Review Three
A nurse is caring for a child who is have status asthamaticus which intervention is a priority.
Admin a SABA When using the urgent versus non-urgent approach to client care, the nurse should determine that the priority action is to administer a nebulized high-dose SABA to relieve bronchoconstriction and improve ventilation
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following indicates treatment is effective?
Decreased Stridor, A nurse is caring for a toddler who has an acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
Adverse effect of taking medication montelukast for asthma and should report to provider?
Depression: Montelukast can cause neuropsychiatric effects such as depression, behavior changes, hallucinations, and suicide ideation. The nurse should instruct the client to report such adverse effects. A change in medication might be prescribed.
A protective mask is correct. Clients who have active pulmonary tuberculosis require airborne precautions. Everyone entering the room requires respiratory protection, in the form of an appropriate filtration mask.A closed door is correct. Clients who have active pulmonary tuberculosis require airborne precautions. Everyone entering or leaving the room should close the door behind them.A gown is incorrect. Gowns are unnecessary for every individual entering the room; however, any staff who anticipate contact with body fluids should wear them.A puncture-proof sharps container is correct. Nurses must always dispose of needles and sharp instruments in puncture-proof sharps containers.Hand hygiene is correct. Hand hygiene is essential before and after all contact with clients
Everything for pulmonary TB precautions
What do expectorants do
Expectorants act by increasing secretions to improve a cough's productivit
White Coating is a adverse effect when teaching a client with asthma using Fluticasone/salmeterol
Fluticasone/salmeterol is an inhaled glucocorticoid and long acting beta2 adrenergic agonist combination inhalation medication that is used for daily management of asthma. It is not a rescue medication. An adverse effect of the medication is oropharyngeal candidiasis. The nurse should instruct the client to gargle after each use, use a spacer to reduce the amount of drug in the mouth and throat, and report any white patches inside the mouth or on the tongue to the provide
A nurse is teaching a client who will undergo a bronchoscopy procedure. The provider will use a rigid scope and general anesthesia. The nurse should explain that the clients neck will be in which of the following postions ?
Hyperextension brings the pharynx into alignment with the trachea and allows insertion of the scope far enough to adequately view airway structures and obtain tissue samples.
Adverse Effect on Theophylline
Theophylline can increase cardiac stimulation and cause tachycardia
When an incident report should be made.
This situation represents a variation from the normal standard of care. A change in the client's plan of care may be necessary if the client has difficulty eating or speaking without the dentures. In addition, the facility may be liable for replacing the missing dentures.
Priority action for a nurse caring for a client who has returned from surgery with a fractured mandible. Intermaxillary fixation to repair and stabilize fracture.
When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority goal is to prevent the client from aspirating. Because the client's jaws are wired together, aspiration of emesis is a possibility. Therefore, the client should be given medication for nausea, and wire cutters should be kept at the bedside in case of vomiting
A nurse is caring for a client who has pnuemonia and a prescription for oxygen therapy at 5L.min via nasal cannula. Which actions should nurse take?
Attach a humidifier bottle to the base of the flow meter. Oxygen therapy can dry the mucous membranes. The nurse should attach humidification for a client receiving oxygen greater than 4 L/min via nasal cannula
A nurse is assessing a client who has COPD what should the client chest look like?
Clients who have COPD use accessory muscles to assist with respiratory effort. The use of those accessory muscles causes the chest wall to eventually increase in anterior-posterior diameter, making it appear barrel shaped
A nurse is providing teaching about confidentiatlirt with a newly licensed nurse. Which of the following indicates understanding.
In some states, the court may enact a court order requiring the nurse to discuss confidential client information.
Assessing a client who has pulmonary TB what should nurse expect
Manifestations of pulmonary tuberculosis include lethargy and fatigue.
A nurse on med surg performing an admission assessment client who has COPD with emphysema, The client reports that he has frequent productive cough and short of breath. The nurse should anticipate which of the following assessment findings.
The nurse should anticipate an increased anteroposterior diameter of the chest (barrel chest) because of chronic hyperinflation of the lungs
A client wha has streptococcal pneumonia and a perscription for penicillin G Iv. 10 minutes into infusion client reports itchy at site and dizzy and short of breath.
When using the airway, breathing, circulation approach to client care, the nurse should place the priority on stopping the infusion. The client is exhibiting signs of penicillin anaphylaxis and the first action that should be taken is to withdraw the medication
