ATI CONCEPTS 2 GAS EXCHANGE

ATI CONCEPTS 2 GAS EXCHANGE A nurse is caring for a client who has a chest tube inserted for a pneumothorax. Which of the following actions should the nurse take? Tape the connections on the client's chest tube A nurse is collecting data for a client who has COPD. The nurse should expect the client's chest to be which of the following shapes? Barrel A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first? Albuterol A nurse is reinforcing teaching about use of a metered-dose inhaler with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. 1. shake the canister 3 to 5 seconds vigorously 2. place her lips firmly around the mouthpiece 3. inhale slowly over 3 to 5 seconds while pushing down the canister 4. hold her breath for 10 seconds 5. exhale slowly through pursed lips A nurse is reinforcing teaching for a client who has COPD. Which of the following statements by the client indicates a need for further teaching? "I will drink plenty of beverages with my meals." A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for Salmeterol. Which of the following instructions should the nurse include? "This medication will provide long-term control of your asthma symptoms" A nurse is collecting data from a client who is experiencing an acute exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect? PaCO2 48 mm Hg A nurse is caring for a client who has a hemothorax following a motor-vehicle crash. The client has a chest tube connected to a closed drainage system. When assisting the client out of bed to a chair, which of the following actions should the nurse take? Keep the drainage system below the level of the chest A nurse is assisting with the plan of care for a client who has a new deep-vein thrombosis in his leg. Which of the following interventions should the nurse include in the plan? Keep the client's affected leg elevated A nurse is caring for a client who has been admitted with asthma exacerbation and is experiencing increased wheezing and has an oxygen saturation of 91%. The client is scheduled for his next breathing treatment in 1 hour. Which of the following actions should the nurse take? Instructing respiratory therapy to administer a PRN albuterol aerosol A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider? Abdomen is distended A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? Dyspnea, barrel chest, clubbing of the fingers, shallow respirations A nurse is an urgent care center is caring for a client who is having an acute asthma exacerbation. After administering high-flow oxygen, which of the following actions is the nurse's highest priority? Administer a short-acting beta-adrenergic medication A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metereddose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching? The spacer increases the amount of medication delivered to the lungs A nurse is reinforcing teaching with a client who is to start taking montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching? "I'll take this medication once a day in the evening." A nurse is contributing 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? Instruct the client to use pursed-lip breathing A nurse is planning care for a client who has a deep-vein thrombosis (DVT) in the right leg. Which of the following interventions should be included in the plan of care? Apply compression stockings A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following prescriptions should the nurse anticipate? Albuterol via jet nebulizer A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take? Verify that the suction regulator is on A home health nurse is caring for a client who has emphysema and has difficulty with mobility. The client spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect? Increased calcium excretion A nurse is reinforcing teaching with the parent of a school-age client who has asthma about the use of a peak flow meter. Which of the following statement about the yellow zone should the nurse include in the teaching? The child should increase his routine medications The child is having an exacerbation of the asthma 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? Begin oxygen therapy A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12- lead ECG. Which of the following actions should the nurse take first? Initiate oxygen therap