There are advanced directives in place. A family member is able to assist with self-dosing.

There is a nurse to assist with self-administration.

The nurse is caring for a group of clients on a pulmonary unit. The nurse can delegate which task to unlicensed assistive personnel (UAP)? assessing a client for the best method of oxygen delivery adjusting flow rates based on client responses assisting a client with adjusting their nasal cannula monitoring a client for adverse effects of oxygen therapy

assisting a client with adjusting their nasal cannula

A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active labor is receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first hour after administration of the anesthetic, the nurse should monitor the client for which adverse reaction? hypotension diaphoresis tremors headache

hypotension