NURS 618 EXAM 2 QUESTIONS WITH
COMPLETE SOLUTIONS
An older adult woman with a long history of COPD is admitted with progressive
| | | | | | | | | | | | |
shortness of breath and a constant cough. she is anxious and is complaining of a
| | | | | | | | | | | | | | |
dry mouth. Which intervention should the nurse implement?
| | | | | | |
a. Administer a prescribed sedative
| | | |
b. Apply a high flow venturi mask
| | | | | |
c. Assist her to an upright position
| | | | | |
d. Encourage client to drink water
| | | | |
c. Assist her to an upright position
| | | | | |
A client with history of asthma and bronchitis arrives at the clinic with shortness
| | | | | | | | | | | | | |
of breath, productive cough with thickened, tenacious mucus, and
| | | | | | | |
the inability to walk up a flight of stairs without experiencing breathlessness.
| | | | | | | | | | |
What action is most important for the nurse to instruct the client about self-care?
| | | | | | | | | | | | |
a. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
b. Avoid crowded enclosed areas to reduce pathogen exposure
| | | | | | | |
c. Teach anxiety reduction methods for feelings of suffocation
| | | | | | | |
d. Call the clinic if undesirable side effects of medications occur
| | | | | | | | | |
a. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
A client who is newly diagnosed with emphysema is being discharged. What
| | | | | | | | | | | |
instruction is best for the nurse to provide to assist the client in self-
| | | | | | | | | | | | |
management of dyspnea? | |
a. Use a humidifier to increase home air quality humidity between 30% to 50%
| | | | | | | | | | | | |
b. Practice inhaling through the mouth and exhaling slowly through pursed lips
| | | | | | | | | | |
,c. Strengthen abdominal muscles by alternating leg raises during exhalation
| | | | | | | | |
d. Allow additional time to complete physical activities to reduce oxygen demand
| | | | | | | | | | |
d. Allow additional time to complete physical activities to reduce oxygen demand
| | | | | | | | | | |
The nurse is caring for a client with cor-pulmonale. The nurse should monitor the
| | | | | | | | | | | | | |
client for which expected finding.
| | | |
a. Ascites and hepatomegaly
| | |
b. Elevated temperature and respiratory rate
| | | | |
c. Complaints of chest pain and confusion
| | | | | |
d. Clubbing of the fingers and cyanosis of mucous membrane
| | | | | | | | |
A. Ascites and hepatomegaly
| | |
The nurse teaches pursed lip breathing to a client who is newly diagnosed with
| | | | | | | | | | | | | |
chronic obstructive pulmonary disease (COPD). The nurse reinforces that this
| | | | | | | | |
technique will assist respiration by which mechanism?
| | | | | |
a. promoting maximal inhalation
| | |
b. increasing the respiratory rate and giving the client control of respiratory
| | | | | | | | | | | |
patterns
c. loosening secretions so that they may be coughed up more easily
| | | | | | | | | | |
d. preventing bronchial collapse and air trapping in the lungs during exhalation
| | | | | | | | | | |
d. preventing bronchial collapse and air trapping in the lungs during exhalation
| | | | | | | | | | |
The nurse is caring for a client who underwent rhinoplasty and monitoring for
| | | | | | | | | | | | |
signs of postoperative bleeding. Which of the following should the nurse do first
| | | | | | | | | | | | |
to detect signs of postoperative bleeding:
| | | | |
a. Assess the oropharynx for excessive swallowing, which may indicate bleeding &
| | | | | | | | | | |
draining into oropharynx
| | |
b. Check CBC
| |
c. Check the vital sings
| | | |
d. Teach the client to sleep on one pillow and check the SpO2
| | | | | | | | | | | |
, a. Assess the oropharynx for excessive swallowing, which may indicate bleeding &
| | | | | | | | | | |
draining into oropharynx
| | |
The nurse is caring for the client diagnosed with bacterial pneumonia. When
| | | | | | | | | | | |
developing a plan of care for the client, which action should the nurse do first?
| | | | | | | | | | | | | |
a. provide for adequate rest period
| | | | |
b. teach slow abdominal breathing
| | | |
c. assess respiratory rate and depth
| | | | |
d. administer oxygen as prescribed
| | | |
c. assess respiratory rate and depth
| | | | |
The nurse is caring for a client diagnosed with a pneumothorax who had chest
| | | | | | | | | | | | | |
tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-
| | | | | | | | | | | | |
seal compartment of the closed chest drainage system. Which action should the
| | | | | | | | | | | |
nurse implement first?
| |
a. Check tubing for kinks
| | | |
b. Milk the chest tube
| | | |
c. Clamp the tubing to check for a link
| | | | | | | |
d. Instruct the client to cough
| | | | |
a. Check tubing for kinks
| | | |
When collecting a sample from a disposable three-chamber water-seal drainage
| | | | | | | | | |
system, the nurse should obtain the sample from:
| | | | | | |
a. The suction chamber
| | |
b. The collection chamber that has a rubberized port with a one-way valve
| | | | | | | | | | | |
c. The water seal chamber
| | | |
d. The chest tube insertion site
| | | | |
b. The collection chamber that has a rubberized port with a one-way valve
| | | | | | | | | | | |
A client with a productive cough has obtained a sputum specimen for culture as
| | | | | | | | | | | | | |
instructed. What is the best initial nursing action?
| | | | | | |
COMPLETE SOLUTIONS
An older adult woman with a long history of COPD is admitted with progressive
| | | | | | | | | | | | |
shortness of breath and a constant cough. she is anxious and is complaining of a
| | | | | | | | | | | | | | |
dry mouth. Which intervention should the nurse implement?
| | | | | | |
a. Administer a prescribed sedative
| | | |
b. Apply a high flow venturi mask
| | | | | |
c. Assist her to an upright position
| | | | | |
d. Encourage client to drink water
| | | | |
c. Assist her to an upright position
| | | | | |
A client with history of asthma and bronchitis arrives at the clinic with shortness
| | | | | | | | | | | | | |
of breath, productive cough with thickened, tenacious mucus, and
| | | | | | | |
the inability to walk up a flight of stairs without experiencing breathlessness.
| | | | | | | | | | |
What action is most important for the nurse to instruct the client about self-care?
| | | | | | | | | | | | |
a. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
b. Avoid crowded enclosed areas to reduce pathogen exposure
| | | | | | | |
c. Teach anxiety reduction methods for feelings of suffocation
| | | | | | | |
d. Call the clinic if undesirable side effects of medications occur
| | | | | | | | | |
a. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
A client who is newly diagnosed with emphysema is being discharged. What
| | | | | | | | | | | |
instruction is best for the nurse to provide to assist the client in self-
| | | | | | | | | | | | |
management of dyspnea? | |
a. Use a humidifier to increase home air quality humidity between 30% to 50%
| | | | | | | | | | | | |
b. Practice inhaling through the mouth and exhaling slowly through pursed lips
| | | | | | | | | | |
,c. Strengthen abdominal muscles by alternating leg raises during exhalation
| | | | | | | | |
d. Allow additional time to complete physical activities to reduce oxygen demand
| | | | | | | | | | |
d. Allow additional time to complete physical activities to reduce oxygen demand
| | | | | | | | | | |
The nurse is caring for a client with cor-pulmonale. The nurse should monitor the
| | | | | | | | | | | | | |
client for which expected finding.
| | | |
a. Ascites and hepatomegaly
| | |
b. Elevated temperature and respiratory rate
| | | | |
c. Complaints of chest pain and confusion
| | | | | |
d. Clubbing of the fingers and cyanosis of mucous membrane
| | | | | | | | |
A. Ascites and hepatomegaly
| | |
The nurse teaches pursed lip breathing to a client who is newly diagnosed with
| | | | | | | | | | | | | |
chronic obstructive pulmonary disease (COPD). The nurse reinforces that this
| | | | | | | | |
technique will assist respiration by which mechanism?
| | | | | |
a. promoting maximal inhalation
| | |
b. increasing the respiratory rate and giving the client control of respiratory
| | | | | | | | | | | |
patterns
c. loosening secretions so that they may be coughed up more easily
| | | | | | | | | | |
d. preventing bronchial collapse and air trapping in the lungs during exhalation
| | | | | | | | | | |
d. preventing bronchial collapse and air trapping in the lungs during exhalation
| | | | | | | | | | |
The nurse is caring for a client who underwent rhinoplasty and monitoring for
| | | | | | | | | | | | |
signs of postoperative bleeding. Which of the following should the nurse do first
| | | | | | | | | | | | |
to detect signs of postoperative bleeding:
| | | | |
a. Assess the oropharynx for excessive swallowing, which may indicate bleeding &
| | | | | | | | | | |
draining into oropharynx
| | |
b. Check CBC
| |
c. Check the vital sings
| | | |
d. Teach the client to sleep on one pillow and check the SpO2
| | | | | | | | | | | |
, a. Assess the oropharynx for excessive swallowing, which may indicate bleeding &
| | | | | | | | | | |
draining into oropharynx
| | |
The nurse is caring for the client diagnosed with bacterial pneumonia. When
| | | | | | | | | | | |
developing a plan of care for the client, which action should the nurse do first?
| | | | | | | | | | | | | |
a. provide for adequate rest period
| | | | |
b. teach slow abdominal breathing
| | | |
c. assess respiratory rate and depth
| | | | |
d. administer oxygen as prescribed
| | | |
c. assess respiratory rate and depth
| | | | |
The nurse is caring for a client diagnosed with a pneumothorax who had chest
| | | | | | | | | | | | | |
tubes inserted four (4) hours ago. There is no fluctuating (tidaling) in the water-
| | | | | | | | | | | | |
seal compartment of the closed chest drainage system. Which action should the
| | | | | | | | | | | |
nurse implement first?
| |
a. Check tubing for kinks
| | | |
b. Milk the chest tube
| | | |
c. Clamp the tubing to check for a link
| | | | | | | |
d. Instruct the client to cough
| | | | |
a. Check tubing for kinks
| | | |
When collecting a sample from a disposable three-chamber water-seal drainage
| | | | | | | | | |
system, the nurse should obtain the sample from:
| | | | | | |
a. The suction chamber
| | |
b. The collection chamber that has a rubberized port with a one-way valve
| | | | | | | | | | | |
c. The water seal chamber
| | | |
d. The chest tube insertion site
| | | | |
b. The collection chamber that has a rubberized port with a one-way valve
| | | | | | | | | | | |
A client with a productive cough has obtained a sputum specimen for culture as
| | | | | | | | | | | | | |
instructed. What is the best initial nursing action?
| | | | | | |
