LVN - Respiratory Care

A nurse is caring for a client with pneumonia who was prescribed ceftriaxone oral suspension 600 mg once daily. The medication label indicates that the strength is 125 mg/5 mL. How many milliliters of medication should the nurse pour to administer the correct dose? Record your answer as a whole number.

24 mL

A nurse is caring for a client with a chest tube connected to a three-chamber drainage system without suction. Which chamber will the nurse mark to record the current drainage level. a. 1 b. 2 c. 3

a. 1

The nurse is planning care for a client after a tracheostomy. One of the client's goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the plan of care? a. Encourage the client's communication attempts by allowing him time to select or write words. b. Avoid using a tracheostomy plug because it blocks the airway. c. Make an effort to read the client's lips to foster communication. d. Answer questions for the client to reduce his frustration.

a. Encourage the client's communication attempts by allowing him time to select or write words.

A dark-skinned client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the: a. mucous membranes. b. lips. c. earlobes. d. nail beds.

a. mucous membranes.

A client admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannula. The client's history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these history findings, the nurse closely monitors the oxygen flow and the client's respiratory status. Which complication may arise if the client receives a high oxygen concentration? a. Metabolic acidosis b. Apnea c. Anginal pain d. Respiratory alkalosis

b. Apnea

A nurse is caring for a client with a tracheostomy. Which nursing action is a priority? a. Monitor for signs of infection. b. Observe breathing patterns. c. Assist with communication. d. Encourage activities of daily living.

b. Observe breathing patterns.

A nurse is reinforcing education with a client on use of an incentive spirometer. The nurse identifies the teaching as successful when the client demonstrates which technique? a. inhales quickly and deeply through the mouthpiece b. inhales slowly and deeply through the mouthpiece c. blows quickly and hard into the mouthpiece d. inhales slowly and deeply through the nose

b. inhales slowly and deeply through the mouthpiece

A child is exhibiting signs of asthma. Which finding by the nurse would assist with confirmation of this diagnosis? a. increased forced expiratory volume b. circumoral cyanosis c. inspiratory and expiratory wheezing d. normal breath sounds

c. inspiratory and expiratory wheezing

A client recovering from an acute asthma attack experiences respiratory alkalosis. The nurse measures a respiratory rate of 46 breaths/minute, a heart rate of 110 beats/minute, a blood pressure of 162/90 mm Hg, and a temperature of 98.6° F (37° C). To help correct respiratory alkalosis, the nurse should: a. administer acetaminophen as prescribed. b. insert a nasogastric tube (NG) as ordered. c. instruct the client to breathe into a paper bag. d. administer antibiotics as prescribed.

c. instruct the client to breathe into a paper bag.

A client has been treated with antibiotic therapy for right lower-lobe pneumonia for 10 days and will be discharged today. Which physical finding would lead the nurse to believe it's appropriate to discharge this client? a. respiratory rate of 32 breaths/minute b. continued dyspnea c. normal vesicular breath sounds in right base d. fever of 102º F (38.9º C)

c. normal vesicular breath sounds in right base

A client returns to the acute care unit after abdominal surgery. Which measure should the nurse perform first that will help reduce or prevent the incidence of atelectasis? a. reducing oxygen requirements b. mechanical ventilation c. use of an incentive spirometer d. chest physiotherapy

c. use of an incentive spirometer

Which client is at highest risk for developing a pulmonary embolism? a. an ambulatory client who has type 1 diabetes b. an ambulatory client with an inflammatory joint disease c. a healthy client who's 6 months pregnant d. a client who has fractures of his pelvis and right femur

d. a client who has fractures of his pelvis and right femur

A client who has just had a right arthroscopy is back on the acute care unit. What action does the nurse identify as the best to prevent a pulmonary embolism in this client? a. frequent lower extremity venous scans b. intubation of the client c. frequent chest x-rays to find a pulmonary embolism d. early ambulation

d. early ambulation