(Verified Answers)
1. A nurse is caring for a patient who presents to the emergency department
with acute asthma exacerbation. The RR is 36 breaths/min, O2 sats is 85%
on room air with use of accessory muscles. The nurse places the client on
a 4L O2 nasal cannula. ABGs are: pH: 7.28, PaCO2: 50 mmHg, PaO2: 75
mmHg, HCO3: 26 mEq/L. Which of the following treatments are the nurse's
priority
ANS Administer bronchodilators
2. The nurse is caring for an 80yr old diagnosed with gastric cancer three
months ago. The client has undergone chemo and radiation and has recently
undergone surgery to remove the cancer. During the procedure, the surgeon
notices that the cancer has metastasized. The client's family is having difficul-
ty deciding treatment options. Which of
the following interventions are appropriate for the RN in providing client's
care
ANS Request a consult for palliative care services
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, 3. What is the nurse's priority to include when educating a client with
esophageal cancer about their plan of care
ANS One of the most important thingswe need to monitor is weight loss. Please weigh
yourself daily
4. A client has the following ABGs. How does the nurse interpret them?
pH: 7.50 PaCO2 30 mmHg HCO3: 20 mEq/L:
ANS Respiratory alkalosis with partialmetabolic compensation
5. Which of the following clients is an example of developing secondary
stomatitis
ANS 64 yo client with a history of metastatic breast cancer receiving chemotherapy
presenting with stomatitis
6. The nurse provides discharge instructions to a client recently diagnosed
with a hiatal hernia. The client also has a history of GERD. Which should be
included in the education
ANS Remain in an upright position for 1-2 hours after eating
7. Which of the following clients are at risk for developing stomatitis
ANS 55 yowith colon cancer
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