Health and Wellness Through Nutritional Science - D440 RN/ EAQ With Quations, Answers and Rationel

Health and Wellness Through Nutritional Science - D440 RN/ EAQ With Quations, Answers and Rationel Question 1 While in the postanesthesia care unit, a client reports shortness of breath and chest pain. Which is the most appropriate initial response by the nurse? Correct Answer Initiate oxygen via a nasal cannula ________________________________________ Question 2 Which is the purpose of an occlusive dressing over a client's sucking chest wound? Correct Answer Maintains negative pressure within the chest cavity ________________________________________ Question 3 The nurse is teaching Hands-Only Basic Life Support for adults in the community. After determining that the victim is not responding and the emergency medical system has been activated, which action would the rescuer take? Correct Answer Perform chest compressions at a rate of 100/min. ________________________________________ Question 4 The nurse repositions a client who is diagnosed with emphysema to facilitate breathing. Which position facilitates maximum air exchange? Correct Answer Orthopneic ________________________________________ Question 5 A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and a partial pressure of carbon dioxide (PCO 2) of 60 mm Hg. Which complication would the nurse suspect the client is experiencing? Correct Answer Respiratory acidosis ________________________________________ Question 6 When a client has a superficial tumor involving only 1 vocal cord, which surgery would the nurse anticipate? Correct Answer Cordectomy ________________________________________ Question 7 Which procedure is shown in the picture? Correct Answer A thoracentesis ________________________________________ Question 8 Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks? Select all that apply. One, some, or all responses may be correct. Mold Cold air Pet dander Air pollution Cigarette smoke Correct Answer All the above ________________________________________ Question 9 Which parameter describes the maximum volume of air a client's lungs may contain? Correct Answer Total lung capacity ________________________________________ Question 10 Which statement describes a client's tidal volume? Correct Answer Tidal volume is the volume of air inhaled and exhaled with each breath. ________________________________________ Question 11 Which instructions would the nurse share with the client being discharged after rhinoplasty? Correct Answer Avoid items that may trigger sneezing. ________________________________________ Question 12 A client is hospitalized with a diagnosis of emphysema. The nurse provides teaching and would begin with which aspect of care? Correct Answer The disease process and breathing exercises ________________________________________ HESI RESP FOCUS N MIXED RN Question 1 An older adult client who complains of difficulty breathing after a surgery is found to have decreased vital capacity on spirometry. Which nursing intervention should be performed in this situation? Multiple choice question Assess the client's mobility. Monitor respirations and breathing effort. Teach coughing and deep-breathing exercises. Determine normal activity levels and note when the client tires. Correct Answer Teach coughing and deep-breathing exercises. Older adults are at an increased risk for complications from both anesthesia and surgery. One of the age-related risk factors after surgery is a decrease in vital capacity. Teaching coughing and deep-breathing exercises may help in preventing pulmonary complications. Assessing the client's mobility may help an older client with a risk of musculoskeletal problems. Monitoring respirations and breathing effort is required for an older client with decreased blood oxygenation. An older adult with cardiovascular changes requires determination of normal activity levels and noting when the client tires. ________________________________________ Question 2 A client with acquired immunodeficiency syndrome (AIDS) and Cryptococcal pneumonia frequently is incontinent of feces and urine and produces copious sputum. When giving this client a bath, which protective equipment should the nurse make it a priority to use? Multiple selection question Goggles Surgical mask Shoe covers Gown Gloves N95 hepa mask Correct Answer A gown, mask, and gloves when bathing the client prevent contact with feces, sputum, or other body fluids during intimate body care. Goggles would only be important if the client was on mechanical ventilation to avoid contact with sputum. An N95 hepa mask would be necessary if the client had tuberculosis, but not for Cryptococcal pneumonia alone. Shoe covers are designed for protecting a sterile environment such as a surgery suite and are not necessary for giving patient care at the bedside. ________________________________________ Question 3 The nurse is teaching a nursing student about the use of magnetic resonance imaging (MRIs). Which statement of the nursing student indicates effective learning? Multiple choice question "Clients with claustrophobia can have an MRI." "Clients who are allergic to iodine should not have an MRI." "Clients with pacemakers can have an MRI." "Clients with surgical clips can go through an MRI." Correct Answer "Clients with claustrophobia can have an MRI." Clients with a fear of closed spaces may develop anxiety; a closed MRI can be used, but the nurse should provide relaxation techniques or other modes to cope. MRIs do not involve the use of iodine or iodized products, so any clients allergic to iodine can still undergo the procedure. The magnetic field of an MRI may cause dysfunctions in pacemaker activity. Clients with surgical clips should remove all metal accessories before an MRI. ________________________________________ Question 4 What points should be considered when a client with a respiratory disorder undergoes a spiral-computed tomography (CT) scan to diagnose a pulmonary embolism? Multiple selection question The test involves the administration of a contrast medium. Clients should have their hydration levels assessed. Clients are instructed to lie still on a hard table. Clients are served shellfish before the test. A client's serum creatinine level is evaluated after the test. Correct Answer The test involves the administration of a contrast medium. Clients should have their hydration levels assessed. Clients are instructed to lie still on a hard table. A contrast medium may be given intravenously when performing a spiral-computed tomography (CT). The nurse should make sure that the client is well hydrated before and after the procedure to help flush out the contrast medium. The nurse should instruct the client to lie still on the hard table and that the scanner will revolve around the body with clicking noises. The nurse should assess if the client is allergic to shellfish because the contrast medium used is iodine-based. The nurse should evaluate the client's blood urea nitrogen and serum creatinine before the test to assess renal function. ________________________________________ Question 5 A nurse teaches a client with a nose fracture about routine care after rhinoplasty surgery. Which statement of the client indicates the need for further teaching? Multiple choice question "I should not sniff upwards or blow my nose." "I should take aspirin if I experience bleeding." "I should move slowly and remain in the semi-Fowler's position whenever possible." "I should not cough forcefully or strain during bowel movements." Correct Answer "I should take aspirin if I experience bleeding." ________________________________________ Resp RN/AEQ Question 1 A client is brought to the emergency department after a bee sting. The client has a history of allergies to bees and is having difficulty breathing. What client reaction should cause a nurse the most concern? 1.Ischemia 2.Asphyxia 3.Lactic acidosis 4.Increased blood pressure Correct Answer 2.Asphyxia ________________________________________ Question 2 What must the nurse do when performing tracheostomy care? 1.Place the client in the semi-Fowler position. 2.Use sterile gloves when touching the inner cannula. 3.Monitor body temperature after the procedure is completed. 4.Remove both tracheostomy ties at the same time. Correct Answer 2.Use sterile gloves when touching the inner cannula. ________________________________________ Question 3 A client who had thoracic surgery complains of pain at the incision site when coughing and deep breathing. What action should the nurse take? 1.Instruct the client to splint the wound with a pillow when coughing 2.Place the client in the supine position and inspect the site of the incision 3.Assess the intensity of the pain and administer the prescribed analgesic 4.Call the health care provider immediately and then check for wound dehiscence Correct Answer 1.Instruct the client to splint the wound with a pillow when coughing ________________________________________ Question 4 What data about the fluid in the water-seal chamber of a closed chest drainage system provide support for the nurse's conclusion that the system is functioning correctly? 1.Contains many small air bubbles. 2.Bubbles vigorously on inspiration. 3.Rises with inspiration and falls with expiration. 4.Remains at a consistent level during the respiratory cycle Correct Answer 3.Rises with inspiration and falls with expiration. ________________________________________ Question 5 A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse provides education about common side effects of general anesthesia. The nurse concludes that the teaching has been effective when the client states, "Immediately after surgery I may experience: 1.Transient headaches." 2.An elevated temperature." 3.Paroxysmal hiccoughs." 4.A sore throat." Correct Answer 4.A sore throat." ________________________________________ Question 6 The nurse provides instructions to a client who will be using an incentive spirometer postoperatively. During the client's return demonstration, the nurse concludes that the teaching has been effective when the client: 1.Coughs twice before inhaling deeply through the mouthpiece 2.Uses the incentive spirometer for 10 consecutive breaths an hour 3.Inhales deeply, seals the lips around the mouthpiece, and then exhales 4.Inhales deeply through the mouthpiece, holds the breath for two seconds, and then exhales Correct Answer 4.Inhales deeply through the mouthpiece, holds the breath for two seconds, and then exhales ________________________________________ Question 7 A client responds well after extensive pulmonary surgery for lung cancer and is discharged. A week after discharge the home care nurse observes the client's downcast eyes and lack of interest in the environment. The client's family states that this behavior started a few days after discharge. The nurse understands that the client's response is: 1.Normal, and no follow-up is required 2.Expected, but needs to be addressed 3.Unusual, indicating mental illness 4.Serious, needing immediate acute care Correct Answer 2.Expected, but needs to be addressed ________________________________________ Question 8 After resection of a lower lobe of the lung, a client has excessive respiratory secretions. Which independent nursing action should the nurse implement? 1.Postural drainage 2.Turning and positioning 3.Administration of an expectorant 4.Percussion and vibration techniques Correct Answer 2.Turning and positioning ________________________________________ Question 9 A nurse works with a large population of immigrant clients and is concerned about the debilitating effects of influenza. Which action is the first line of defense against an emerging influenza pandemic? 1.Complying with quarantine measures 2.Instituting strict international travel restrictions 3.Seeking aid from the international public health community 4.Reporting surveillance findings to appropriate public health officials Correct Answer 4.Reporting surveillance findings to appropriate public health officials ________________________________________