S3 exam 2 review

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Administer a short-acting ß2 -agonist (SABA).

A nurse is planning care for a child who has cystic fibrosis and a prescription to receive CPT. Which of the following actions should the nurse plan to take?

Administer albuterol prior to CPT

A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms?

Albuterol

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)

Assess blood glucose level, neck vein distension, weigh daily

A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?

Barrel chest

A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse except?

Client report of numbness in his hands. Numbness and tingling in the client's hands and feet are manifestations of hypoparathyroidism due to hypocalcemia.

A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Daytime symptoms occur more than twice per week is correct. Minor limitations occur with normal activity is correct. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value is correct.

A nurse is caring for child who has asthma and a prescription for Montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?

Give 2 hours before exercise

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Hyperpigmentation, bruising, and striae or stretch marks, are manifestations of Cushing's syndrome.

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Hyperpigmentation. Addison's disease is an endocrine disorder that occurs when the adrenal glands do not produce enough of the hormone cortisol, and in some cases, the hormone aldosterone. The disease is characterized by weight loss, muscle weakness, fatigue, low blood pressure, and hyperpigmentation (darkening) of the skin in both exposed and non-exposed parts of the body.

A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

Hypertension, moon face, buffalo hump, purple striations

A nurse is caring for a client who has asthma and developed viral pharyngitis. Which of the following findings should the nurse expect?

Negative throat culture

A nurse if performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?

Right lateral lower lobe

A nurse is assessing a client who is experiencing thyroid storm. Which of the following findings should the nurse anticipate?

Tachycardia is a common manifestation of thyroid storm.

A nurse is caring for a client who reports increased anxiety and nervousness, heat intolerance, and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH), elevated thyroxine (T4), and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?

Tachycardia. Laboratory results indicate hyperthyroidism. Increased heart rate and palpitations are common manifestations of hyperthyroidism.

A nurse is reviewing the laboratory results for four clients. The nurse should recognize that which of the following clients has a manifestation of primary hyperparathyroidism?

The client who has an increased magnesium level. Magnesium level is increased in a client who has primary hyperparathyroidism. Calcium is also increased. Phosphorous is decreased

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information? (Select all that apply.)

The student should use his quick-relief inhaler is correct., The student's asthma is not well controlled is correct. The student's peak flow is 50% to 80% of his best peak flow is correct. The nurse should obtain a second expiratory flow rate is correct.

A nurse in a clinic is reviewing the lab values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following lab values?

Thyroid stimulating hormone (TSH)

A nurse is caring for a client who is 1 day postoperative following a thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. Which of the following actions should the nurse take?

Verify most recent calcium level. A client who has had a thyroidectomy is at risk of hypocalcemia due to the possible disruption of the parathyroid gland during surgery.

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Weigh the client daily. Addison's disease is an endocrine disorder that causes weight loss, muscle weakness, fatigue, low blood pressure, and hyperpigmentation (darkening) of the skin. Obtaining the client's daily weight will alert the nurse that dehydration is developing, which could indicate an impending crisis.

Select the four findings that indicate Cushing's Triad and require immediate follow-up.

Widening pulse pressure, bradycardia, shallow breathing, and episodes of apnea are signs of increasing intracranial pressure and require immediate follow-up.

A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first.

auscultate the lungs

Which of the following are the most common manifestations of COPD? (Select all that apply.)

chronic cough, sputum production, dyspnea are correct. Wheezing and chest tightness are correct but not most common

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

persistence of manifestations, no hypersensitivity to allergens, positive response to corticosteroids

A nurse is assessing a client who is admitted with hyperthyroidism. the client reports a weight loss of 5/4 kg (12lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. which of the following actions should the nurse take to prevent a thyroid crisis?

provide a quiet, low stimulus environment