RN Targeted Medical Surgical Respiratory Online Practice Questions & Answers Already Graded A. - $14.49   Add to cart

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RN Targeted Medical Surgical Respiratory Online Practice Questions & Answers Already Graded A.

RN Targeted Medical Surgical Respiratory Online Practice Questions & Answers A nurse is caring for a client who is taking albuterol. For which of the following adverse effects should the nurse monitor the client? C. Tachycardia A. Hyperkalemia is not an adverse effect of albuterol. B. The client should use albuterol to treat dyspnea. C. The nurse should monitor this client for tachycardia, a common adverse effect, especially if the client uses albuterol excessively. D. Candidiasis is an adverse effect of inhaled glucocorticoids, such as beclomethasone. A nurse is assessing a client who has emphysema. The nurse should report which of the following assessment findings? B. Elevated temperature A. Digital clubbing is an expected finding for clients who have emphysema. B. Clients who have emphysema are at risk for the development of pneumonia and other respiratory infections. A nurse should report an elevated temperature to the provider, as this indicates a possible respiratory infection. C. Chronic overinflation of the lungs and flattening of the diaphragm lead to the appearance of a barrel-shaped chest, which is an expected finding of emphysema. D. Diminished breath sounds are an expected finding for clients who have emphysema due to limited chest excursion and air trapping. A nurse is caring for a client following the insertion of a chest tube following a lobectomy. The nurse should plan to have which of the following items in the client's room? C. Container of sterile water A. It is not necessary to have an extra drainage system in the client's room. B. The client does not need to have a suture removal set in her room following the insertion of a chest tube. C. The nurse should plan to place the open end of the tubing if it becomes disconnected into the sterile water to prevent a pneumothorax. The tubing and sterile water are then placed below the client's chest. D. The client does not need to have nonadherent pads in her room following the insertion of a chest tube. A nurse is assessing a client who has a chest tube in place following thoracic surgery. Which of the following findings indicates a need for intervention? B. Continuous bubbling in the water seal chamber A. Fluctuation of drainage in the tubing with inspiration is an expected occurrence for a client who has a chest tube. B. Continuous bubbling in the water seal chamber suggests an air leak. C. Unless drainage is greater than 100 mL in 1 hr, it does not require further intervention. D. Small, dark-red clots are expected findings after chest surgery. A nurse is preparing a client for discharge following a bronchoscopy with the use of moderate (conscious) sedation. Which of the following assessments by the nurse is the priority? A. Gag reflex A, The greatest risk to the client is aspiration due to a depressed gag reflex. Therefore, the priority assessment by the nurse is to determine the return of the gag reflex. B. The client is at risk for increased pain because of the introduction of the scope into the trachea. However, another assessment is the priority. C. The client who is postoperative following a bronchoscopy has been NPO for 4 hr to 8 hr, which places her at risk for dehydration. The nurse should assess the client's hydration status. However, another assessment is the priority. D. IV medication given for moderate (conscious) sedation places the client at risk for phlebitis. Although the nurse should assess for redness at the IV insertion site, another assessment is the priority. A nurse receives prescriptions from the provider to perform nasopharyngeal suctioning for each of the following clients. The nurse should clarify the provider's prescription for which of the following clients? A. A client who has a closed-head injury and is lethargic A client who has epistaxis. A. A recent head injury is a contraindication for nasopharyngeal suctioning because suctioning can increase intracranial pressure. B. Nasopharyngeal suctioning is not contraindicated for this client. C. Nasopharyngeal suctioning is not contraindicated for this client. D. Nasopharyngeal suctioning is not contraindicated for this client. The nurse should avoid providing nasopharyngeal suctioning for a client who has nasal bleeding because this intervention might cause an increase in bleeding. A nurse is caring for a client in acute respiratory failure who is receiving mechanical ventilation. Which of the following assessments is the priority for the nurse to use to evaluate the effectiveness of the mechanical ventilation? C. Arterial blood gases A. The nurse should monitor the client's blood pressure, which provides important information regarding the client's circulatory status. However, another assessment is the priority. B. The nurse should monitor the client's capillary refill, which provides information about peripheral circulation. However, another assessment is the priority. C. When using the airway, breathing, circulation approach to client care, the nurse should place priority on evaluating arterial blood gases to determine serum oxygen saturation and acid-base balance. D. The nurse should monitor the client's heart rate, which provides important information regarding the client's circulatory status. However, another assessment is the priority. A nurse is caring for a client who has acute respiratory distress syndrome. Which of the following assessment findings indicates a decline in the client's condition? A. Increase in respiratory rate A, An increase in respiratory rate indicates increased work of breathing and the need for improvement in oxygen delivery. B. An increase in oxygen saturation indicates gas exchange is improving. C. A decrease in carbon dioxide retention indicates gas exchange is improving. D. A decrease in intercostal retractions indicates gas exchange is improving. A nurse is caring for a client who is 1 hr postoperative following a thoracentesis. Which of the following is the priority assessment finding? C. Tracheal deviation to the unaffected side. Persistent cough A. Pallor is an important finding because it can indicate blood loss. However, another assessment finding is the priority. B. Insertion site pain is an important finding because untreated pain can result in shallow respirations. However, another assessment finding is the priority. C. When using the airway, breathing, circulation approach to client care, the nurse should identify tracheal deviation as the priority assessment because this indicates a tension pneumothorax, which is a medical emergency. D. A temperature of 37.3° C (99.1° F) is an important finding because it can indicate infection. However, another assessment finding is the priority. When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority finding is a persistent cough because this can indicate a tension pneumothorax, which is a medical emergency. A nurse is providing instruction to a client on how to use montelukast to treat chronic asthma. Which of the following statements indicates the client understands the teaching? D. "I will take this medication every evening, even when I do not have symptoms." A. The client should take this medication once daily. B. The client should use this medication as maintenance therapy for asthma. C. The client should take this medication on a regular schedule. D. Montelukast is used for prophylaxis of asthma exacerbation and is taken on a daily basis in the evening. The client should take montelukast every day as maintenance therapy for asthma. A nurse is caring for a client who has bacterial pneumonia. The nurse should expect which of the following assessment findings? C. Temperature 38.8° C (101.8° F) A. Increased fremitus is an expected finding for a client who has bacterial pneumonia. B. An oxygen saturation level lower than 95% is an expected finding for a client who has bacterial pneumonia. C. An elevated temperature is an expected finding for a client who has bacterial pneumonia. D. Tachypnea is an expected finding for a client who has bacterial pneumonia. A nurse is caring for a client who has COPD. Which of the following findings should the nurse report to the provider? B. Productive cough with green sputum A. Clients who have COPD have low arterial oxygen levels due to the difficulty of oxygen moving from diseased lungs into the blood. B. A nurse should report a productive cough with green sputum to the provider as this indicates an infection. C. Clubbing of fingers is an indication of chronic low arterial oxygen levels, which is an expected finding for clients who have COPD. D. Clients who have COPD should use pursed-lip breathing to improve oxygenation when exercising. A nurse is discharging a client who has pulmonary tuberculosis and is to start therapy with rifampin. The nurse should plan to include which of the following in the client's discharge teaching plan? C. Urine and other secretions will be orange. A. Tinnitus is not an adverse effect of rifampin. B. The nurse should inform the client that he will always have a positive PPD skin test, even after the disease is no longer active. C. Rifampin will turn urine and other secretions orange. D. The client should take rifampin on an empty stomach once per day. A nurse is caring for a client who is in respiratory distress. Which of the following devices should the nurse use to provide the highest level of oxygen via a low-flow system? B. Nonrebreather mask A. The oxygen flow rate via nasal cannula is 1 to 6 L/min and provides oxygen at a concentration of 24% to 44%. It does not provide the highest level of oxygen. B. A nonrebreather mask is made up of a reservoir bag from which the client obtains the oxygen, a one-way valve to prevent exhaled air from entering the reservoir bag, and exhalation ports with flaps that prevent room air from entering the mask. This delivers greater than 90% FIO2, which provides the highest level of oxygen. C. A simple face mask delivers oxygen concentrations between 40% and 60% and has open exhalation ports that allow room air in and exhaled air out. It does not provide the highest level of oxygen. D. The partial rebreather mask only delivers oxygen concentrations of 60% to 75%. The exhalation ports are open, which will allow room air in and exhaled air out. It does not provide the highest level of oxygen. A nurse working in the emergency department is caring for a client following a chest trauma. Which of the following findings indicates a tension pneumothorax? D. Tracheal deviation to the unaffected side A. A client who has a tension pneumothorax will not have collapsed neck veins on the affected side. B. A client who has a tension pneumothorax will not have collapsed neck veins on the unaffected side secondary to a tension pneumothorax. C. The trachea of a client who has a tension pneumothorax does not deviate to the affected side. D. A tension pneumothorax results from free air filling the chest cavity, causing the lung to collapse and forcing the trachea to deviate to the unaffected side. A nurse is caring for a client who is postoperative and develops an acute onset of severe chest pain that worsens upon inspiration. The client is anxious and tachypneic. Which of the following actions should the nurse take first? A. Apply supplemental oxygen. A. When using the airway, breathing, circulation approach to client care, the greatest risk to the client is severe hypoxemia. Therefore, the first action the nurse should take is to apply supplemental oxygen. B. The nurse should increase the rate of the IV fluid to increase cardiac output. However, another action is the priority. C. The nurse should administer pain medication to decrease discomfort and anxiety. However, another action is the priority. D. The nurse should initiate heparin therapy to prevent further development of an emboli. However, another action is the priority. A nurse is planning care for a client who has asthma. Which of the following medications should the nurse plan to administer during an acute asthma attack? D. Albuterol A. The nurse should administer cromolyn sodium, an anti-inflammatory agent, for maintenance therapy of asthma. B. The nurse should administer prednisone following an acute attack to promote anti-inflammatory effects. C. The nurse should administer fluticasone and salmeterol for maintenance therapy of asthma because it combines a glucocorticoid and a long-acting beta2-adrenergic agonist. D. The nurse should administer albuterol, a short-acting beta2-adrenergic agonist, as it acts quickly to produce bronchodilation during an acute asthma attack. A nurse is planning care for a client who has COPD. Which of the following interventions should the nurse include in the plan of care? C. Provide a diet that is high in calories and protein. A. The nurse should schedule respiratory treatments before meals. B. The nurse should provide short periods of activity frequently throughout the day. C. The nurse should provide the client who has COPD with a diet that is high in calories and protein and low in carbohydrates. D. The nurse should schedule activities that are short in duration with adequate rest periods in between to prevent fatigue. A nurse is caring for a client who has active tuberculosis. Which of the following isolation precautions should the nurse implement? A. Airborne A. The nurse should initiate airborne precautions for the client who has tuberculosis because tuberculosis is a respiratory infection that is spread through the air. B. The nurse should initiate neutropenic precautions for clients who need protection from outside infections, such as clients who are receiving bone marrow transplants. C. The nurse should initiate contact precautions for clients who have infections transmitted by direct contact, such as scabies and MRSA. D. The nurse should initiate droplet precautions for clients who have infections transmitted by droplets, such as influenza. A nurse is caring for a client receiving mechanical ventilation. The low pressure alarm sounds. Which of the following should the nurse recognize as a cause of the alarm?

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