EAQ Resp content to go over
Which information is needed to determine oxygen administration for a client with chronic obstructive pulmonary disease (COPD) and an oxygen saturation of 87%? Select all that apply. One, some, or all responses may be correct. 1 Level of orientation 2 Arterial blood gases 3 Bilateral lung sounds 4 Complete blood count 5 Pulmonary function test
2 Clients with COPD who have low oxygen levels respond to oxygen administration. However, some clients with COPD have a respiratory drive that stimulates breathing that is dependent on carbon dioxide. The administration of too much oxygen in these clients lowers respiratory drive and decreases breathing. Therefore, the nurse would assess the client's arterial blood gases to determine how much oxygen to administer. Level of orientation shows the amount of hypoxia the client is experiencing. Clients may have abnormal lung sounds that can impede oxygenation, but this is not the basis for determining oxygen administration. A complete blood count assesses red blood cells, hemoglobin, and hematocrit; these values can be diminished in clients with COPD, but they do not determine oxygen needs. Pulmonary function tests are used to diagnose pulmonary disorders.
A toddler with cystic fibrosis has been hospitalized with bacterial pneumonia. The nurse concludes which is the reason the health care provider selected a specific antibiotic? 1 Tolerance of the child 2 Sensitivity of the bacteria 3 Selectivity of the bacteria 4 Preference of the health care provider
2 When the causative organism is isolated, it is tested for antimicrobial susceptibility (sensitivity) to various antimicrobial agents. When a microorganism is sensitive to a medication, the medication is capable of destroying the microorganism. The tolerance of the child of the particular antibiotic is unknown because up to this time the child has not exhibited any allergies. Bacteria are not selective. Although the health care provider may have a preference for a particular antibiotic, it first must be determined whether the bacteria are sensitive to it.Test-Taking Tip: Pace yourself while taking a quiz or exam. Read the entire question and all choices before answering the question. Do not assume that you know what the question is asking without reading it entirely.
Which client is at an increased risk for hospital-acquired pneumonia? Select all that apply. One, some, or all responses may be correct. 1 Client who was admitted yesterday with hypoxia and fever 2 Client who has been on mechanical ventilation for 5 days 3 Client who reports being on an airplane with other sick individuals 4 Client who presents to the emergency department with cough and crackles 5 Client who was admitted to the hospital 5 days ago for abdominal pain
5 Hospital-acquired pneumonia occurs in nonintubated clients and begins 48 hours after admission. A client admitted 5 days ago with abdominal pain would meet the criteria and is at increased risk for hospital-acquired pneumonia. A client admitted the previous day has not been in the hospital at least 48 hours. A client on mechanical ventilation is intubated and does not meet the criteria for hospital-acquired pneumonia. A client who has been on an airplane with other ill individuals would be at risk for community-acquired pneumonia. A client in the emergency department has not been admitted to the hospital.Test-Taking Tip: Sometimes the reading of a question in the middle or toward the end of an exam may trigger your mind with the answer or provide an important clue to an earlier question.
Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system for a pneumothorax? Select all that apply. One, some, or all responses may be correct. 1 Emptying the drainage system when full 2 Keeping the drainage system at heart level 3 Notifying the health care provider of drainage greater than 50 mL/h 4 Marking the time on the drainage unit every shift 5 Laying the drainage system on its side during transport
5 The nurse would mark the drainage system every shift to determine the amount of drainage. The drainage system is a closed system, so the nurse would switch out the drainage system when it is full. Emptying the system would break sterility. The drainage system should remain below chest level to prevent fluid from backing up into the lungs. The nurse would notify the health care provider if drainage is greater than 100 mL/h. The nurse would keep the drainage system upright.Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when four or five consecutive questions have the same letter or number for the correct answer.
