Exam (elaborations) NURS 1103 PASSPOINT RESPIRATORY

NURS 1103 PASSPOINT RESPIRATORY A client with asthma has been taking theophylline as ordered. Now, the client's blood theophylline level is 4.8 mcg/ml. Which dosage change will the physician order? You Selected:  Maintain the dose. Correct response:  Increase the dose. Explanation: Remediation: Question 2 See full question A nurse notices that a client admitted for exacerbation of chronic obstructive pulmonary disease is short of breath. The client has signed an advance directive indicating that he doesn't want to be resuscitated. The nurse should: You Selected:  not provide any care. Correct response:  check the client's oxygen saturation. Explanation: Remediation: Question 3 See full question The nurse is teaching a client who will be undergoing a lung resection. The client is told that two chest tubes will be placed during surgery. The nurse explains that the purpose of the lower chest tube is to: You Selected:  remove air. Correct response:  remove fluid. Explanation: Remediation: Question 4 See full question The nurse is planning to teach the client how to properly use a metered-dose inhaler to treat asthma. The nurse should tell the client to: NURS 1103 PASSPOINT RESPIRATORY You Selected:  cough and deep-breathe before inhaling the medication. Correct response:  rinse the mouth after each use of a steroid inhaler. Explanation: Question 5 See full question The nurse has administered aminophylline to a client with emphysema. The medication is effective when there is: You Selected:  efficient pulmonary circulation. Correct response:  relaxation of smooth muscles in the bronchioles. Explanation: Question 6 See full question An adolescent with cystic fibrosis has been hospitalized several times. On the latest admission, the client has labored respirations, fatigue, malnutrition, and failure to thrive. Which initial nursing actions are most important? You Selected:  applying an oximeter and initiating respiratory therapy Correct response:  applying an oximeter and initiating respiratory therapy Explanation: Remediation: Question 7 See full question After a total laryngectomy, the client has a feeding tube. The feeding tube is effective if the tube feedings: You Selected:  prevent fistula formation. Correct response:  meet the fluid and nutritional needs of the client. Explanation: Remediation: Question 8 See full question A client with bacterial pneumonia is to be started on IV antibiotics. Which diagnostic tests must be completed before antibiotic therapy begins? You Selected:  red blood cell count Correct response:  sputum culture Explanation: Remediation: Question 9 See full question The nurse assesses the respiratory status of a client who is experiencing an exacerbation of chronic obstructive pulmonary disease (COPD) secondary to an upper respiratory tract infection. Which findings is expected? You Selected:  coarse crackles and rhonchi Correct response:  coarse crackles and rhonchi Explanation: Remediation: Question 10 See full question A client is prescribed metaproterenol via a metered-dose inhaler, two puffs every 4 hours. The nurse instructs the client to report which adverse effect? You Selected:  decreased pulse rate Correct response:  irregular heartbeat Explanation: Question 11 See full question A client who underwent a lobectomy and has a water-seal chest drainage system is breathing with a little more effort and at a faster rate than 1 hour ago. The client's pulse rate is also increased. The nurse should: You Selected:  check the tubing to ensure that the client is not lying on it or kinking it. Correct response:  check the tubing to ensure that the client is not lying on it or kinking it. Explanation: Remediation: Question 12 See full question Which action should the nurse anticipate in a client who has been diagnosed with acute respiratory distress syndrome (ARDS)? You Selected:  use of a nasal cannula Correct response:  mechanical ventilation Explanation: Remediation: Question 13 See full question When performing the Heimlich maneuver on a conscious adult victim, the rescuer delivers inward and upward thrusts specifically: You Selected:  above the umbilicus. Correct response:  below the xiphoid process and above the umbilicus. Explanation: Remediation: Question 14 See full question While reviewing the arterial blood gas values of a client with emphysema, the nurse should identify which PaCO2 values as indicating the need for immediate intervention? You Selected:  80 mm Hg Correct response:  80 mm Hg Explanation: Remediation: Question 15 See full question An expected outcome of theophylline ethylenediamine when administered to a client with chronic obstructive pulmonary disease is: You Selected:  strengthen myocardial contractions. Correct response:  relax bronchial smooth muscle. Explanation: Question 16 See full question After suctioning a client’s tracheostomy tube, the nurse waits a few minutes before suctioning again. The nurse should use intermittent suction primarily to help prevent: You Selected:  depriving the client of sufficient oxygen supply. Correct response:  depriving the client of sufficient oxygen supply. Explanation: Remediation: Question 17 See full question Which assessment finding puts a client at increased risk for epistaxis? You Selected:  History of nasal surgery Correct response:  Cocaine use Explanation: Remediation: Question 18 See full question A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on continuous mechanical ventilation. Which equipment is most important for the nurse to keep at this client's bedside? You Selected:  Oxygen analyzer Correct response:  Manual resuscitation bag Explanation: Remediation: Question 19 See full question A client is receiving supplemental oxygen. When determining the effectiveness of oxygen therapy, which arterial blood gas value is most important? You Selected:  Bicarbonate (HCO3 –) Correct response:  Partial pressure of arterial oxygen (PaO2) Explanation: Remediation: Question 20 See full question A client with influenza is admitted to an acute care facility. The nurse monitors the client closely for complications. What is the most common complication of influenza? You Selected:  Pulmonary edema Correct response:  Pneumonia Explanation: Remediation: Question 21 See full question A home health nurse is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition? You Selected:  Delirium Correct response:  Hypoxia Explanation: Remediation: Question 22 See full question The amount of air inspired and expired with each breath is called: You Selected:  vital capacity. Correct response:  tidal volume. Explanation: Remediation: Question 23 See full question For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan? You Selected:  Keeping the collection chamber at chest level Correct response:  Measuring and documenting the drainage in the collection chamber Explanation: Remediation: Question 24 See full question Before weaning a client from a ventilator, which assessment parameter is the most important for the nurse to obtain? You Selected:  Electrocardiogram (ECG) results Correct response:  Baseline arterial blood gas (ABG) levels Explanation: Remediation: Question 25 See full question A nurse provides care for a client receiving oxygen from a nonrebreather mask. Which nursing intervention has the highest priority? You Selected:  Posting a "No smoking" sign over the client's bed Correct response:  Assessing the client's respiratory status, orientation, and skin color Explanation: Remediation: Question 26 See full question A nurse is developing a teaching plan for a client with asthma. Which teaching point has the highest priority? You Selected:  Avoid goose down pillows. Correct response:  Take ordered medications as scheduled. Explanation: Remediation: Question 27 See full question During the insertion of a rigid scope for bronchoscopy, a client experiences a vasovagal response. The nurse should expect: You Selected:  the client to experience bronchodilation. Correct response:  a drop in the client's heart rate. Explanation: Remediation: Question 28 See full question When caring for a client with acute respiratory failure, the nurse should expect to focus on resolving which set of problems? You Selected:  Hypotension, hyperoxemia, and hypercapnia Correct response:  Hypercapnia, hypoventilation, and hypoxemia Explanation: Remediation: Question 29 See full question Which intervention is most appropriate for a client with an arterial blood gas (ABG) of pH 7.5, a partial pressure of arterial carbon dioxide (PaCO2) of 26 mm Hg, oxygen (O2) saturation of 96%, bicarbonate (HCO3-) of 24 mEq/L, and a PaO2 of 94 mm Hg? You Selected:  Administer an ordered decongestant. Correct response:  Instruct the client to breathe into a paper bag. Explanation: Remediation: Question 30 See full question Which statement by the mother of a neonate diagnosed with bronchopulmonary dysplasia (BPD) indicates effective teaching? You Selected:  "My baby may have seizures later on in life because of this condition." Correct response:  "My baby may require long-term respiratory support." Explanation: Remediation: Question 31 See full question What is an expected outcome for an adult client with well-controlled asthma? You Selected:  Temperature remains lower than 100° F (37.8° C). Correct response:  Breath sounds are clear. Explanation: Remediation: Question 32 See full question When attempting to check the pupils of a client scheduled to receive general anesthesia, the nurse notices that the client has trouble tilting the head back. What is the primary concern related to this finding? You Selected:  The client is at risk for postoperative neck pain. Correct response:  The client is at risk for difficult intubation. Explanation: Remediation: Question 33 See full question A nurse is caring for a client with pneumonia who was prescribed ceftriaxone oral suspension 600 mg once daily. The medication label indicates that the strength is 125 mg/5 ml. How many milliliters of medication would the nurse pour to administer the correct dose? Record your answer as a whole number. Your Response:  24 Correct response:  24 Explanation: Remediation: Question 34 See full question Which of the following may occur with respiratory acidosis? You Selected:  Decreased pulse Correct response:  Increased intracranial pressure (ICP) Explanation: Remediation: Question 35 See full question A client with emphysema is at a greater risk for developing what acid–base imbalance? You Selected:  Chronic metabolic acidosis Correct response:  Chronic respiratory acidosis Explanation: Remediation: Question 36 See full question The nurse is caring for a client with chronic obstructive pulmonary disease. The client reports that he is having difficulty breathing and is feeling fatigued. The nurse realizes that this client is at high risk for which condition? You Selected:  Respiratory acidosis Correct response:  Respiratory acidosis Explanation: Remediation: Question 37 See full question The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) and experiencing respiratory acidosis. The decrease in pH exists because the client's lungs: You Selected:  are unable to exchange oxygen and carbon dioxide. Correct response:  are not able to blow off carbon dioxide. Explanation: Remediation: Question 38 See full question Upon analysis of a client's arterial blood gas results, the nurse determines that the concentration of carbon dioxide and hydrogen ions are elevated and the oxygen in the arterial blood is decreased. What respiratory assessment findings would the nurse anticipate to observe in a client with these arterial blood gas results? You Selected:  Decrease in rate and depth of respirations Correct response:  Increase in rate and depth of respirations Explanation: Remediation: Question 39 See full question A nurse recognizes that a client with tuberculosis needs further teaching when the client states: You Selected:  "It will be necessary for the people I work with to take medication." Correct response:  "It will be necessary for the people I work with to take medication." Explanation: Remediation: Question 40 See full question A Spanish-speaking client admitted with tuberculosis notes, through an interpreter, concerns about paying for needed medications. The nurse should: You Selected:  collaborate with the social worker to investigate possible availability of funds. Correct response:  collaborate with the social worker to investigate possible availability of funds. Explanation: Question 41 See full question Which registered nurse should be assigned to the client who had a chest tube inserted yesterday? You Selected:  A registered nurse that use to work on the cardiovascular unit Correct response:  A registered nurse that use to work on the cardiovascular unit Explanation: Question 42 See full question The nurse is aware that the best position for a client with impaired gas exchange is what? You Selected:  High Fowler's Correct response:  High Fowler's Explanation: Remediation: Question 43 See full question The nurse is assessing a client who has a chest tube connected to a water-seal chest tube drainage system. According to the illustration shown, what should the nurse do? You Selected:  Notify the health care provider (HCP) of the amount of chest tube drainage. Correct response:  Lower the drainage system to maintain gravity flow. Explanation: Remediation: Question 44 See full question The nurse is suctioning a client’s tracheobronchial tree. Identify the area to which the nurse should advance the catheter. You Selected:  Your selection and the correct area, market by the green box. Explanation: Remediation: Question 45 See full question A client returns from a laryngectomy and begins to cough violently, dislodging the tracheostomy tube. What is the priority action of the nurse? You Selected:  Assess the client’s oxygen saturation and notify the healthcare provider. Correct response:  Mask ventilate the client and prepare for orotracheal intubation when the healthcare provider arrives. Explanation: Remediation: Question 46 See full question A nurse is caring for a client with influenza who becomes agitated and restless. Which of the following is the priority nursing action? You Selected:  Assess the client’s level of consciousness Correct response:  Assess the client’s lungs and check the oxygen saturation Explanation: Question 47 See full question A client with chronic obstructive pulmonary disease (COPD) has developed tachypnea, dyspnea, and oxygen saturation (SaO2) of 90%. Which of the following actions by the nurse is most appropriate? You Selected:  Place the client in the Trendelenburg position Correct response:  Assist the client to sit in a chair and lean slightly forward with hands on the knees Explanation: Remediation: Question 48 See full question A nurse is reviewing orders for a client having an acute asthma attack. Which of the following medications should the nurse administer? You Selected:  Triamcinolone two puffs per metered-dose inhaler Correct response:  Albuterol 2.5 mg per nebulizer Explanation: Remediation: Question 49 See full question The nurse assesses that a client is restless in the immediate postoperative period. The nurse should first: You Selected:  apply wrist restraints. Correct response:  administer oxygen. Explanation: Question 50 See full question A client has had a central venous pressure line inserted. The nurse should immediately report which sign to the health care provider (HCP)? You Selected:  sharp pain on the affected side Correct response:  sharp pain on the affected side Question 1 See full question After receiving an oral dose of codeine for an intractable cough, a client asks the nurse, "How long will it take for this drug to work?" How should the nurse respond? You Selected:  4 hours Correct response:  30 minutes Explanation: Question 2 See full question A competent client requiring long-term mechanical ventilation privately tells a nurse that he/she wants the ventilator withdrawn. Which response by the nurse is best? You Selected:  "You're asking us to do something we can't do." Correct response:  "Tell me how you are feeling." Explanation: Remediation: Question 3 See full question A nurse preparing to administer medications on the respiratory floor is using the computerized medication-dispensing system. Her password isn't working. The nurse should: You Selected:  override the machine and deliver the medications. Correct response:  ask computer support to reset her password