Nur 211 Module 8 Exam – Verified Solution

NUR 211 Module 8 Exam – Question 1 – Hinkle 634 Which outcome would be identified by the RN for the nursing diagnosis Ineffective Breathing Pattern in a patient diagnosed with chronic obstructive pulmonary disease (COPD)? The patient will: Maintain an oxygen saturation of 95% or greater on room air. Have clear breath sounds in both upper and both lower lobes. Demonstrate purse lip breathing. Ambulate 100 feet without dyspnea. Question 2 – Hinkle 571 Which nursing interventions should the RN implement to prevent atelectasis? Select all that apply. Obtain order for daily chest x-ray. Assist with coughing and deep breathing exercises. Change patient position frequently. Limit the use of opioids to manage pain. Encourage early ambulation. Question 3 – Hinkle 583 Which etiology would the RN identify for the nursing diagnosis Imbalanced nutrition: less than body requirements in a patient with pneumonia? Shortness of breath. Elevated body temperature. Retained secretions. Insensible fluid loss. Question 4 The RN administers the prescribed sedation to the intubated patient with acute respiratory distress syndrome (ARDS). What is the primary rationale for this intervention? To decrease oxygen consumption. To reduce the production of secretions. To promote lung volume expansion. To prevent mechanical ventilator malfunction. Question 5 The RN is assessing a patient with pneumonia who is reporting chest pain during inspiration and expiration. Which assessment data would be associated with this symptom? Muffled heart sounds. Expiratory wheeze. Absent breath sounds. Pleural friction rub. Question 6 – Hinkle 611 The RN assesses a patient admitted to the Emergency Department following a motor vehicle accident. The RN notes a paradoxical chest rise, multiple bruises across the chest and torso, crepitus and tachypnea. Which intervention will the RN anticipate that the patient will need first? Administration of analgesics Stabilization of the airway. Insertion of a chest tube. Application of a chest binder. Question 7 Which patient would the RN identify as being at increased risk for aspiration? The patient with a non functioning nasogastric tube. The patient in a side lying position following an endoscopy. The patient with a tube feeding with the head of the bed at a 45 degree angle. The patient with an endotracheal tube with a cuff pressure of 25 cm H2O. Question 8 – Hinkle 620 Chart 24-4 The patient diagnosed with chronic obstructive pulmonary disease (COPD) is being discharged on a new medication, budesonide (Pulmicort), which is administered by a metered dose inhaler. Place the steps below in the order that the RN should use to instruct the patient in the correct use of a metered dose inhaler. 1 Shake the inhaler. 2 Position the inhaler 1 to 2 inches away from the open mouth 3 Breathe in slowly and deeply while pressing on the inhaler. 4 Hold your breath for a few seconds and then exhale. 5 Rinse mouth. Question 9 – Hinkle 936 Which information should the RN provide when educating a patient with chronic obstructive pulmonary disease (COPD) that is prescribed two metered dose inhalers, salmeterol and fluticasone? Wait at least one minute between each medication. Self-administer the bronchodilator last. Exhale through the device after administering the medication. Rinse the mouth after administering each medication. Question 10 Which outcome is most appropriate for the nursing diagnosis Activity intolerance for the patient with chronic obstructive pulmonary disease (COPD)? The patient will: Drink at least 2,500 mL of water each day. Ambulate 100 feet without experiencing dyspnea Demonstrate purse lip breathing. Shower immediately after waking up in the morning. Question 11 The RN observes the unlicensed assistive personnel (UAP) removing the nasal cannula from the