ATI Respiratory Questions & Answers(SCORED A+)

Pt taking albuterol what side effect should the nurse watch for? 1.Hyperkalemia 2.Dyspnea 3.Tachycardia 4.Candidasis - ANSWER3.Tachycardia RN caring for PT following Chest Tube insertion. RN should plan to have which item in the room? 1.Extra drainage System 2.Suture set 3. container of Sterile water 4.Nonadherent pads - ANSWER3. Sterile Water- should have in case tube becomes disconnected b/c place open tube in water to prevent pnuemothroax. RN assessing PT with Chest tube. Which finding needs intervention? 1. fluctuation of drainage in the tubing with inspiration. 2. Continous bubbling in the water seal chamber 3. Drainage of 75ml in 1st hr 4. Several blood clots in tubing - ANSWER2. continuous bubbling in water seal- AIR LEAK PT underwent bronchoscopy with conscious sedation. What is the priority assessment? 1. Gag reflex 2. Pain Level 3. Dehydration 4. Redness at IV site - ANSWER1. Gag reflex- Greatest risk is ASPIRATION due to depressed gag reflex. RN is to perform NG Suctioning on PT. Which should the nurse need to clairfy before performing. 1. Closed head injury and lethargic 2.Fractured femur and reporting sever pain 3.