Oxygenation Prep U

A mother calls the clinic asking for a prescription for Amoxicillin for her 2-year-old son who has what the nurse suspects to be viral rhinitis. What should the nurse explain to this mother?

"I'll certainly inform the doctor, but if it is a cold, antibiotics won't be used because they do not affect the virus."

A male patient newly diagnosed with COPD tells the nurse, "I can't believe I have COPD, I only had a cough; are there other symptoms I should know about"? Which of the following is the nurse's best response?

"Other symptoms you may develop are shortness of breath on exertion, and sputum production."

A nurse is administering a purified protein derivative (PPD) test to a client. Which statement concerning PPD testing is true?

A positive reaction indicates that the client has been exposed to the disease.

At 11 p.m. a client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m. the client's arterial blood oxygen saturation is 86%, and he's still wheezing. The nurse should plan to administer:

Albuterol (Proventil).

A client newly diagnosed with emphysema asks the nurse to explain all about the disease. The nurse would include the following response when defining emphysema:

An abnormal distention of the air spaces with destruction of the alveolar walls

Which type of chest configuration is typical of the patient with COPD?

Barrel Chest

Which statement indicates a client understands teaching about the purified protein derivative (PPD) test for tuberculosis?

Because I had a previous reaction to the test, this time I need to get a chest X-ray."

A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma?

Bilateral wheezes

A client is at risk for emphysema. When reviewing information about the condition with the client which would the nurse emphasize as the most important environmental risk factor for emphysema?

Cigarette smoking

A nurse is teaching a patient with asthma about Azmacort. Which adverse effects should the nurse be sure to address in patient teaching?

Cough and oral thrush

A client has undergone a left hemicolectomy for bowel cancer. Which activities prevent the occurrence of postoperative pneumonia in this client?

Coughing, breathing deeply, frequent repositioning, and using an incentive spirometer

The nurse is caring for a client with tuberculosis. Why should the nurse always encourage a client with tuberculosis to perform active range-of-motion (ROM) exercises three times a day?

For maintaining muscle strength

A client is admitted to a health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this client?

Impaired gas exchange related to airflow obstruction

A client has intermittent asthma attacks. Which of the following therapies does the nurse teach the client to use at home when experiencing an asthma attack?

Inhaled albuterol (Ventolin)

The nurse is caring for a patient with COPD. In COPD the body attempts to improve oxygen-carrying capacity by increasing the amounts of red blood cells. Which of the following is the term for this process?

Polycythemia

A client is admitted to the health care facility with active tuberculosis (TB). The nurse should include which intervention in the care plan?

Putting on an individually fitted mask when entering the client's room

During a community health fair, a nurse is teaching a group of seniors about health promotion and infection prevention. Which intervention would best promote infection prevention for senior citizens who are at risk of pneumococcal and influenza infections?

Receive vaccinations

A patient who has an altered level of consciousness is receiving tube feedings. Patients receiving tube feeding should be placed in which of the following positions?

Semi-Fowler's or higher

A nurse is developing a teaching plan for a client with asthma. Which teaching point has the highest priority?

Take ordered medications as scheduled.

For a client with chronic obstructive pulmonary disease, which nursing intervention helps maintain a patent airway?

Teaching the client how to perform controlled coughing

An adult patient has tested positive for tuberculosis (TB). While providing patient teaching what information should the nurse prioritize?,

The importance of adhering closely to the prescribed medication regimen

During a health seminar for the prevention of COPD, a nurse advises participants that the number-one risk factor for COPD is:

Tobacco smoke.

A nurse is providing discharge teaching for a client with COPD. When teaching the client about breathing exercises, what should the nurse include in the teaching?

Use diaphragmatic breathing

The nurse is caring for a client with allergic rhinitis. The patient asks the nurse about measures to help decrease allergic symptoms. The best response by the nurse is which of the following?

You should try to reduce exposure to irritants and allergens

A nurse is caring for a client experiencing an acute asthma attack. The client stops wheezing and breath sounds aren't audible. This change occurred because:

the airways are so swollen that no air can get through.