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A nurse is providing oral care for a client who is immoblie. Which of the following actions should the nurse take? - CORRECT ANSWER Turn the client on his side before starting oral care. A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? - CORRECT ANSWER White coating in the mouth 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? - CORRECT ANSWER Auscultate lung fields. A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit? - CORRECT ANSWER The client who has gastroenteritis and is febrile. A nurse in an urgent care center is caring for a client who is having a acute asthma exacerbation. Which of the following actions is the nurse's highest priority? - CORRECT ANSWER Administering a nebulized beta-adrenergic A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following condition? - CORRECT ANSWER Asthma A client is admitted to the ED with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate of the ABG's? ph 7.22 PaCO2 68mm Hg Base excess -2 PaO2 78 mm Hg Saturation 80% Bicarbonate 26 mEq/q - CORRECT ANSWER Respiratory acidosis Respiratory acidosis occurs when there is retention of CO2 due to an impairment of respiratory function. It can be the result of respiratory depression, seen with anesthesia or opioid administration; inadequate chest expansion, due to a weakness of the respiratory muscles or constriction to the thorax; an obstruction of the airway, seen in aspiration, bronchoconstriction, or laryngeal edema; or from an inability of the lungs to adequately diffuse gases (O2 and CO2), resulting from conditions such as pneumonia, COPD, chest trauma, or pulmonary emboli. Arterial blood gases will reveal a pH that is lower than the normal reference range (7.35 - 7.45) and a CO2 level that is higher than the normal reference range (35 - 45 mm Hg). A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take? - CORRECT ANSWER Perform preoxygenation prior to suctioning A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? (sata) - CORRECT ANSWER Check the cannula position on a regular basis Check the tops of the ears for skin breakdown Post "no smoking" signs in a prominent location in the home A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse included in the plan to prevent pulmonary complications? - CORRECT ANSWER Encourage the use of an incentive spirometer A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort. Aside form managing plan, which of the following desired effects of medications should the nurse identify as most important for