NURS 327 Exam #2
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
"Do not adjust the flow rate"
A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse hears diminished breath sounds and should realize that this findings is likely an indication of what condition?
Atelectasis
A nurse is preparing to admit a patient to the PACU who received neuromuscular blocking agent. Which of the following items should the patient have at their bedside provided by the nurse?
Bag Valve Mask Device
A nurse is caring for a client who has COPD. The client 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 the client with tenacious bronchial secretions?
Encourage the client to drink 2-3 L of water daily
A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?
Increased Heart Rate
What is an adverse effect of Benadryl?
Sedation
What instruction should the nurse provide when teaching about metered dose inhalers?
Wait at least 1 minute before inhaling the second puff
A nurse is caring for a patient who has a pulmonary embolism. What is the nurses priority intervention?
Administer heparin via IV infusion
A nurse is assessing a client for hypoxemia during an asthma attack. What manifestation should the nurse expect?
Agitation
A nurse is caring for a client who is on mechanical ventilation when the low pressure alarm sounds. What is a possible cause of this alarm?
Artificial Airway Cuff Leak
A nurse is dining in a restaurant when a women begins to scream that her partner is choking. Which of the following actions should the nurse take?
Ask the man if he can speak
A nurse is preparing a patient with pneumonia for percussion, vibration, and postural drainage. Prior to the procedure which of the following actions should the nurse complete first?
Auscultate lung fields
A nurse is caring for a patient with an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of pneumonia?
Brush patients teeth with suction toothbrush every 12 hours
What is a nurses priority to monitor after a bronchoscopy on an older adult patient?
Confirm the gag reflex
A nurse is caring for a client who has emphysema. What finding should the nurse report to the provider?
Elevated Temperature
What is the earliest manifestation of laryngeal cancer?
Hoarseness
A nurse is assessing a patient who has a pneumothorax with a chest tube. Which of the following findings should the nurse report to the provider?
Movement of the trachea toward the unaffected side
A nurse is auscultating the lungs of a client who has pleurisy. Which of the following breath sounds should the nurse expect?
Scratchy / Abrasive
A nurse is assessing a client for an allergic reaction following a CT scan with contrast. Which of the following findings should the nurse intervene for first?
Stridor
A nurse is teaching a client who has TB and is to start medication therapy with Isoniazid, Rifampin, and Pyrazinamide. Which of the following instructions should the nurse provide to the client?
Take on an empty stomach and drink at least 8 oz of water
Which of the following actions by the client indicated an understanding of the teaching about an albuterol inhaler?
The client holds breath for 10 seconds after inhaling the medication
