HESI - Oxygenation

What would be the respiratory rate in a two-year-old child?

30 breaths/min

The nurse is caring for a 75-year-old client who had a radical head and neck surgery. 30 minutes after awakening from anesthesia, the client becomes agitated, disoriented, and confused. Which action with the nurse take? Quizlet

Administer the prescribed oxygen

Which finding is indicative of abnormal newborn breathing? SELECT ALL THAT APPLY.

All of them: Stridor Mottling Bradypnea Nasal Flaring Expiratory Grunting

In the administration of an antibiotic, the client becomes restless and flushed, and begins to wheeze. Which action will the nurse take after stopping the antibiotic infusion?

Assess the clients respiratory status. Rational the client is experiencing an allergic reaction that may progress to anaphylaxis. Anaphylactic shock can lead to respiratory distress as a result of laryngeal edema or severe bronchospasm.

Which life-threatening wounds are treated with hyperbaric oxygen therapy? SELECT ALL THAT APPLY.

Burns Osteomyelitis Diabetic Ulcers

Which technique with the nurse employ for an obstetrical client with a foreign body airway obstruction? Quizlet

Chest thrusts

Which goal is a priority for a client with asthma who has a prescription for an inhaler bronchodilator?

Demonstrates use of a metered dose inhaler. Rational clients with asthma use metered dose inhalers to administer medication prophylactically or during times of an asthma attack; this is an important skill to have. Home management typically include self monitoring with the peak expiratory flow rate rather than pulse ox symmetry. Although knowing the healthcare providers office hours important, it is not a priority; during a persistent asthma attack that does not respond to plan interventions, the client should go to the emergency department of the local hospital or call 911 for assistance.

Statement by the nurse regarding anesthetic drugs and pediatric client requires correction? quizlet

During general anesthesia, the upper area of suction risk is less in pediatrics.

Which clinical manifestation with the nurse expect to find when a client experiences fat embolism syndrome (FES)?

Dyspnea Rationale FES is clinically manifested by dyspnea because of low levels of arterial oxygen.

Which is the priority nursing intervention to prevent thrombus formation in a child with sickle cell anemia? Quizlet

Encouraging fluids Rationale dehydration, stress, infection, and electrolyte imbalance can trigger the cycling process. Red blood cells (RBCs) change to the sickle shape when deoxygenated because of polymerization of the abnormal him hemoglobin. This process damages the RBC membrane, which causes the cells to become entangled in the blood vessels, depriving the tissues that are distal to the inclusion of the O2, resulting in ischemia and infarction, which can intern causes organ damage.

Which complication of cystic fibrosis is related to frequent stools and tenacious mucus? Quizlet

Rectal prolapse

Which complication is prevented by coaching a client in the second stage of labor to take a breath at least every 6 seconds while pushing with each contraction? Quizlet

Fetal hypoxia

After the nurse is finished teaching a client about sickle cell anemia, which statement indicates that the client has a correct understanding of the condition?

I have abnormal hemoglobin (and abnormal hematocrit, true, but that's SECONDARY to abnormal hemoglobin)

What is the cause of frequent upper respiratory tract infections in toddlers?

Immature immune system

Which explanation with the nurse provide to the parents of a child with spasmodic croup who ask why their child is receiving humidified oxygen?

It helps prevent drying of membranes

Client with cystic fibrosis asks why the percussion procedures being performed. Which rationale with the nurse give to the client?

It loosens pulmonary secretions

Client has delivered her infant by cesarean birth. The nurse monitor is a newborns respirations closely, because infants born via the cesarean method are prone to atelectasis. Why does this occur? Quizlet

The rib cage is not compressed and released during birth

A 15-year-old with cystic fibrosis (CF) is admitted with a respiratory infection. The nurse determines that the adolescent is cyanotic, has a barrel shaped chest, and is in the 10th percentile for both height and weight. Which is the priority nursing intervention?

Performing postural drainage

Child in respiratory distress is admitted to the hospital and diagnosed with acute spasmodic laryngitis (spasmodic croup). At the time of discharge, the mother asks how to handle another tack at home. Which would the nurse recommend? Quizlet

Play SIM near a cool mist-humidifier Rationale during a spasmodic croup attack call humidified air to decrease inflammation is a fast home remedy. An attempt should be made to interrupt the attack at home first rather than going to the emergency department.

Which complication of cystic fibrosis is related to frequent stools and tenacious mucus?

Rectal prolapse

A school-aged child with cystic fibrosis has recurrent episodes of bronchitis, and the parents ask the nurse why this happens. What reason should the nurse include in the reply?

Tenacious secretions that obstruct the respiratory tract provide a favorable medium for growth of bacteria.

That's his child has cystic fibrosis (CF) have no history of CF in their family and asked how their child inherited this disorder. How about the nurse clarify the way in which the disease was inherited?

The inheritance is autosomal recessive

Which nursing action has the highest priority when preparing the transfer of unconscious client who sustained a head injury from the emergency department to a neurological trauma unit?

Validating availability of a bag-valve-mask during transfer Rational validating availability of a bag valve mask during the transfer is vital in case of respiratory distress; increased intracranial pressure compresses the brain stem, which contains medulla, the respiratory center. Notifying the receiving unit of the transfer is important but not a primary urgency; the respiratory status is priority.

Nurse is assessing a newborn in the well-baby nursery. Which type of respirations with the nurse expect to identify and a healthy newborn

abdominal and irregular

Pilocarpine is used as part of the diagnostic process of a toddler suspected of CF. The nurse knows that the pilocarpine would stimulate which process?

activity of sweat glands

Which manifestation is an adverse effect of intravenous lorazepam? SELECT ALL THAT APPLY.

all of them amnesia drowsiness sleep driving blurred vision respiratory depression

Which assessment finding of a client with heart failure would prompt the nurse to contact the health care provider? Select all that apply.

all of them fatigue orthopnea pitting edema dry hacking cough 4-pound weight gain

Client diagnosed with tuberculosis is taking isonizaid. To prevent a food and medication interaction, the nurse will advise the client to avoid which food item?

avoid red wine Also avoid tuna fish, and hard cheese; anything containing "tyramine" (Grapefruit juice is okay to mix with isonizaid!)

A client's respiratory tract infection, which started wit ha common cold, has progressed to whooping cough. The client reports "coughing fits" lasting for several minutes. Which organisms is responsible for the client's condition?

bordetella pertussis

Which child is the best roommate option for child admitted in a vasoocclusive sickle cell crisis?

child with thalassemia

Which is prevented by providing warm, humidified oxygen to a preterm infant? Quizlet

cold stress

Which hospitalized client is likely to have anteroposterior chest diameter equal to the lateral chest down the slope of the ribs more horizontal to the spine?

cystic fibrosis

Which nursing action will help a client obtain maximum benefits after postural drainage?

encourage coughing deeply

The client who has had a thoracotomy develops respiratory acidosis what actions should the nurse take? Quizlet

encourage deep breathing

Which insect or arthropod is the most common allergen for children with asthma? quizlet

household cockroach

A client with diabetic ketoacidosis who is receiving intravenous fluids and insulin complains of tingling and numbness of the fingers and toes and shortness of breath. The cardiac monitor shows the appearance of a U wave. What complication does the nurse suspect?

hypokalemia

Which type of breathing pattern is manifested with hypercarbia?

hypoventilation

Client who has a history of emphysema is transported back to the nursing unit after a radical neck dissection for cancer of the tongue. The client is receiving oxygen and an intravenous perfusion. Within the first hour, the client has 50 ML of sanguineous drainage in the portable wound drainage system. Initial action with the nurse take? Quizlet

inspect the dressing

What should the use of baby powder on an infant be avoided? Quizlet

lung irritation

when caring for a client in late hypovolemic shock, which complication will the nurse anticipate?

metabolic acidosis (decreased cellular oxygen caused by poor perfusion increases the conversion of pyruvic acid to lactic acid, resulting in metabolic acidosis)

which is the optimal area for the nurse to assess adequate tissue oxygenation in an African American neonate? quizlet

mucous membranes of the mouth

which medication would the nurse instruct a client to avoid while taking alprazolam? quizlet

opioids, alcohol, barbiturates

Arterial blood gas results are associated with diabetic ketoacidosis? Quizlet

pH: 7.28 PCO2: 28 HCO3: 18

which is a Factor of necrotizing enterocolitis in the preterm infant? Quizlet

polycythemia

Which statement must the nurse emphasize to the family when preparing a school-aged child with persistent asthma for discharge?o A cold, dry environment is desirable.o Limits should not be placed on the child's behavior.o The health problem is gone when symptoms subside.o Medications must be continued even when the child is asymptomatic.

o Medications must be continued even when the child is asymptomatic. Children with persistent asthma must continue taking medications to keep them asymptomatic. Inhaled corticosteroids, long-acting β2-agonists, and leukotriene modifiers are used as controller medications. Some environmental moisture is necessary for these children. Consistent limits should be placed on any child's behavior, regardless of the disease; a chronic illness does not remove the need for setting limits. The child's symptoms are being controlled by medications that are necessary to keep the child asymptomatic.

The nurse provides immediate postoperative care to a client. The client reports a sudden onset of shortness of breath and chest pain. Which action by the nurse take? Quizlet

provide supplemental oxygen

The client sustained a crushing injury of the spinal cord above the level of origin of the phrenic nerve. As a result of his injury, the nurse expects to reacts to wish clinical manifestation? quizlet

respiratory paralysis and cessation of diaphragmatic contractions

Sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration?

slow, weak cry Chanel a slow week cry would be scored as a one in the category of respiration in the outgoing system. A good cry would receive a score of two. A grimace is a sign that is a valuated in the category of reflects irritability, Not respiration. Absent respiration would receive a score of zero and the respiration category of the Apgar score system

A child with acute spasmodic bronchitis who is receiving humidified air removes mask, and while bathing the child the nurse notes increasing respiratory distress. Which is the most appropriate nursing intervention? Quizlet

stopping the bath and replacing the mask Chanel interrupting the bath and providing humidified air will reduce energy requirements, allow the child to rest, and lessen the demand for O2. Although postural drainage loosens secretions in the lungs, it should not be used on the child is in distress. The orthopneic position will not reduce energy and O2 demand; the HCP should be called if appropriate nursing measures do not relieve the dyspnea.

After auscultating the chest, how will the nurse document findings of bilateral, high-pitched, continuous whistling sounds heard during each expiration?

wheezes