Complex Health NR341 Questions And
Answers
Nurse is caring for an older client with COPD and pneumonia. Which of the following acid-base
imbalances should the nurse monitor for?
-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?
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?
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the nurse should also apply pressure for 5-10 min after needle withdrawn d/t risk of bleeding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?
, -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?
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?
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?
eat high-calorie foods first bc these clients often get full quickly
Nurse developing teaching plan for client ab preventing acute asthma attacks. Which of the
following points should nurse discuss first?
client's perception of disease process and what might have triggered past attacks
Answers
Nurse is caring for an older client with COPD and pneumonia. Which of the following acid-base
imbalances should the nurse monitor for?
-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?
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?
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?
, -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?
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?
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?
eat high-calorie foods first bc these clients often get full quickly
Nurse developing teaching plan for client ab preventing acute asthma attacks. Which of the
following points should nurse discuss first?
client's perception of disease process and what might have triggered past attacks
