ATI O2

When assessing a patient with COPD, the nurse should expect the patients chest to be which of the following shapes; pigeon, funnel, kyphotic, barrel

barrel

A nurse is caring for a patient who has asthma and is taking fluticasone, the nurse should monitor the patient for which of the following adverse effects? Hypoglycemia, Hypertension, Polyuria, Oral candidiasis

oral candidiasis

A nurse is auscultating a patient's lung sounds and identifies crackles in the left lower lobe. Which of the following interventions should the nurse take? Repeat auscultation after asking to breathe deeply and cough, instruct patient to limit fluid intake to <2000mL/day, prepare to administer antibiotics, place patient on bed rest in semi-flower's position

repeat auscultation after asking to breath deeply and cough

A nurse is caring for a patient who has an acute respiratory failure (ARF). The nurse should monitor the patient for which of the following manifestations of this condition? (select all that apply) Severe dyspnea, nausea, decreased level of consciousness, headache, hypotension

severe dyspnea, decreased level of consciousness, headache, hypotension

A nurse is teaching a patient who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the patient should follow

1)inhale deeply and then exhale completely, place lips firmly around mouthpiece, breathe in deeply over 2-3 seconds while pushing down on the canister, hold breath for 10 seconds, exhale slowly through pursed lips, wait 60 seconds between each puff

A nurse is caring for a patient who is receiving O2 and 2L/min via nasal cannula. The nurse recognizes the patient is receiving which of the following inspired O2 concentration? 28%, 36%, 50%, 70%

28%

A nurse is assessing a newborn 1hr after birth, which of the following respiratory rates is within the expected reference range for a newborn? 22/min, 48, 100, 110

48

A nurse caring for a child who is experiencing status asthmaticus, which of the following interventions is the priority for the nurse to take? Administer a SABA, obtain a peak flow reading, administer an inhaled glucocorticoid, determine the cause of the acute exacerbation

Administer a SABA

A home health nurse visits a patient who has COPD and receives O2 at 2L/min via nasal cannula. The patient reports difficulty breathing. Which of the following actions is the nurses priority? Increase O2 to 3L/m, Asses clients respiratory status, call emergency services for the patient, have the patient cough and expectorate secretions?

Assess the client's respiratory status

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the patient's parent on administering the medication? Give the medication in the morning daily, administer the medication 2hrs before exercise, give the medication at the onset of wheezing, administer the granules mixed with 20oz of water

administer the medication 2hrs before exercise

When caring for a school-age child with mild persistent asthma, which of the following is an expected finding? Symptoms continuous throughout day, daytime symptoms occur more than twice a week, nighttime symptoms occur approximately twice a month, minor limitations occur with normal activity, PEF is >or= 80% of predicted value (select all)

daytime symptoms >2x week, minor limitations with normal activity, PEF >or= 80% predicted value

A nurse is providing discharge teaching to a patient who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the patient indicates an understanding of teaching? If my breathing begins to feel tight, I will use the cromolyn immediately, I will be sure to take the albuterol before taking the cromolyn, I will use both medications immediately after exercising, I will administer the medications 10 minutes apart.

I will be sure to take the albuterol before taking the cromolyn

A nurse is teaching a patient who has COPD about ways to facilitate eating, which of the following statements indicates a need for further teaching? "I will rest for at least 30 minutes before eating, I will take my bronchodilators after meals, I will eat five or six small meals each day, I will choose foods that are not gas-forming

I will take my bronchodilators after meals

A nurse is teaching a patient who has COPD and is to start using fluticasone by MDI twice daily, which of the following instructions should the nurse include? Check your heart rate before each dose, Inspect your mouth for lesions daily, Use this medication to relieve an acute attack, skip the morning dose if you do not have any symptoms

Inspect your mouth for lesions daily

A nurse is developing a plan of care for a patient who has COPD. The nurse should include which of the following interventions in the plan? Restrict the patient's fluid intake to <2L/day, provide the patient with a low=protein diet, have the patient use the early-morning hours for exercise and activity, instruct the patient to use pursed-lip breathing

Instruct the patient to use pursed-lip breathing

A nurse is performing pulmonary hygiene for a patient who has pneumonia and positions the patient on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position? Lateral segment of the left lower lobe, Lateral segment of the right lower lobe, Posterior segment of the right middle lobe, Posterior segment of the right lower lobe

Lateral segment of the right lower lobe

When assessing a patient with chronic respiratory insufficiency, which of the following findings should the nurse expect as a result of the long-term inadequate oxygenation? Restlessness, Retractions, Dependent edema, clubbing of fingers

clubbing of fingers

A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. The nurse should recognize these findings are associated with which of the following diagnoses? Influenza, Bronchiolitis, Croup, Epiglottitis

`Bronchiolitis

A nurse in urgent care is caring for a patient who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority? Initiating O2 therapy, providing immediate rest for patient, positioning patient in high-Fowler's, Administering a nebulizer beta-adrenergic

administering a nebulizer beta-adrenergic

When caring for a client who has emphysema, which of the following findings should the nurse expect to assess in the patient? Dyspnea, bradycardia, barrel chest, clubbing of fingers, shallow respirations (select all that apply)

dyspnea, barrel chest, clubbing, shallow respiration

When caring for patient with pneumonia, which of the following actions should the nurse take to promote thinning of respiratory secretions? Encourage frequent ambulation, encourage coughing and deep breathing, encourage increase of fluid intake, encourage regular use of IS

encourage increased fluid intake (1500-2500mL/day)

A nurse is caring for a patient who has COPD. The patient tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up". Which of the following actions should the nurse take to help this patient with tenacious bronchial secretions? Maintaining a semi-Fowlers position as often as possible, Administering O2 via nasal cannula @ 2L/min, Helping the patient select a low-salt diet, encouraging the patient to drink 2-3L water daily.

encouraging the patient to drink 2-3 L water daily

When teaching an asthmatic patient how to use an albuterol inhaler, which action by the patient indicates an understanding of the teaching? Holding breath for 10 seconds after inhaling the med, a quick inhalation while releasing med from inhaler, exhales as med is released from inhaler, waits 10min between inhalations

holds breath for 10 seconds after inhaling med

When providing discharge instructions to a patient with asthma who is about to start taking theophylline (Theo-24), the nurse should tell the client that this medication might cause which of the following adverse effects? Drowsiness, constipation, oliguria, tachycardia

tachycardia

A nurse is providing discharge teaching to a patient who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? Sedation, increased appetite, white coating in the mouth, dry oral mucous membranes

white coating in the mouth

A nurse is caring for a patient who has returned to the unit following a surgical procedure. The patient's oxygen saturation is 85%. Which of the following actions should the nurse take first? Administer O2 @ 2L/min, Administer prescribed analgesic medication, encourage coughing and deep breathing, raise the head of the bed.

Raise the head of the bed

A college health nurse interprets the pean expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information? The student should use his quick-relief inhaler, The student's asthma is not well controlled, the student's peak flow is 50-80% of his best peak flow, The student needs to go to the hospital, the nurse should obtain a second expiratory flow rate

Use quick-relief inhaler, asthma not well controlled, peak flow 50-80% of best, obtain second expiratory flow rate

When preparing an adolescent patient who has pneumonia for percussion, vibration, and postural drainage, which of the following nursing actions should the nurse complete first prior to the procedure? Auscultate lung fields, assess pulse and respirations, assess characteristics of her sputum, instruct to slowly exhale with pursed lips

auscultate lung fields

A nurse in a provider's office is assessing an older adult patient whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client? Bradycardia, night sweats, confusion, narrowed pulse pressure

confusion

When assessing a patient with hypoxia, which of the following findings should the nurse expect? Bradypnea, somnolence, pallor, tachycardia.

tachycardia

When assessing a patient for hypoxemia during an asthma attach, which of the following manifestations should the nurse expect? Nausea, dysphagia, agitation, hypotension

agitation

An ER nurse is caring for a child who is experiencing an acute asthma attack, which of the following medications should the nurse expect to administer first? fluticasone, budesonide, montelukast, albuterol

albuterol

A nurse is caring for a patient who has emphysema and difficulty with mobility. The patient receives home health care and spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect? Increased insulin production, Decreased RBC production, Decreased sodium excretion, increased calcium excretion

increased calcium excretion