Unit 6 PNA_AECOPD_ARDS patho

Which of the following is significant data to gather from a client who has been diagnosed with pneumonia? Select all that apply. A) Quality of breath sounds B) Presence of bowel sounds C) Amount of peripheral edema D) Color of nail beds E) Occurrence of pleuritic pain

A) Quality of breath sounds D) Color of nail beds E) Occurrence of pleuritic pain

A nursing student asks for an explanation of "refractory hypoxemia." Which answer by the nurse instructor is best? A) "It is hypoxemia from lung damage due to mechanical ventilation." B) "It is hypoxemia that persists even with 100% oxygen administration." C) "It is chronic hypoxemia that accompanies restrictive airway disease." D) "It is hypoxemia that continues even after the client is weaned from oxygen."

B) "It is hypoxemia that persists even with 100% oxygen administration."

A nursing student caring for a client removes the client's oxygen as prescribed. The client is now breathing what percentage of oxygen (FiO2) in the room air? A) 32% B) 28% C) 21% D) 18%

C) 21%

Which client is at greatest risk of developing acute respiratory distress syndrome (ARDS)? A) 72-year-old male post heart valve surgery receiving 1 unit of packed red blood cells B) 56-year-old male with a history of alcohol abuse and chronic pancreatitis C) 24-year-old male admitted with blunt chest trauma and aspiration D 82-year-old female on antibiotics for pneumonia

C) 24-year-old male admitted with blunt chest trauma and aspiration

The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following? A) Decreased cardiac output. B) Inadequate peripheral circulation. C) Decreased oxygenation of the blood. D) Pleural effusion.

C) Decreased oxygenation of the blood.

The nurse administers two 325 mg aspirin every 4 hours to a client with pneumonia. The nurse should evaluate the desired outcome of administering the drug by assessing which of the following? Select all that apply. A) Prolonged clotting time. B) Decreased respiratory rate. C) Decreased pain when breathing. D) Decreased temperature. E) Liquified secretions to facilitate expectoration.

C) Decreased pain when breathing. D) Decreased temperature.

A client reports having a spleenectomy done five years ago. Which question by the nurse is the most important? A) Have you been vaccinated for influenza A? B) Were you in an accident? C) Have you received the pneumococcal vaccine? D) What other surgeries have you had?

C) Have you received the pneumococcal vaccine?

Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? A) Apathy. B) Depression. C) Irritability. D) Coma.

C) Irritability.

A client with pneumonia is experiencing pleuritic chest pain. The nurse anticipates which of the following descriptions? A) A mild but constant aching in the chest. B) Severe midsternal pain. C) Moderate pain that worsens on inspiration. D) Muscle spasm pain that accompanies coughing.

C) Moderate pain that worsens on inspiration.

Why is monitoring respiratory status a nursing priority when a client with COPD is receiving oxygen? Sudden increase in arterial oxygen can precipitate diaphragmatic spasm. Hyperventilation leading to respiratory alkalosis and loss of consciousness is a risk. Decreased arterial oxygen is the stimulus for breathing in a client with COPD. Oxygen administration can trigger reflex bronchospasm.

Decreased arterial oxygen is the stimulus for breathing in a client with COPD.