ATI Respiratory Practice Questions & Answers(SCORED A)

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. What instructions should the nurse provide? -ANSWER Rinse the mouth after administration. Rationale: Use of glucocorticoids by metered dose inhaler can allow a fungal overgrowth in the mouth. Rinsing the mouth after administration can lessen the likelihood of this complication. A nurse is teaching a client who has a new diagnosis of asthma. What medications should the nurse instruct the client to use to abort an acute asthma attack? -ANSWER Albuterol. Rationale: Albuterol is an inhaled short-acting beta2 agonist used as a rescue medication to relieve an acute asthma attack. Albuterol dilates the airways, decreases wheezing, and improves oxygenation. A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. What room assignment should the nurse make for the client? -ANSWER A room with air exhaust directly to the outdoor environment. Rationale: A room with air exhaust directly to the outside environment eliminates contamination of other client-care areas. This type of ventilation system is referred to as an airborne infection isolation room. A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes? -ANSWER Barrel. Rationale: Clients who has COPD use accessory muscles to assist with respiratory effort. The use of those accessory muscles causes the chest wall to eventually increase in anterior-posterior diameter, making it appear barrel shaped. A nurse is a community health center is assessing the results of a tuberculin skin test she performed for a client. What result indicates exposure to and a possible infection with tuberculosis (TB)? -ANSWER 15 mm induration.