ATI CONCEPTS 2 GAS EXCHANGE

ATI CONCEPTS 2 GAS EXCHANGE A nurse is caring for a client who has a chest tube inserted for a pneumothorax. Which of the following actions should the nurse take? Tape the connections on the client's chest tube A nurse is collecting data for a client who has COPD. The nurse should expect the client's chest to be which of the following shapes? Barrel A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first? Albuterol A nurse is reinforcing teaching about use of a metered-dose inhaler with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. 1. shake the canister 3 to 5 seconds vigorously 2. place her lips firmly around the mouthpiece 3. inhale slowly over 3 to 5 seconds while pushing down the canister 4. hold her breath for 10 seconds 5. exhale slowly through pursed lips A nurse is reinforcing teaching for a client who has COPD. Which of the following statements by the client indicates a need for further teaching? "I will drink plenty of beverages with my meals." A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for Salmeterol. Which of the following instructions should the nurse include? "This medication will provide long-term control of your asthma symptoms" A nurse is collecting data from a client who is experiencing an acute exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect? PaCO2 48 mm Hg A nurse is caring for a client who has a hemothorax following a motor-vehicle crash. The client has a chest tube connected to a closed drainage system. When assisting the client out of bed to a chair, which of the following actions should the nurse take? Keep the drainage system below the level of the chest A nurse is assisting with the plan of care for a client who has a new deep-vein thrombosis in his leg. Which of the following interventions should the nurse include in the plan? Keep the client's affected leg elevated A nurse is caring for a client who has been admitted with asthma exacerbation and is experiencing increased wheezing and has an oxygen saturation of 91%. The client is scheduled for his next breathing treatment in 1 hour. Which of the following actions should the nurse take? Instructing respiratory therapy to administer a PRN albuterol aerosol A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider? Abdomen is distended A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? Dyspnea, barrel chest, clubbing of the fingers, shallow respirations A nurse is an urgent care center is caring for a client who is having an acute asthma exacerbation. After administering high-flow oxygen, which of the following actions is the nurse's highest priority? Administer a short-acting beta-adrenergic medication A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metereddose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching? The spacer increases the amount of medication delivered to the lungs A nurse is reinforcing teaching with a client who is to start taking montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching? "I'll take this medication once a day in the evening." A nurse is contributing to the plan of care for a client who has COPD. Which of the following interventions should the nurse include in the plan of care? Instruct the client to use pursed-lip breathing A nurse is planning care for a client who has a deep-vein thrombosis (DVT) in the right leg. Which of the following interventions should be included in the plan of care?