gas exchange

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol which of the following adverse effects should the nurse instruct the client to report to the provider

white coating in the mouth

A nurse is also taking a client's lung sounds and identifies crackles in the left lower low. which of the following intervention should the nurse take

repeat association after asking the client to breathe deeply and cough

A nurse is assessing a client who is chronic bronchitis. which of the following percussion sounds should the nurse expect

resonance

her nurses reviewing the arterial blood gas volumes for a client. The pH is 7.32, PACO2 48 mg HG and HCO3 is 23 millet equivalent / leader The nerves should recognize that these finding indicates which of the following acid base balances

respiratory acidosis

A nurse is caring for a client who has an acute respiratory failure. The nurse should monitor the client for which of the following manifestations of this condition

severe dyspnea decrease level of consciousness headache hypotension

A nurse is giving a presentation at a community center about chronic bronchitis. which of the following information should the nurse include as effective for preventing this disorder

smoking cessation

a nurse is caring for a client who has emphysema and difficulty with mobility. The client receives home health care and spends most of his day in a reclining chair. which of the following physiological responses to prolonged immobility should the nurse expect

increase calcium excretion prolonged immobility leads to the breakdown of bone tissue which is leading to the increased calcium

A nurse is assessing a client who is developed atelectasis post operatively. which of the following fighting should the nurse expect

increasing dyspnea

A nurse is teaching a client who is asthma how to use a metered dose inhaler. The nurse identifies a sequence of steps the client should follow

inhale deeply than exhale completely place her lips firmly around the mouthpiece breathe in deeply over 2 to 3 seconds while pushing down on the canister hold her breath for 10 seconds exhale slowly through pursed lips Wait a 60 seconds between each puff

her nurse is teaching a client who is chronic obstructed pulmonary disease and a start using by MDI twice daily period which of the following instructions should the nurse include

inspect your mouth for lesions daily

A nurse is admitting a child who has suspected epiglottis. which of the following actions to the nurse take first

place the child on droplet precaution

The home health nurse visits a client who has COPD and receives oxygen at 2 L a minute be a nasal cannula. The client reports difficulty breathing. which of the following actions is the nurse's priority

assess the client's respiratory status

A nurse is assessing a child who is Pope stopperative following a tonsillectomy. which of the following findings is a manifestation of hemorrhage

frequent swallowing

a nurse is caring for a client one day post operative who has developed atelectasis. which of the following manifestations of the expected finding for this condition

hypoxemia

A nurse is providing discharge instructions to a client who is asthma and a new prescription from Martin Luther set. The nurse should instruct the client to report which of the following adverse effects to the provider

montelukast depression

a nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. which of the following actions should the nurse take

obtain a sputum culture

A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects

oral candidiasis

A nurse is attending a social event when another desk coughs weekly once, graphs his throat with his hands, and cannot talk. which of the following action should the nurse take

perform the Heimlich maneuver

a nurse is evaluating a teaching on a client who has a new prescription from montaluca cats to treat asthma. which of the following statements by the client indicates an understanding of the teaching

I'll take this medication in the evening one today

The nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating period where to the following statements indicates a need for further teaching

I will take my bronco dilators after meals

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. which of the following actions by the client indicates an understanding of the teaching

The client holds his breath for 10 seconds after inhaling the medication

a nurse in a long-term care facility is assisting a client with eating during meal time and recognizes another client indicating he is choking. which of the following situations requires a nurse to perform the Heimlich remover

The client is not making any sounds

A nurse is providing teacher to the parents of a one week old infant who has a prescription for home oxygen and pulse oxide between monitoring period which of the following statements by the parents indicates a need for further teaching

We will rotate the probe of the pulse oxometer every 24 hours

A nurse is providing discharge teaching to a client following an abdominal hysterectomy. which of the following information should the nurse include in the teaching

You should refrain from sexual intercourse for at least 4 weeks

A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. which of the following instructions should the nurse include

limit water intake with meals

a nurse is assessing a newborn 1 hour after birth. which of the following respiratory rates is within the expected reference range for a newborn

48/min

The nurse of assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes

barrel

a nurse is caring for a client who is receiving oxygen at 2 L a minute via nasal cannula. The nurse recognizes the client is receiving which of the following aspired oxygen concentration

28%

a nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg. The nurse should expect the title volume to be set at which of the following

480mL average title volume is 7 to 9 mL per kg, so 60 times 8 is 480

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolin and Albuterol. both by nebulizer. which of the following statements by the client indicates an understanding of the teaching

I will be sure to take the Albuterol before taking the chromolin

A nurse is teaching a client who is obese and has obstructive sleep apnea how to decrease the number of nightly acne episodes. which of the following client statements indicates an understanding of the teaching

If I could lose about 50 lb I might stop having so many apneic episodes

a nurse is caring for a client who is taking monta Lucas at. which of the following outcomes indicates a therapeutic effect on the medication

The client experiences an increased ease of breathing

a college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information

The student should use his quick relief inhaler The students asthma is not well controlled The student's peak flow is 50 to 80% of his best peak flow The nurse should obtain a second expiratory flow rate

The nurse is caring for a group of clients. which of the following client to the nurse identifies having an increased risk of aspiration while eating

a client who has had a CVA a client who is for our post-op falling a leg amputation with general anesthesia A client who has had radiation therapy for head and neck cancer

A nurse is caring for a client who has asthma and developed viral pharyngitis. which of the following findings should the nurse expect

a negative throat culture this is because it's viral, bacterial would have a positive one for beta hemolytic streptococcus

a nurse is caring for a child who's experiencing status asthmaticus. which of the following interventions is the priority for the nurse to take

administer short acting beta to agonist

A nurse is caring for a child who has asthma and a prescription for modelucasset granules. which of the following obstructions should the nurse provide the client's parent on administering the medication

administer the medication 2 hours before exercise It should be given daily during the evening except when it's being used for exercise induced bronco spasms. If given before exercise, do not give again for 24 hours

a nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. which of the following actions is the nurse's highest priority

administering and nebulized beta adrenergic

A nurse is assessing a client for hypoxemia during an asthma attack period which of the following manifestation should the nurse expect

agitation

The nurse is came for a client who experienced the last rated explain and has been on bed rest for several days. The nurse also takes to crease breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions

atelectasis

A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. prior to the procedure which of the following nursing actions to the nurse complete first

auscultate lung fields

are nurses providing teaching to a client who is emphysema and a new prescription for 300 filing. which of the following instructions should the nurse provide

avoid caffeine while taking this medication

A nurse is providing education to a school age child who has a new diagnosis of asthma. which of the following statements should the nurse include in the teaching

avoid triggers that cause and attack

A nurse is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. which of the following items should the nurse place at the client's bedside

bag valve mask device

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled booklomethazone. which of the following instructions to the nurse provide

beclomethasone rinse the mouth after administration

A nurse is monitoring an infant who is 3 months old and has sneezing cough and nasal conjunction in a minute fever and apneic spells. these nurse should recognize these findings as associated with which of the following diagnosis

bronchiolitis

A nurse is caring for a client who reports that he has a headache in vertigo after turning on his furnace for the first time this season. The nurses suspect which of the following conditions

carbon monoxide poisoning

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the providers orders and recognizes that clarification is needed for which of the following medications

carvedilol this is a block betta 2 receptor and it's contraindicated in patients with asthma

a nurse is planning care for a client who is post-operative following a thyroidectomy. which of the following intervention should the nurse include in the plan

check the client's voice every 2 hours

A nurse is preparing to provide a tracheostomy care for a client who has non-disposable tracheostomy two. which of the following equipment should the nurse plan to use

clean gloves sterile cotton tip applicators sterile basin

A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective

clear breath sounds indicates that there's no remaining secretions obstructing the airway

A nurse is assessing a client who has chronic respiratory insufficiency. which of the following findings should the nurse expect as a result of long-term and not equate oxygenation

clubbing

a nurse and a provider's office as assessing an older client whose son reports that the client has been sick with their respiratory illness for the past 6 days. which of the following is assessment findings is a manifestation of pneumonia in the odor adult client

confusion

a nurse in the emergency department is assessing an older client who has community acquired pneumonia. which of the following fighting should the nurse expect

confusion

a nurse is caring for a school-age child who has mild persistent asthma. which of the following is an expected finding

daytime symptoms occur more than twice a week minor limitations occur with normal activity peak expiratory flow is greater than or equal to 80% of the predicted volume

A nurse is reviewing the laboratory findings for a client who developed fat embolism syndrome following a fracture. which of the following findings show the nurse expect

decrease serum calcium level expected finding but the reason is unknown

A nurse is caring for a child who ingested kerosene. which of the following assessments is the nurse's priority

respiratory rate small amounts of kerosene can enter the lungs and damage them directly causing severe aspiration pneumonia. and since this is a chemical rather than a bacteria antibiotics aren't useful. breathing becomes rapid gasping and vomiting and persistent coughing can follow and in severe cases brain damage

A nurse is developing a plan of care for a client who is 12 hour post operative following colon resection. which of the following intervention to the nurse include in the plan to reduce respiratory complication

splint the incision to support coughing every 2 hours

A nurse is assessing a client immediately after the provider removed the client's endotracheal to. which of the following findings should the nurse report to the provider

strider

A nurse is assessing a client who has hypoxia. which of the following findings should the nurse expect

tachycardia

A nurse is providing discharge instructions to a client who has asthma and is about to start taking the filing. The nurse should tell the client that this medication might cause which of the following adverse effects

tachycardia

A nurse is teaching the parents of a child who is to start using a metered dose inhaler to treat asthma period which of the following information should the nurse include in the teaching

the space are increases the amount of medication delivered to the lung there is no rationale to explain why it does this

A nurse is caring for a client who asks of how Albuterol helps his breathing. which of the following responses should the nurse take

this medication will prevent wheezing this medication will open the airways this medication will decrease coughing episodes

The nurses developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in this plan

instruct the client to use pursed lip breathing

My nurse is assessing a client who has post operative Alexis and is hypoxic. which of the volume manifestation to the nurse expect

intercostal retractions

The nurse is caring for a post-operative client who has a chest to connect it to suction in a water still drainage system period which of the following indicates to the nurse of the trust tube is functioning properly

fluctuation of the fluid level within the water seal chamber

A nurse is teaching a client has a new diagnosis of asthma. which of the following medications should the nurse instruct the client to use to abort an acute asthma attack

albuterol

and there's an an emergency department is caring for a client who is experiencing an acute asthma attack. which of the following medications should the nurse expect to administer first

albuterol

a nurse in a clinic sees a client who has an acute asthma exacerbation. which of the following medication should reduce the symptoms

albuterol via jet nebulizer

A nurse is dying at a restaurant when a woman begins to scream that her partner was choking. which of the following actions should the nurse take

ask the partner if he can speak before intervening this will determine if air is moving through his airway. You should not instruct the woman to call 911 because she is screaming. You should perform the jaw thrust maneuver to open the client's airway applying to administer rest rescue breaths not get something out. and the nurse should perform chest compressions for someone who is in cardiac arrest not choking.

a community health nurse is conducting an educational program on various environmental pollutants period The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects

asthma

A nurse is assessing a client who's two days post operative and also takes bilateral breath sounds, but absent breath sounds in the bases. The nurse should suspect which of the following post-operative complication

atelectasis

A nurse is caring for a toddler who has a cute laryngeal tracheal bronchitis and has been placed in a cool mist tent. which of the following findings indicates that the treatment has been effective

decreased strider

A nurse is caring for a client who is emphysema. which of the following finals should the nurse expect to assess in this client

dyspnea barrel chest clubbing in fingers

A nurse is caring for a client who has pneumonia. which of the following actions to the nurse take to promote thinning of respiratory secretions

encourage the client to increase fluid intake

our nurse is caring for a client who has chronic obstructive pulmonary disease. The client tells the nurse I can feel the congestion in my lungs, and I certainly cough a lot, but I can't assume to bring anything up. which of the following actions should the nurse take to help this client with tenacious bronchial secretions

encouraging the client to drink two to three liters of water daily

a nurse in the emergency department is caring for a client he was injured in a motor vehicle crash period The client reports to spinia and severe pain. The nurse knows that the client chess moves inwards during inspiration and bulges out during expiration period The nurse should include this finding as which of the following

flail chest

The nurses performing preliminary hygiene for a client who has pneumonia and positions to client on his left side and turn downling bird position period from which of the following lung segments should the nurse expect a secretions to be mobilized from the client in this position

lateral segment of the right lower lobe same goes for the left side, the patient would be placed on the right side in termedellenberg.

A nurse is also dating the lungs of a client who has pleurisy. which of the following adventitious brush sounds should the nurse expect to hear

loud scratchy sounds

A nurse is teaching a client who's taking metronidazole. which of the following sense alterations with the nurse include as an adverse effect of metronidazole

metallic taste

A nurse is assessing a client who is asthma. which of the following areas should the nurses evaluate as the most reliable indicator of central cyanosis

oral mucosa

A client is planning to perform nasotracheal section for a client who is COPD and artificial airway. which of the following actions should the nurse take

preoxinegenate the client with 100% oxygen for up to 3 minutes

A nurse is admitting a client who's having an exacerbation of his asthma period when reviewing the providers orders, the nurse recognizes that clarification is needed for which of the following medication

propranolol

A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is 85%. which of the following actions should the nurse take first

raise the head of the bed

A nurse is preparing to administer an intramuscular injection of meperidine to a client. which of the following is a priority assessment the nurse should complete

respiratory rate