NurseHisHcaringHforHanHolderHclientHwithHCOPDHandHpneumonia.HWhichHofHtheHfollowingHacid-
baseHimbalancesHshouldHtheHnurseHmonitorHfor?H-HCORRECTHANSWERH--
respiratoryHacidosisHd/tHinabilityHtoHexhaleHcarbonHdioxideHd/tHlossHofHelasticHlungHrecoil
AHnurseHisHpreparingHtoHadministerHcisplatinHIVHtoHclientHwHlungHcancer.HtheHnurseHshouldHmentio
nHthatHwhichHofHtheHfollowingHfindingsHisHanHadverseHeffectHofHthisHmediciation?H-
HCORRECTHANSWERH-Tinnitus!
AHnurseHisHpreparingHtoHassistHaHproviderHtoHdrawHarterialHbloodHfromHclient'sHradialHarteryHtoHme
asureHABG's.HWhichHofHtheHfollowingHactionsHshouldHnurseHtake?H-HCORRECTHANSWERH-
performHanHallenHtestH(toHdetermineHcirculationHtoHhandHisHadequateHfromHulnarHarteryHinHcaseHra
dialHarteryHisHinjuredHfromHbloodHdraw)HbeforeHobtainingHspecimen
theHnurseHshouldHalsoHapplyHpressureHforH5-10HminHafterHneedleHwithdrawnHd/tHriskHofHbleeding
AHnurseHisHprovidingHinstructionsHaboutHpursed-
lipHbreathingHforHclientHwithHCOPD/emphysema.HNurseHshouldHexplainHthatHthisHbreathingHtechni
queHaccomplishesHwhichHofHtheHfollowing?H-HCORRECTHANSWERH--
promotesHcarbonHdioxideHeliminationHd/tHslowingHclient'sHpaceHofHbreathingHandHreleasingHtrapp
edHairHinHlungsHbyHprolongingHexhalation
AHnurseHisHpreparingHaHclientHforHthoracentesis.HInHwhichHofHtheHfollowingHpositionsHshouldHtheHn
urseHplaceHtheHclient?H-HCORRECTHANSWERH-
sittingHwhileHleaningHfwdHoverHbedsideHtableHtoHmaximizeHspaceHbtwnHclient'sHribsHandHallowHforH
aspirationHofHaccumulatedHfluid/air
NurseHonHmedical-
surgicalHunitHisHcaringHforHaHclientHpostoperativeHfollowingHaHhipHreplacement.HClientHreportsHfeeli
ngHapprehensive/restless.HWhichHofHtheHfollowingHfindingsHshouldHnurseHrecognizeHasHindicativeH
ofHpulmHembolism?H-HCORRECTHANSWERH-
suddenHonsetHofHdyspneaHd/tHreducedHperfusionHtoHlungs
, NurseHisHplanningHcareHforHclientHwithHCOPDHandHmalnutrition.HWhichHofHtheHfollowingHshouldHnu
rseHinclude?H-HCORRECTHANSWERH-eatHhigh-
calorieHfoodsHfirstHbcHtheseHclientsHoftenHgetHfullHquickly
NurseHdevelopingHteachingHplanHforHclientHabHpreventingHacuteHasthmaHattacks.HWhichHofHtheHfoll
owingHpointsHshouldHnurseHdiscussHfirst?H-HCORRECTHANSWERH-
client'sHperceptionHofHdiseaseHprocessHandHwhatHmightHhaveHtriggeredHpastHattacks
AHnurseHisHinHaHprovider'sHofficeHandHassessingHaHclientHwhoHstatesHheHwasHrecentlyHexposedHtoHTB
.HWhichHofHtheHfollowingHisHaHclinicalHmanifestationHofHpulmHTB?H-HCORRECTHANSWERH-
nightHsweatsHandHfevers
NurseHisHplanningHforHaHclientHfollowingHchestHtubeHplacementH1hrHago.HWhichHofHtheHfollowingHa
ctionsHshouldHnurseHincludeHinHPOC?H-HCORRECTHANSWERH-
tapeHallHconnectionsHbtwnHchestHtuubeHandHdrainageHsysHinHorderHtoHensureHsysHisHairtight/preve
ntingHtubeHfromHdisconnecting
NurseHonHmedHunitHisHcaringHforHclientHwhoHaspiratedHgastricHcontentsHbefore.HWhichHisHaHs/sHofHA
RDSH(acuteHrespHdistressHsyndrome)?H-HCORRECTHANSWERH-PaO2H50mmHgH(lowHlvlHevenHwHO2)
WhichHofHtheHfollowingHmeasuresHvolumeHofHairHlungsHcanHholdH@HendHofHmaxHinhalation?H-
HCORRECTHANSWERH-totalHlungHcapacity
WhichHofHtheHfollowingHdischargeHinstructionsHshouldHbeHgivenHtoHclientHrecoveringHfromHrhinopl
asty?H-HCORRECTHANSWERH-
lieHonHbackHwHheadHelevatedH30HdegreesHwhenHrestingHtoHpreventHaspirationHofHnasalHsecretions
NurseHinHEDHassessingHclientHforHpnuemothorax.HWhichHisHaHs/s?H-HCORRECTHANSWERH-
diminishedHorHabsentHbreathHsounds
baseHimbalancesHshouldHtheHnurseHmonitorHfor?H-HCORRECTHANSWERH--
respiratoryHacidosisHd/tHinabilityHtoHexhaleHcarbonHdioxideHd/tHlossHofHelasticHlungHrecoil
AHnurseHisHpreparingHtoHadministerHcisplatinHIVHtoHclientHwHlungHcancer.HtheHnurseHshouldHmentio
nHthatHwhichHofHtheHfollowingHfindingsHisHanHadverseHeffectHofHthisHmediciation?H-
HCORRECTHANSWERH-Tinnitus!
AHnurseHisHpreparingHtoHassistHaHproviderHtoHdrawHarterialHbloodHfromHclient'sHradialHarteryHtoHme
asureHABG's.HWhichHofHtheHfollowingHactionsHshouldHnurseHtake?H-HCORRECTHANSWERH-
performHanHallenHtestH(toHdetermineHcirculationHtoHhandHisHadequateHfromHulnarHarteryHinHcaseHra
dialHarteryHisHinjuredHfromHbloodHdraw)HbeforeHobtainingHspecimen
theHnurseHshouldHalsoHapplyHpressureHforH5-10HminHafterHneedleHwithdrawnHd/tHriskHofHbleeding
AHnurseHisHprovidingHinstructionsHaboutHpursed-
lipHbreathingHforHclientHwithHCOPD/emphysema.HNurseHshouldHexplainHthatHthisHbreathingHtechni
queHaccomplishesHwhichHofHtheHfollowing?H-HCORRECTHANSWERH--
promotesHcarbonHdioxideHeliminationHd/tHslowingHclient'sHpaceHofHbreathingHandHreleasingHtrapp
edHairHinHlungsHbyHprolongingHexhalation
AHnurseHisHpreparingHaHclientHforHthoracentesis.HInHwhichHofHtheHfollowingHpositionsHshouldHtheHn
urseHplaceHtheHclient?H-HCORRECTHANSWERH-
sittingHwhileHleaningHfwdHoverHbedsideHtableHtoHmaximizeHspaceHbtwnHclient'sHribsHandHallowHforH
aspirationHofHaccumulatedHfluid/air
NurseHonHmedical-
surgicalHunitHisHcaringHforHaHclientHpostoperativeHfollowingHaHhipHreplacement.HClientHreportsHfeeli
ngHapprehensive/restless.HWhichHofHtheHfollowingHfindingsHshouldHnurseHrecognizeHasHindicativeH
ofHpulmHembolism?H-HCORRECTHANSWERH-
suddenHonsetHofHdyspneaHd/tHreducedHperfusionHtoHlungs
, NurseHisHplanningHcareHforHclientHwithHCOPDHandHmalnutrition.HWhichHofHtheHfollowingHshouldHnu
rseHinclude?H-HCORRECTHANSWERH-eatHhigh-
calorieHfoodsHfirstHbcHtheseHclientsHoftenHgetHfullHquickly
NurseHdevelopingHteachingHplanHforHclientHabHpreventingHacuteHasthmaHattacks.HWhichHofHtheHfoll
owingHpointsHshouldHnurseHdiscussHfirst?H-HCORRECTHANSWERH-
client'sHperceptionHofHdiseaseHprocessHandHwhatHmightHhaveHtriggeredHpastHattacks
AHnurseHisHinHaHprovider'sHofficeHandHassessingHaHclientHwhoHstatesHheHwasHrecentlyHexposedHtoHTB
.HWhichHofHtheHfollowingHisHaHclinicalHmanifestationHofHpulmHTB?H-HCORRECTHANSWERH-
nightHsweatsHandHfevers
NurseHisHplanningHforHaHclientHfollowingHchestHtubeHplacementH1hrHago.HWhichHofHtheHfollowingHa
ctionsHshouldHnurseHincludeHinHPOC?H-HCORRECTHANSWERH-
tapeHallHconnectionsHbtwnHchestHtuubeHandHdrainageHsysHinHorderHtoHensureHsysHisHairtight/preve
ntingHtubeHfromHdisconnecting
NurseHonHmedHunitHisHcaringHforHclientHwhoHaspiratedHgastricHcontentsHbefore.HWhichHisHaHs/sHofHA
RDSH(acuteHrespHdistressHsyndrome)?H-HCORRECTHANSWERH-PaO2H50mmHgH(lowHlvlHevenHwHO2)
WhichHofHtheHfollowingHmeasuresHvolumeHofHairHlungsHcanHholdH@HendHofHmaxHinhalation?H-
HCORRECTHANSWERH-totalHlungHcapacity
WhichHofHtheHfollowingHdischargeHinstructionsHshouldHbeHgivenHtoHclientHrecoveringHfromHrhinopl
asty?H-HCORRECTHANSWERH-
lieHonHbackHwHheadHelevatedH30HdegreesHwhenHrestingHtoHpreventHaspirationHofHnasalHsecretions
NurseHinHEDHassessingHclientHforHpnuemothorax.HWhichHisHaHs/s?H-HCORRECTHANSWERH-
diminishedHorHabsentHbreathHsounds