ATI- GAS EXCHANGE AND OXYGENATION
A nurse is caring for a client who has asthma and is taking fluticasone. For which of the following
adverse effects should the nurse monitor?
-Hypoglycemia
-Hypertension
-Polyuria
-Oral candidiasis - (ANSWER)Oral candidiasis
A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following
medications should the nurse instruct the child to use to abort an ongoing asthma attack?
-Cromolyn
-Montelukast
-Albuterol
-Fluticasone - (ANSWER)Albuterol
A nurse is assisting with the care of the client in the emergency Department reports severe radiating
chest pain shortness of breath. The client appears restless, frightened, and slightly cyanotic. The
provider prescribed auction by nasal cannula 4 L/min stat, cardiac enzyme levels, Ivy fluids, and a 12
lead EKG I actually should the nurse make?
-Attach the leads for a 12-lead ECG
-Obtain a blood sample
-Initiate oxygen therapy
-Insert the IV catheter - (ANSWER)Initiate oxygen therapy
A nurse is contrary to the plan of care for a client who has COPD. Which of the following interventions
should the nurse include in the plan of care?
, ATI- GAS EXCHANGE AND OXYGENATION
-Restrict the client's fluid intake to less than 1 L/day.
-Encourage the client to use the upper chest for respiration.
-Plan to have the client lay down for 1 hr after meals.
-Instruct the client to use pursed-lip breathing. - (ANSWER)Instruct the client to use pursed-lip
breathing.
A nurse is caring for a client who is COPD. Which of the following nursing actions should the nurse take?
-Restrict the client's fluids between meals
-Encourage the client to eat most of the daily calories at breakfast
-Encourage the client to exercise before meals
-Discourage the client from eating between-meal snacks - (ANSWER)Encourage the client to eat most of
the daily calories at breakfast
A nurse is assisting with the plan of care for a client who has a chest tube connected to a closed test
drainage system. Which of the following intervention should the nurse include in the plan of care?
-Empty the collection chamber every 12 hr
-Keep the collection device below the level of the client's chest
-Strip the chest tube every 4 hr
-Avoid positioning the client on the affected side - (ANSWER)Keep the collection device below the level
of the client's chest
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The
client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the
following statements by the client indicates an understanding of the teaching?
, ATI- GAS EXCHANGE AND OXYGENATION
-I will hold the inhaler with my non-dominant hand
-I will tilt my head forward while inhaling the medication
-I will hold my breath at least 10 seconds after inhaling the medication
-I will wait 10 min between each inhalation - (ANSWER)I will hold my breath at least 10 seconds after
inhaling the medication
A nurse is caring for a client who is having a chest x-ray. Which of the following teaching should the
nurse reinforce with the client part of the procedure?
-Front, back, and side views of the chest will be taken during the test
-Take several shallow breaths during the procedure
-Do not eat or drink anything the morning of the test
-Expect minor discomfort after the procedure - (ANSWER)Front, back, and side views of the chest will be
taken during the test
A nurse is reinforcing teaching with the parent of a preschool-age child who has asthma and a
prescription for Montelukast chewable tablets. Which of the following statements by the parent
indicates an understanding of the teaching?
-I will be sure my child takes this medication with food
-I will give my child the medication as soon as an asthma attack starts
-It will take several weeks for this medication to begin relieving my child's asthma
-I will have my child chew the tablet every evening - (ANSWER)I will have my child chew the tablet every
evening
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions
is the priority for the nurse to take?
-Administer IV morphine
A nurse is caring for a client who has asthma and is taking fluticasone. For which of the following
adverse effects should the nurse monitor?
-Hypoglycemia
-Hypertension
-Polyuria
-Oral candidiasis - (ANSWER)Oral candidiasis
A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following
medications should the nurse instruct the child to use to abort an ongoing asthma attack?
-Cromolyn
-Montelukast
-Albuterol
-Fluticasone - (ANSWER)Albuterol
A nurse is assisting with the care of the client in the emergency Department reports severe radiating
chest pain shortness of breath. The client appears restless, frightened, and slightly cyanotic. The
provider prescribed auction by nasal cannula 4 L/min stat, cardiac enzyme levels, Ivy fluids, and a 12
lead EKG I actually should the nurse make?
-Attach the leads for a 12-lead ECG
-Obtain a blood sample
-Initiate oxygen therapy
-Insert the IV catheter - (ANSWER)Initiate oxygen therapy
A nurse is contrary to the plan of care for a client who has COPD. Which of the following interventions
should the nurse include in the plan of care?
, ATI- GAS EXCHANGE AND OXYGENATION
-Restrict the client's fluid intake to less than 1 L/day.
-Encourage the client to use the upper chest for respiration.
-Plan to have the client lay down for 1 hr after meals.
-Instruct the client to use pursed-lip breathing. - (ANSWER)Instruct the client to use pursed-lip
breathing.
A nurse is caring for a client who is COPD. Which of the following nursing actions should the nurse take?
-Restrict the client's fluids between meals
-Encourage the client to eat most of the daily calories at breakfast
-Encourage the client to exercise before meals
-Discourage the client from eating between-meal snacks - (ANSWER)Encourage the client to eat most of
the daily calories at breakfast
A nurse is assisting with the plan of care for a client who has a chest tube connected to a closed test
drainage system. Which of the following intervention should the nurse include in the plan of care?
-Empty the collection chamber every 12 hr
-Keep the collection device below the level of the client's chest
-Strip the chest tube every 4 hr
-Avoid positioning the client on the affected side - (ANSWER)Keep the collection device below the level
of the client's chest
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The
client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the
following statements by the client indicates an understanding of the teaching?
, ATI- GAS EXCHANGE AND OXYGENATION
-I will hold the inhaler with my non-dominant hand
-I will tilt my head forward while inhaling the medication
-I will hold my breath at least 10 seconds after inhaling the medication
-I will wait 10 min between each inhalation - (ANSWER)I will hold my breath at least 10 seconds after
inhaling the medication
A nurse is caring for a client who is having a chest x-ray. Which of the following teaching should the
nurse reinforce with the client part of the procedure?
-Front, back, and side views of the chest will be taken during the test
-Take several shallow breaths during the procedure
-Do not eat or drink anything the morning of the test
-Expect minor discomfort after the procedure - (ANSWER)Front, back, and side views of the chest will be
taken during the test
A nurse is reinforcing teaching with the parent of a preschool-age child who has asthma and a
prescription for Montelukast chewable tablets. Which of the following statements by the parent
indicates an understanding of the teaching?
-I will be sure my child takes this medication with food
-I will give my child the medication as soon as an asthma attack starts
-It will take several weeks for this medication to begin relieving my child's asthma
-I will have my child chew the tablet every evening - (ANSWER)I will have my child chew the tablet every
evening
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions
is the priority for the nurse to take?
-Administer IV morphine
