Midterm clinical
The NRB non-breather mask delivers 10-15 Liters per minute and is used for medical emergencies. A. True B. False
True
A nurse instructs a client with allergic rhinitis about the correct technique for using an intranasal inhaler. Which statement indicates that the client understands the instructions? A. "I should limit the use of the inhaler to early morning and bedtime use." B. "I should hold one nostril closed while I insert the spray into the other nostril." C. "It is important to not shake the canister because than can damage the spray device." D. "The inhaler tip is inserted into the nostril and pointed toward the inside nostril wall."
B
For a client with asthma, the healthcare provider (HCP) prescribes albuterol, two puffs twice a day via MDI, and beclomethasone, two puffs twice a day via MDI. The nurse should instruct the client to administer: A. beclomethasone inhaler first and follow with albuterol B. albuterol first and follow with beclomethasone two times a day C. medications 1 hour apart, two times a day D. albuterol on awakeing and alterate the medications every 4 hours.
B
Guaifenesin 300 mg four times a day has been prescribed as an expectorant. The dosage strength of the liquid is 200 mg/5mL. How many milliliters should the nurse administer for each dose? ________________mL A. .75mL B. 7.5 mL C. 7.0 mL D. 8 mL
B
Order: Hydrochlorothiazide 0.05 g Available: hydrochlorothiazide 50 mg How many tablets will be administered to the patient? A. 2 tablets B. 1 tablet C. 1/2 tablet D. 1 1/2 tablets
B
What technique will the registered nurse (RN) educate the client to implement when administering the beclomethasone inhalation therapy? A. place the beclomethasone inhaler under warm water as it works better warmed B. place the beclomethasone inhaler in the refrigerator as it works better chilled C. administer the inhalation therapy through a space attached to the inhaler mouthpiece D. position the mouthpiece of the inhaler one inch away from the open mouth as the drug is dispersed out
C
When suctioning a tracheostomy tube 3 days following insertion, what should the nurse do? A. Use a clean catheter with each suctioning, and disinfect it in hydrogen peroxide between uses. B. Clean the catheter in sterile water after each use, and reuse for no longer than 8 hours. C. Use a sterile catheter each time the client is suctioned. D. Protect the catheter in sterile packaging between suctioning episodes.
C
Match the following related to oxygenation.
Ventilation: The movement of air in and out of the lungs. Controlled by the neurologic and musculoskeletal systems. Respiration: Oxygen and carbon dioxide exchange in the lungs. Controlled by the pulmonary and cardiovascular systems. Low-Flow devices: Nasal cannulas, face masks and NRB (non-rebreather) masks. Moderate-flow: Partial non-breather (PRB) masks High-floe devices: Venturi mask, HFNCs
The nurse is instructing a client with chronic obstructive pulmonary disease (COPD) how to do pursed-lip breathing. In which order from first to last should the nurse explain the steps to the client? All options must be used. 1. "Breathe in normally through your nose for two counts (while counting to yourself, one, two)." 2. "Relax your neck and shoulder muscles." 3. "Pucker your lips as if you were going to whistle." 4. "Breathe out slowly through pursed lips for four counter (while counting to yourself, one, two, three, four)."
2134
330ml = __ L? A. 0.33 B. 330, 000 C. 3,300 D. 0.033
A
Which actions would the nurse take when obtaining a sputum culture from a client with a diagnosis of pneumonia? Select all that apply. A. Obtain the specimen early in the morning B. Instruct the client to take deep beaths before coughing C. Explain the procedure to the client D. Have the client brush his teeth before expectoration E. Place the lid of the culture container face down on the bedside table
A,B,C
The nurse is caring for a client who has been placed on droplet precautions. Which protective gear is required to take care of this client? Select all that apply. A. gown B. gloves C. glasses D. surgical mask E. respirator
A,B,C,D
Recognizing that the client prescribed theophylline for the treatment of bronchitis is at risk for toxicity, which clinical manifestation will alert the registered nurse (RN) to this occurrence? Select all that apply A. drowsiness B. onset of seizures C. loss of appetite D. insomnia E. restlessness
B,C,D,E
Following nasal surgery, what should the nurse do first? A. Measure intake and output B. Assess respiratory status C. Assess the client's pain D. Inspect the area for periorbital ecchymosis
B.
A patient recovering from surgery in the postoperative area suddenly becomes confused, pulse ox reading shows a drop from 98% to 90% on room air. What is the most appropriate intervention? A. Apply non-breather B. Raise the HOB C. Apply nasal cannula D. Apply simple face mask
C
The nurse team leader is making rounds and observes the client who had a tracheostomy tube inserted 2 days ago. ( see figure below) The nursing policy manual recommends use of the gauze pad. The nurse should: A. ask the unlicensed assistive personnel (UAP) to tie the tracheostomy tube ties in the back of the client's neck. B. ask a registered nurse (RN) to change the ties and position another gauze pad around the stoma. C. make sure the gauze pad is dry and the client is in a comfortable position. D. reposition the gauze pad around the stoma with the open end downward.
C
The nurse is planning to teach a client with chronic obstructive pulmonary disease how to cough effectively. Which instruction should be included? A. Take several rapid, shallow breaths, and then cough forecfully. B. Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing. C. Lie flat on the back, splint the thorax, take two deep breaths, and cough. D. Take a deep abdominal breath, bend forward, and cough three or four times on exhalation.
D
Which of the following oxygen deliver devices is the most precise oxygen delivery device? A. Nasal Cannula B. Non-rebreather mask C. Face Tent D. Venturi Mask
D
A client is admitted to the hospital with a diagnosis of right lower lob pneumonia. The nurse ausculates the affected lung area, expecting to note which type of breath sounds? A. Bronchovesicular B. Vesicular C. Absent D. Bronchial
D.
Noninvasive ventilation delivers ventilatory support without an artificial airway (endotracheal or tracheostomy tube) to patients who can breathe spontaneously. A. True B. False
true
True or False. A standard surgical mask is used as part of droplet precautions to protect the nurse from acquiring the client's infection.
true
The Nasal Cannula delivers how many liters per minute? A. 1-6 Liters per minute B. 1-10 Liters per minute C. 1-7 Liters per minute D. 1-4 Liters per minute
A
Nasal cannulas are the least common type of low-flow oxygen delivery system. True false
False
To prevent exhaled carbon dioxide accumulation within a face mask, the flow rate must be set at 2 L/ min - 5 L/min. True false
False
Which respiratory rate is classified as bradypnea for an adult? A. 15 breaths per minute B. 17 breaths per minute C. 19 breaths per minute D. 21 breaths per minute
A
A client with newly diagnosed chronic obstructive disease is to be discharged home with oxygen per nasal prongs. Which teaching points should the nurse include in this client's discharge plan? Select all that apply. A. Increase oxygen flow at night during hours of sleep. B. Avoid use of microwave oven when using oxygen. C. Place gauze between the ears and oxygen tubing to prevent skin irritation D. Request a large, pressurized oxygen tank for use during car travel. E. Apply Vaseline or petroleum jelly on lips and nose to prevent dryness and irritation. F. Avoid areas where people are smoking cigarettes or cigars.
C, F
Solumedrol 4 mg/kg is ordered for a child weighing 64.8 lbs. Solumedrol is available as 500 mg/4mL. How many mL will the nurse administer? A. 49.2 mL B. 9.42 mL C. 2.94 mL D. 0.942 mL
D
The nurse is caring for a client receiving an albuterol/ipratropium nebulized breathing treatment. Which report from the client should the nurse note as an expected side effect of this combination medication? A. "My eyes have been watering lately." B. "I feel more bloated than usual." C. "I haven't had a bowel movement in 4 days." D. "I feel like my heart is racing."
D
Which respiratory rate is classified as tachypnea? A. 20 breaths per minute B. 14 breaths per minute C. 17 breaths per minute D. 23 breaths per minute
D
The nurse has a prescription to give a client salmeterol, 2 puffs, and beclomethasone dipropionate, 2 puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure? A. Beclomethasone first and then the salmeterol B. Salmeterol first and then the beclomethasone C. Alternating a single puff of each, beginning with the beclomethasone D. Alternating a single puff of each, beginning with the salmeterol
B
Which term is used to document the presence of difficulty breathing noted in the provision of client care? A. Dyspnea B. Tachypnea C. Eupnea D. Bradypnea
A
The nurse observes a client using a metered-dose inhaler (MDI) to aid in management of asthma. Which actions indicate that the client needs further instruction? Select all that apply. A. holds the breath for 3 seconds after inhaling with the MDI B.exhales before starting to use the MDI C. inspires rapidly when dispensing the medication from the MDI D. shakes the MDI before using E. cleans the inhaler and canister in soapy water before using again in rapid succsion
A,C,E,
Which is an expected outcome of pursed-lip breathing for clients with emphysema? A. to strengthen the diaphragm B. to strengthen the intercostal muscles C. to promote carbon dioxide elimination D. to promote oxygen intake
C
The registered nurse (RN) is aware of what primary benefit of the prescription of a drug classified as a glucocorticosteroid? A. Prevents the spread of infection B. treats total body inflammation C. relieves body irritation D. weakens the overall immune system
B.
The nurse is suctioning a client who had a largyngectomy. What is the maximum amount of time the nurse should suction the client? A. 20 seconds B. 25 seconds C. 10 seconds D. 30 seconds
C
Simple face masks are used in patients who require short-term, higher oxygen concentration, such as FiO2 35% to 60%. True false
True
