Complex Health NR 341 Practice Questions Test 1

Nurse is caring for an older client with COPD and pneumonia. Which of the following acid-base imbalances should the nurse monitor for? -Correct Answers -respiratory acidosis d/t inability to exhale carbon dioxide d/t loss of elastic lung recoil A nurse is preparing to administer cisplatin IV to client w lung cancer. the nurse should mention that which of the following findings is an adverse effect of this mediciation? -Correct Answers Tinnitus! A nurse is preparing to assist a provider to draw arterial blood from client's radial artery to measure ABG's. Which of the following actions should nurse take? -Correct Answers perform an allen test (to determine circulation to hand is adequate from ulnar artery in case radial artery is injured from blood draw) before obtaining specimen the nurse should also apply pressure for 5-10 min after needle withdrawn d/t risk of bleeding A nurse is providing instructions about pursed-lip breathing for client with COPD/emphysema. Nurse should explain that this breathing technique accomplishes which of the following? -Correct Answers -promotes carbon dioxide elimination d/t slowing client's pace of breathing and releasing trapped air in lungs by prolonging exhalation A nurse is preparing a client for thoracentesis. In which of the following positions should the nurse place the client? -Correct Answers sitting while leaning fwd over bedside table to maximize space btwn client's ribs and allow for aspiration of accumulated fluid/air Nurse on medical-surgical unit is caring for a client postoperative following a hip replacement. Client reports feeling apprehensive/restless. Which of the following findings should nurse recognize as indicative of pulm embolism? -Correct Answers sudden onset of dyspnea d/t reduced perfusion to lungs Nurse is planning care for client with COPD and malnutrition. Which of the following should nurse include? -Correct Answers eat high-calorie foods first bc these clients often get full quickly This study source was downloaded by from CourseH on 12-13-2022 13:19:26 GMT -06:00 Nurse developing teaching plan for client ab preventing acute asthma attacks. Which of the following points should nurse discuss first? -Correct Answers client's perception of disease process and what might have triggered past attacks A nurse is in a provider's office and assessing a client who states he was recently exposed to TB. Which of the following is a clinical manifestation of pulm TB? -Correct Answers night sweats and fevers Nurse is planning for a client following chest tube placement 1hr ago. Which of the following actions should nurse include in POC? -Correct Answers tape all connections btwn chest tuube and drainage sys in order to ensure sys is airtight/preventing tube from disconnecting Nurse on med unit is caring for client who aspirated gastric contents before. Which is a s/s of ARDS (acute resp distress syndrome)? -Correct Answers PaO2 50mmHg (low lvl even w O2) Which of the following measures volume of air lungs can hold @ end of max inhalation? -Correct Answers total lung capacity Which of the following discharge instructions should be given to client recovering from rhinoplasty? -Correct Answers lie on back w head elevated 30 degrees when resting to prevent aspiration of nasal secretions Nurse in ED assessing client for pnuemothorax. Which is a s/s? -Correct Answers diminished or absent breath sounds Nurse teaching a client with a tuberculin skin test, which of the following info should they include? -Correct Answers you must return to the clinc within 2-3 days to have test read Nurse is teaching about daily chest physiotherapy with client who has cystic fibrosis. Which is the purpose of the treatments? -Correct Answers -to mobiilze secretions in airways Which of the following findings is indicative of prodromal stage of inhalation anthrax? -Correct Answers dry cough - difficult to distinguish from influenza/pneumonia at this stage Nurse is caring for client w inflated cuff. Which indicates nurse should suction client's airway? -Correct Answers nurse auscultates coarse crackles in lung fields Nurse is teaching a client ab to undergo pneumonectomy, client states they're scared of cough pains after surgery. Which response is most This study source was downloaded by from CourseH on 12-13-2022 13:19:26 GMT -06:00 appropriate? -Correct Answers I will show you how to split your incision while coughing Nurse notes a crackling sensation when palpating right side of client's chest, after notifying provider the nurse should document this finding as which of the following? -Correct Answers crepitus - subcutaneous emphysema, coarse crackling nurse can feel upon palpation. can indicate air leak into subq tissue/often clinical manifestation of pneumothora