NRS 2024 Quiz 4

The home care nurse is visiting a client who is totally oxygen dependent and using home oxygen. Upon noticing a gas stove in the kitchen, what teaching will the nurse provide? "It is important to eat at least five servings of vegetables daily." "Remove your oxygen before cooking near the gas stove." "An electric stove may be a safer choice for you." "Be careful not to trip over your oxygen tubing while cooking."

"An electric stove may be a safer choice for you."

The nurse educator is presenting a lecture on the respiratory and cardiovascular systems. Which response given by the nursing staff would indicate to the educator that they have an understanding of cardiac output? "If the client's stroke volume is 70 mL and heart rate is 70 beats per minute, then the cardiac output is 4.7 L/minute." "If the client's stroke volume is 80 mL and heart rate is 80 beats per minute, then the cardiac output is 6.0 L/minute." "If the client's stroke volume is 60 mL and heart rate is 60 beats per minute, then the cardiac output is 3.2 L/minute." "If the client's stroke volume is 50 mL and heart rate is 50 beats per minute, then the cardiac output is 2.5 L/minute."

"If the client's stroke volume is 50 mL and heart rate is 50 beats per minute, then the cardiac output is 2.5 L/minute."

A nurse is delivering 3 L/min oxygen to a client via nasal cannula. What percentage of delivered oxygen is the client receiving? 23% 28% 32% 47%

32%

A client is reporting slight shortness of breath and lung auscultation reveals the presence of bilateral coarse crackles. The client's SaO2 is 90% on pulse oximetry. The nurse has applied supplementary oxygen by nasal cannula, recognizing that the flow rate by this method should not exceed: 6 L/minute. 1 L/minute. 4 L/minute. 10 L/minute.

6 L/minute.

Charles is an 86-year-old man with chronic lower back pain. He asks you what some appropriate treatments might be for his back pain. Which would you not expect to be ordered as first-line therapy? Physical therapy referral A walking aid Acupuncture A chronic opioid therapy plan

A chronic opioid therapy plan

A client with a herniated disc is enjoying a rare visit from friends and family, resulting in the release of endorphins. The release of endorphins will produce what effect? Cortisol release Analgesia Decreased muscle tone Nociceptor stimulation

Analgesia

The nurse is caring for a client who has a compromised cardiopulmonary system and needs to assess the client's tissue oxygenation. The nurse would use which appropriate method to assess this client's oxygenation? Hematocrit values Hemoglobin levels Pulmonary function Arterial blood gas

Arterial blood gas

The nurse is caring for a client who frequently comes to the emergency department (ED) reporting a headache that is an 8 or 9 on a pain scale of 1 to 10. The client is noted to be laughing while on the phone and chatting with staff after reporting a headache that is a 10. Which action will the nurse perform prior to initiating treatment? Assess for nonverbal cues to pain Contact the pain clinic for further assessment Request a lower dose of medication from the health care provider Discuss observations with the client

Assess for nonverbal cues to pain

When performing a pain assessment on a client, the nurse observes that the client guards his arm, which was fractured in a car accident, and he refuses to move out of his chair. The nurse notes this reaction as what type of pain response? Behavioral Physiologic Affective Psychosomatic

Behavioral

The nurse is implementing environmental changes to promote a client's comfort and pain management. Which action is an example of this type of intervention? Closing the client's room door to reduce unnecessary noises Assisting the client to change positions to maintain body alignment Smoothing out the wrinkles in the client's bed linen Offering the client an appropriate book to read or music to listen to

Closing the client's room door to reduce unnecessary noises

A client has been diagnosed with asthma and has been prescribed inhaled medications to relieve inflammation in the lung tissue. What medication will the nurse administer? Antibiotics Bronchodilators Expectorants Corticosteroids

Corticosteroids

When implementing the gate-control theory of pain, which intervention will enhance the closing of the gate to the client's pain? Position the client on several pillows. Teach the client relaxation techniques. Give the client a back rub. Darken the room.

Give the client a back rub.

Three days after surgery, a client continues to have moderate to severe incisional pain. Based on the gate-control theory, what action should the nurse take? Administer pain medications in smaller doses but more frequently. Decrease external stimuli in the room during painful episodes. Reposition the client and gently massage the client's back. Advise the client to try to sleep following administration of pain medication.

Reposition the client and gently massage the client's back.

When assessing a client on PCA therapy, the nurse finds the client to be drowsy, with minimal or no response to physical stimulation, scoring a 4 on the Pasero & McCaffery Sedation Scale. What is the nurse's best action? Stop the medication infusion immediately and notify the primary care provider; prepare to administer oxygen and naloxone. Stop the PCA infusion, check the medication level, and restart the infusion at a lower dose. Stop the PCA infusion, increase the frequency of sedation and respiratory rate monitoring to every 15 minutes, rouse the client, and encourage deep breathing. Stop the infusion and report the incident to the nurse manager in charge; follow the protocol of oxygen and naloxone administration.

Stop the medication infusion immediately and notify the primary care provider; prepare to administer oxygen and naloxone.

A PCA has been ordered for a client who is experiencing significant postoperative pain. To minimize the risk of adverse effects of this therapy, the nurse should perform what action? Teach the client to perform deep-breathing and coughing exercises. Apply sequential compression stockings. Arrange for a high-protein, low-residue diet. Encourage the client to drink an 8-oz glass of water every 2 hours.

Teach the client to perform deep-breathing and coughing exercises.

A nurse takes a client's pulse oximetry reading and finds that it is normal. What does this finding indicate? The client's available hemoglobin is adequately saturated with oxygen. The client's oxygen demands are being met. The client's red blood cell (RBC) count is in the normal range. The client's respiratory rate is in the normal range.

The client's available hemoglobin is adequately saturated with oxygen.

Which guideline describes the proper method for measuring the appropriate length to use when inserting a nasopharyngeal airway? When holding the airway on the side of the client's face, it should reach from the tragus of the ear to the tip of the nostril. When holding the airway on the side of the client's face, it should reach from the opening of the mouth to the back angle of the jaw. When holding the airway on the side of the client's face, it should reach from the tip of the ear to the nostril times two. The airways come in standard sizes determined by the height and weight of the client.

When holding the airway on the side of the client's face, it should reach from the tragus of the ear to the tip of the nostril.

Which medication would the nurse most likely see on the medication administration record (MAR) of a client with diabetic neuropathy? morphine gabapentin hydromorphone lorazepam

gabapentin

While auscultating a client's chest, the nurse auscultates crackles in the lower lung bases. What condition does the nurse identify the client is experiencing? presence of sputum in the trachea presence of fluid in the lungs air passing through narrowed airways inflammation of pleural surfaces

presence of fluid in the lungs

What structural changes to the respiratory system should a nurse observe when caring for older adults? respiratory muscles become weaker diminished coughing and gag reflexes increased use of accessory muscles for breathing increased mouth breathing and snoring

respiratory muscles become weaker