Gas Exchange DB

A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching? "This medication can increase my blood sugar levels." "This medication can decrease my immune response." "I can have an increase in my heart rate while taking this medication." "I can have mouth sores while taking this medication."

"I can have an increase in my heart rate while taking this medication."

The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which finding would the nurse expect to note on assessment of this client? Select all that apply. Hypocapnia A hyperinflated chest noted on the chest x-ray Decreased oxygen saturation with mild exercise A widened diaphragm noted on the chest x-ray Pulmonary function tests that demonstrate increased vital capacity

A hyperinflated chest noted on the chest x-ray, Decreased oxygen saturation with mild exercise

An 11-year-old child is admitted to the hospital in vaso-occlusive sickle cell crisis. The nurse plans for which priority treatments in the care of the child? Splenectomy, correction of acidosis Adequate hydration, pain management Frequent ambulation, oxygen administration Passive range of motion exercises, adequate hydration

Adequate hydration, pain management

A client with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/min, nasal flaring, and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds. What should the nurse do first? Initiate oxygen therapy as prescribed, and reassess the client in 10 minutes Draw blood for an arterial blood gas Encourage the client to relax and breathe slowly through the mouth Administer bronchodilators as prescribed

Administer bronchodilators as prescribed

The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of liquid oral iron supplement. Which instruction should the nurse tell the parents: Administer the iron at mealtimes. Administer the iron through a straw. Mix the iron with cereal to administer. Add the iron to formula for easy administration.

Administer the iron through a straw

The client has a prescription to receive pirbuterol 2 puffs and beclomethasone dipropionate 2 puffs by metered-dose inhaler. The nurse plans to give these medications in which way to ensure effectiveness? Administering the pirbuterol before the beclomethasone Alternating a single puff of each hourly, beginning with the beclomethasone Alternating a single puff of beclomethasone with pirbuterol, repeating the steps Administering the pirbuterol, waiting 30 minutes and administering the beclomethasone

Administering the pirbuterol before the beclomethasone

Select all the patients who are at MOST risk for iron-deficiency anemia: A 55 year old male who reports taking Ferrous Sulfate regularly. A 25 year old female who was recently diagnosed with Celiac Disease. A 35 year old female who is 36 weeks pregnant that reports craving ice. A 67 year old female with a Hemoglobin level of 14.

Answer: A 25 year old female who was recently diagnosed with Celiac Disease. A 35 year old female who is 36 weeks pregnant that reports craving ice. Rationale: Patients who have GI issues, such as Celiac Disease, are at risk for iron-deficiency anemia due to damage to the intestines, which play a huge role in absorbing iron. In addition, females who are pregnant are at risk for this condition because of fetal demands on the body for iron. Also, this patient is craving ice which is a sign that the body is low on iron

Your patient with asthma is taking Theophylline. Which product below should the patient avoid consuming? Caffeine Dairy Wheat Shellfish

Answer: Caffeine Rationale: Caffeine has the same properties as Theophylline and can increase the effects the drug.

A patient with emphysema may present with all of the following symptoms EXCEPT? Barrel chest Hyperinflation of the lungs Hypoventilation Hypercapnia

Answer: Hypoventilation Rationale: Patients with emphysema present with HYPERventilation. The body will try to compensate for the low oxygen blood levels and will cause the patient to hyperventilate. Remember emphysema patients are sometimes called "pink puffers". They will have a barrel chest (due to the use of accessory muscles for breathing), hyperinflation of the lungs (due to damage of the alveoli sacs and creation of air sacs), and hypercapnia (high carbon dioxide levels).

A nurse is caring for a client 2 hr after admission. The client has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which f the following classes of medications should the nurse expect to administer. Antibiotic Beta blocker Antiviral Beta 2 agonist

Beta 2 agonist

The nurse is teaching a client diagnosed with chronic obstructive pulmonary disease (COPD) how to do pursed-lip breathing. Evaluation of understanding is evident if the client performs which action? Breathes in and then holds the breath for 30 seconds Loosens the abdominal muscles while breathing out Inhales with puckered lips and exhales with the mouth open wide Breathes so that expiration is two to three times as long as inspiration

Breathes so that expiration is two to three times as long as inspiration

A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? Warm, dry skin Decreased wheezing Pulse rate of 90 beats/minute Respiration of 18 breaths/minute

Decreased wheezing

Which statements by the mother of a toddler would lead the nurse to suspect that the child has iron-deficiency anemia? SATA. "He drinks over 3 cups of milk per day." "I can't keep enough apple juice in the house; he must drink over 10 ounces per day." "He refuses to eat more than 2 different kinds of vegetables." "He doesn't like meat, but he will eat small amounts of it." "He sleeps 12 hours every night and takes 2 naps."

He drinks over 3 cups of milk per dayI cant keep enough apple juice in the house; he must drink over 10 oz per day

A nurse is reviewing the laboratory results of a patient with the preliminary diagnosis of anemia. An abnormal response of which diagnostic test reflects iron deficiency anemia? Hemoglobin Platelet Count Serum Albumin Blood Urea Nitrogen

Hemoglobin

Which information should the nurse include in a teaching plan for the client newly diagnosed with Chronic Obstructive Pulmonary Disease (COPD)? Select all that apply. Pulmonary rehabilitation programs offer very little benefit Pneumococcal vaccination is contraindicated for clients with lung disease High humidity increases with the effort of breathing A bronchodilator with metered-dose inhaler should be readily available Smoking cessation is important to slow or stop disease progression

High humidity increases with the effort of breathing, A bronchodilator with metered-dose inhaler should be readily available, smoking cessation is important to slow or stop disease progression

An adult female client has a hemoglobin level of 10.8 g/dL (108 mmol/L). The nurse interprets that this result is most likely caused by which condition noted in the client's history? Dehydration Heart failure Iron deficiency anemia Chronic obstructive pulmonary disease

Iron deficiency anemia

The nurse is performing a respiratory assessment on a client being treated for an asthma attack. The nurse determines that the client's respiratory status is worsening based upon which finding? Loud wheezing Wheezing on expiration Noticeably diminished breath sounds Increased displays of emotional apprehension

Noticeable diminished breath sounds

A client who has undergone radical neck dissection for a tumor has a potential problem of obstruction related to postoperative edema, drainage, and secretions. To promote adequate respiratory function in this client, the nurse should implement which activities? Select all that apply. Suctioning the client as needed Encouraging coughing every 2 hours Placing the bed in low-Fowler's position Supporting the neck incision when the client coughs Monitoring the respiratory status frequently as prescribed

Suctioning the client as needed, encouraging coughing every 2 hours, supporting the neck incision when the client coughs, monitoring the respiratory status frequently as prescribed

A nurse in the emergency department is caring for a client who is having an acute asthma attack. Which of the following assessments indicates that the respiratory status is declining? Select All That Apply SaO2 95% Wheezing Retraction of sternal muscles Pink mucous membranes Premature ventricular complexes (PVC's)

Wheezing, Retraction of Sternal Muscles, PVC's

A nurse is preparing to administer a dose of a new prescription of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? SATA Hypokalemia Tachycardia Fluid Retention Nausea Black, tarry stools

hypokalemia, fluid retention, and black, tarry stools