EAQS: Gas Exchange

Which foods will the nurse include when suggesting dietary sources of iron to a client with anemia? Select all that apply. - Raw carrots - Boiled spinach - Dried prunes - Brussel sprouts - Asparagus spears

- Boiled spinach - Dried prunes

Which assessment findings would indicate a possible asthma exacerbation? Select all that apply. - Fever - Stridor - Wheezing - Tachycardia - Hypotension

- Wheezing - Tachycardia

Which client statement demonstrates an understanding of cyanocobalamin (Vitamin B12) prescribed for pernicious anemia? A. "I should have a vitamin B12 injection every month" B. "I will take vitamin B12 supplements every morning with my breakfast" C. "I will eat a diet high in green vegetables" D. "I will increase my intake of processed foods fortified with vitamin B12"

A. "I should have a vitamin B12 injection every month"

Which action would the nurse take first when a client with acute bronchitis and emphysema reports feeling anxious and short of breath? A. Obtain oxygen saturation. B. Provide oxygen at 2 L per minute. C. Offer the prescribed rescue inhaler. D. Suggest the use of pursed lip breathing.

A. Obtain the oxygen saturation.

Which high-risk nutritional practice must be assessed for when a pregnant client is found to be anemic? A. Pica B. Caffeine intake C. Alcohol abuse D. Artificial sweetener use

A. Pica

A pregnant client with iron deficiency anemia is prescribed iron supplements daily. To help the client increase iron absorption, the nurse would suggest the client eat foods high in which substance? A. Vitamin C B. Fat content C. Water content D. Vitamin B complex

A. Vitamin C

Which goal is priority for a client with asthma who has a prescription for an inhaled bronchodilator? A. Is able to obtain pulse oximeter readings. B. Demonstrates use of a metered dose inhaler. C. Knows the health care provider's office hours. D. Can identify triggers that may cause wheezing.

B. Demonstrates use of a metered dose inhaler.

Which information is needed to determine oxygen administration for a client with chronic obstructive pulmonary disease (COPD) and an oxygen saturation of 87%? A. Level of orientation B. Arterial blood gases C. Bilateral lung sounds D. Complete blood count

B. Arterial blood gases

Which clinical finding of an 8 year old child with a history of asthma requires immediate intervention? A. Barrel chest B. Audible wheezing C. Heart rate of 105 beats per minute D. Respiratory rate of 30 breaths per minute

B. Audible wheezing

Which intervention would the nurse implement for a client admitted for an exacerbation of asthma? A. Determine the client's emotional state. B. Give prescribed medications to promote bronchiolar dilation. C. Provide education about the effect of a family history. D. Encourage the client to use an incentive spirometer routinely.

B. Give prescribed medications to promote bronchiolar dilation.

The nurse is teaching the parent of a child a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication? A. It protects against infection. B. It should be stopped gradually. C. An early growth spurt may occur. D. A moon-shaped face will develop.

B. It should be stopped gradually.

The nurse is caring for a client with emphysema. During assessment, the nurse would expect to ausculate which type of breath sounds? A. Crackles B. Pleural friction rub C Diminished breath sounds D. Expiratory wheezes

C Diminished breath sounds

When instruction would the nurse provide when teaching about use of a nebulizer to a client with chronic obstructive pulmonary disease? A. "Hold your breath, spray the medication into your mouth, then inhale deeply." B. "Depress the canister as you inhale deply, then hold your breath for at least 10 seconds." C. "Seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths." D. "Inhale the medication from the nebulizer, remove the mouthpiece to exhale and the repeat."

C. "Seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths."

Which schedule will the nurse teach a client who presented to the emergency room for an acute asthma attack at the time of discharge who is prescribed theophylline 300 mg orally to be taken daily at 9:00 AM? A. One hour before or 2 hours after eating. B. At bedtime. C. At specific time prescribed. D. Daily until symptoms are gone.

C. At specific time prescribed.

Which action would the nurse perform when administering fluticasone propionate to a client with asthma? A. Assessing heart rate and rhythm. B. Monitoring liver function blood tests. C. Rinsing the oral cavity with water after use. D. Obtaining blood glucose levels before meals.

C. Rinsing the oral cavity with water after use.

A client is admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease (COPD). Which action would the nurse take to prevent client fatigue? A. Provide small, frequent meals. B Encourage pursed lip breathing. C. Schedule nursing activities to allow for rest. D. Encourage bed rest until energy level improves.

C. Schedule nursing activities to allow for rest.

The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child? A. Flushing B. Dyspnea C. Tachycardia D. Hypotension

C. Tachycardia

A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this medication? A. "Fluticasone needs to be taken with food or milk." B. "Fluticasone is primarily used to treat acute asthma attacks." C. "The child should suck on hard candy to help relieve dry mouth." D. "Watch for white patches in the mouth and report to the health care provider."

D. "Watch for white patches in the mouth and report to the health care provider."

A client has chronic obstructive pulmonary disease (COPD). To decrease the risk of CO2 intoxication (CO2 narcosis), which would the nurse do? A. Initiate pulmonary hygiene to clear air passages of trapped mucus. B. Instruct to deep breathe slowly with inhalation longer than exhalation. C. Encourage continuous rapid panting to promote respiratory exchange. D. Administer O2 at a low concentration to maintain respiratory drive.

D. Administer O2 at a low concentration to maintain respiratory drive.

A client with a history of chronic pulmonary disease (COPD) is admitted with acute pneumonia. The client is in moderate respiratory distress. The nurse would place the client in which position to enhance comfort? A. Side lying with head elevated 45 degrees. B. Modified left lateral recumbent with head elevated 90 degrees. C. Semi fowler with legs elevated. D. High fowler using the bedside table to rest the arms.

D. High fowler using the bedside table to rest the arms.

Which side effect would the nurse monitor for in a client receiving dexamethasone to treat an acute exacerbation of asthma? A. Hyperkalemia B. Liver dysfunction C. Orthostatic hypotension D. Increased blood glucose

D. Increased blood glucose

Which laboratory test result would the nurse expect to be decreased in a client with iron deficiency anemia? A. Ferritin level B. Platelet count C. White blood cell count D. Total iron building capacity

Ferritin level; because it is a stored form of iron and this would be decreased in iron deficiency anemia.

Which cause of anemia would the nurse recognize as the most common cause of anemia in 1 year olds? A. Thalassemia B. Lead poisoning C. Iron Deficiency D. Sickle shape of blood cells

Iron Deficiency

When a client with chronic obstructive pulmonary disease has a new prescription for a daily low dose prednisone which information will the nurse include when teaching the client? A. Take the medication an hour before eating. B. Report any dark stools to the healthcare provider. C. Weight loss is common side effect of the medication. D. Take the medication as soon as you experience any dyspnea.

B. Report any dark stools to the healthcare provider.

When preparing a client who is scheduled for a pulmonary function test (PFT) because of possible adult onset asthma, which action would the nurse take? A. Have client use the prescribed as needed bronchodilator before testing. B. Teach client how to take a deep breath and exhale forcefully. C. Explain the reason for not eating for 6 hours before testing. D. Check to be sure that the informed consent form is signed.

B. Teach client how to take a deep breath and exhale forcefully.