pp2 gas exchange

Which medication will cause the nurse to monitor the client closely for hemolytic anemia? Multiple choice question Tacrolimus Methyldopa Azathioprine Procainamide

Methyldopa

when a client is newly diagnosed with COPD, which action by the nurse has the highest priority? 1teach the client how to use the prescribed inhalers 2discuss the normal progression of the disease process 3ask whether the client is interested in quitting smoking 4explain the purpose of a pulmonary rehabilitation program

ask whether the client is interested in quitting smoking

Which change in the arterial blood gases would the nurse expect in a client with hyperventilation due to anxiety? a. respiratory acidosis b. respiratory alkalosis c. respiratory compensation d. respiratory decompensation

b. respiratory alkalosis

A client with an acute emphysemic episode is dyspneic and anxious. To decrease the dyspnea, what is the nurse's first action?

teach client to do pursed lip breathing.

A client develops iron deficiency anemia. Which of the client's laboratory test results should the nurse expect to be decreased? 1. Ferritin level 2. Platelet count 3. White blood cell count 4. Total iron-binding capacity

1. Ferritin level

The nurse is assessing a pregnant at 16-year-old client. Which factors associated with adolescent pregnancy with the nurse consider when developing a care plan for this client? Select all that apply A. Higher rate of postpartum depression B. Inappropriate dietary choices C. Higher rate of anemia D. Incomplete bone mass E. Under developed secondary sex characteristics

ABCD

A client is admitted to the hospital with chronic asthma. Which complication should the nurse monitor in this client?

Atelectasis

A client is admitted for an exacerbation of emphysema. The client has a fever, chills, and difficulty breathing on exertion. What is the priority nursing action based on the client's history and present status? A. Checking for capillary refill B. Encouraging increased fluid intake C. Suctioning secretions from the airway D. Administering a high concentration of oxygen

B

Which rationale would the nurse use when explaining the purpose of pursed-lip breathing to a client with emphysema? A. Prevents bronchial spasm B. Decreases air trapping in lung C. Improves alveolar surface area D. Strengthens diaphragmatic contraction

B

which client would the nurse care for first base on vital signs?

CLIENT B

the nurse is teaching pursed lipped breathing to a client with chronic obstructive pulmonary disease. The client asked about the benefits of the exercises. Which explanation would the nurse give? 1. -Prevents complications that are associated with COPD 2. -relieve shortness of breath by increasing the breath rate 3. -increases the amount of air that the client can inhale with each breath 4. -keeps the airway open longer to decrease the work that goes into breathing

D

What is the priority goal for a client with asthma who is being discharged from the hospital with prescriptions for inhaled bronchodilators?

Demonstrates the use of a metered-dose inhaler

Which type of acid-base imbalance would the nurse expect in a child admitted with a severe asthma exacerbation?

Respiratory acidosis caused by impaired respirations and increased formation of carbonic acid

The nurse performs a respiratory assessment and auscultates breath sounds that are high pitched, creaking, and accentuated on expiration. Which term correctly describes the findings?

Wheezes

Which instruction would the nurse give to the pregnant client with anemia?

drink orange juice with an iron supplement

which cause of anemia would the nurse recognize as the most common cause of anemia in 1-year-olds? 1. thalassemia 2. lead poisoning 3. iron deficiency 4. sickle shape of blood cells

3

Which finding would be of most concern when the nurse assesses a client with emphysema? 1barrel chest 2oral cyanosis 3pursed-lip expiration 4respirations 26 breaths per minute

2 oral cyanosis

The school nurse recommends suitable physical activity for a child with exercise-induced asthma. Which statement by a parent indicates the need for additional teaching? I'll sign him up for swimming lessons. She'd really enjoy being on a bowling team. I'll encourage him to join a youth running club I know she'd enjoy going to the gym and lifting weights

I'll encourage him to join a youth running club

When the nurse is evaluating a client with an acute asthma attack who has just received a nebulized bronchodilator treatment, which finding requires the most rapid action?

Labored breathing and absent breath sounds

A 60-year-old client with gastric cancer has a shiny tongue, paresthesias of the limbs, and ataxia. The laboratory results show cobalamin levels of 125 pg/mL. Which medication would the nurse consider to be a high priority for the client? Oral hydroxyurea Vit B12 injections Oral Iron supplements Erythropoietin injections

Vit B12 injections

A client has chronic obstructive pulmonary disease (COPD) and cor pulmonale. When teaching about nutrition, what does the nurse instruct the client? 1Eat small meals six times a day to limit oxygen needs. 2Drink large amounts of fluid to help liquefy secretions. 3Lie down after eating to conserve energy needed for digestion. 4Increase the intake of protein to decrease intravascular hydrostatic pressure

1 Eat small meals six times a day to limit oxygen needs.

which diagnostic testing is most useful in evaluating the effectiveness of treatment for asthma? 1. chest x-ray 2. pulmonary function tests 3. serum eosinophil counts 4. immunoglobulin E levels

2. pulmonary function tests

When assessing the breath sounds of a client with chronic obstructive pulmonary disease (COPD), the nurse hears moist rumbling sounds that improve after the client coughs. How will the nurse document the lung sounds? a. rhonchi b. wheezes c. fine crackles d. vesicular sounds

a. rhonchi

The nurse is caring for a client admitted with chronic obstructive pulmonary disease (COPD). The nurse should monitor the results of which laboratory test to evaluate the client for hypoxia?1Red blood cell count 2Sputum culture 3Arterial blood gas 4Total hemoglobin

3: Arterial blood gas

Which intervention would the nurse implement for a client admitted for an exacerbation of asthma? o Determine the client's emotional state. o Give prescribed medications to promote bronchiolar dilation. o Provide education about the effect of a family history. o Encourage the client to use an incentive spirometer routinely.

o Give prescribed medications to promote bronchiolar dilation.

The student nurse demonstrates correct understanding of anemia related to chronic disease with which statement?

"Red blood cells appear normal in size and color; however, there is a decreased amount produced."

when a client is seen in the emergency department with a sudden onset severe dyspnea, coughing and wheezes, which prescribed treatment would the nurse administer first?

albuterol via nebulizer

When preparing a child with asthma for discharge, what instructions must the nurse emphasize to the family? a. Limit allergens in the home. b. Maintain a dry home environment .c. Avoid placing limits on the child's behavior. d. Continue the medications even if the child is asymptomatic. e. Prevent exposure to infection by having the child tutored at home.

a,d

The nurse is providing hygiene care to a immobile client who was admitted for exacerbation of chronic obstructive pulmonary disease (COPD). Which nursing intervention is correct when the client becomes short of breath during the care? (A.) obtain a pulse oximeter to determine the client's oxygen saturation level. (B.) Put the client in a high Fowler position (C.) Darken the lights and provide a rest period of at least 15 minutes (D.) continue the hygiene activities while reassuring the client

(B.) Put the client in a high Fowler position

The nurse is caring for a school-aged child with cystic fibrosis. Which pathophysiologic factor has the greatest impact on the child's health status and is of priority in the care plan? 1Extremely thick mucus causes obstructed airways .2There is acute inflammation of the lung parenchyma. 3Endocrine glands secrete increased levels of hormones. 4Increased irritability of the airways results in obstruction.

1

which client in the pulmonary clinic will the nurse plan to teach about pulmonary function testing? 1. Client who has chronic obstructive lung disease 2. client who is being evaluated for lung histoplasmosis 3. client who is recovering after pulmonary embolism 4. client who has positive tuberculosis skin testing

1

Which laboratory finding should alert the nurse to the need for further assessment? 1 Hemoglobin of 10 g/dL 2 Urine specific gravity of 1.020 3 Glucose level of 1+ in the urine 4 White blood cell count of 9,000/mm3

1 Hemoglobin of 10 g/dL

In which order would the nurse take these prescribed actions when caring for a client with chronic obstructive pulmonary disease (COPD) who is admitted with fever, increased dyspnea, and oxygen saturation of 86%?

1. Start O2 per nonrebreather 2. Obtain blood and sputum cultures 3. Infuse ceftriaxone 1 g IV 4. Administer acetaminophen for fever

A client with chronic obstructive pulmonary disease (COPD) reports chest congestion, especially upon awakening in the morning. What should the nurse suggest to the client? 1Use a humidifier in the bedroom. 2Sleep with two or more pillows. 3Cough regularly even if the cough does not produce sputum. 4Cough and deep breathe each night before going to sleep.

1Use a humidifier in the bedroom.

When caring for a client with chronic obstructive pulmonary disease exacerbation and an oxygen saturation of 87% which prescribed action by the health care provider would the nurse question? 1. Infuse 5% dextrose in 0.45 saline at 50 ml/hr 2. administer oxygen at no more than 3L/ minute 3. assist the client to set up at the bedside for meals 4. give ibuprofen 400MG every six hours PRN pain or fever

2

Which laboratory value will the nurse review when caring for a client for a client with megaloblastic anemia? 1. Serum iron 2. Folate level 3. Transferrin level 4. Platelet count

2. Folate level

A client is admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease (COPD). Which action would the nurse take to prevent client fatigue? 1. Provide small, frequent meals. 2. Encourage pursed-lip breathing. 3. Schedule nursing activities to allow for rest. 4. Encourage bed rest until energy level improves.

3

which action would the nurse take to prevent postoperative respiratory complications after abdominal surgery? 1. Implement postural drainage 2. encourage pursed lip breathing 3. assist with incentive spirometer 4. teach sustained exhalation

3

which assessment finding would indicate possible asthma exacerbation? SATA 1. Fever 2. stridor 3. wheezing 4. tachycardia 5. hypotension

3,4

A 50-year-old client is diagnosed with chronic obstructive pulmonary disease. The clinical data on admission are as follows: a heart rate of 100 beats/min, a blood pressure of 138/82 mm Hg, a respiratory rate of 32 breaths/min, a tympanic temperature 98.2, and an oxygen saturation of 80%. Which vital signs obtained by the nurse indicates a positive outcome? SATA 1radial pulse: 70 beats/min 2temperature: 98.6 3respiratory rate: 14 breaths/min 4blood pressure: 110/70 mm Hg 5oxygen saturation: 92%

3respiratory rate: 14 breaths/min 4blood pressure: 110/70 mm Hg 5oxygen saturation: 92%

Which client statement demonstrates an understanding of cyanocobalamin prescribed for pernicious anemia?

I should have a vitamin B 12 injection every month

Which laboratory result of a client with chronic bronchitis would be most important for the nurse to communicate to a health care provider?

Leucocyte 16,000 mm3

which insect or arthropod is a common trigger for children with asthma?

household cockroach

Which finding in a client with asthma exacerbation requires the most rapid action by the nurse? reports of chest tightness HP of 112 beats per minute expiratory wheezes in both lungs markedly decreased breath sounds

markedly decreased breath sounds

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention?

Preventing exposure of the child to infection

The nurse is assessing four clients in a healthcare setting who have respiratory disorders. Which client's findings indicate possible metabolic acidosis?

client 3

Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks? Select all that apply. Mold Cold air Pet dander air pollution cigarette smoke

all

The nurse observes a client with chronic obstructive pulmonary disease (COPD) breathing rapidly and using accessory muscles of respiration. The nurse auscultates the lungs and hears crackles and wheezes. What action should the nurse take? A. Encourage the client to take slow, deep breaths and administer 5 L/min oxygen per nasal cannula. B. Place the client in a side-lying position and perform chest physiotherapy using clapping and vibration. C. Raise the head of the bed to a high-Fowler position and administer 2 L/min oxygen per nasal cannula. D. Assist the client in assuming a position of comfort and perform postural drainage.

C

The nurse reviews the laboratory reports of four clients. Which client would the nurse suspect as having type I-mediated asthma? o Client A o Client B o Client C o Client D

client A

A child with status asthmaticus is admitted to the pediatric intensive care unit. Which would the nurse include in the plan of care as the child starts to recover from the episode? o Maintain the high-Fowler position. o Restrict fluids to two thirds of the usual intake. o Keep droplet precautions in place for 24 hours. o Administer the prescribed prophylactic antibiotic.

o Maintain the high-Fowler position.