NURS1212 Modules 3 & 4 1460C-LASTEST REVIEWED QUESTIONS AND ANSWERS 2023-24   1. What is the most relevant technique for the nurse to use when assessing a client for dyspnea? A. Checking oxygen saturation by pulse oximetry B. Asking the client about whe

NURS1212 Modules 3 & 4 1460C-LASTEST REVIEWED QUESTIONS AND ANSWERS 2023-24   1. What is the most relevant technique for the nurse to use when assessing a client for dyspnea? A. Checking oxygen saturation by pulse oximetry B. Asking the client about whether any breathlessness is present. C. Observing the client’s rate, depth, and ease of inhalation and exhalation D. Comparing previous respiratory assessment information with current data 2. Which action has the highest priority for the nurse caring for a client with facial trauma who has new-onset restlessness? A. Assessing for bleeding on the drip mustache dressing B. Providing ventilation with a manual resuscitation bag C. Preparing the next dose of prescribed pain medication D. Applying oxygen 3. The nurse has just received the report on a group of clients. Which client is the nurse’s first priority? A. A 30-year-old with acute asthma who has an oxygen saturation of 89% by pulse oximetry. B. A 40-year-old was admitted 3 hours ago for a scheduled thoracentesis in 30 minutes. C. A 55-year-old was bronchogenic lung cancer who returned from a bronchoscopy 4 hours ago. D. A 68-year-old with pleural effusion who has decreased breath sounds at the right base. 4. The nurse is caring for a client who underwent a bronchoscopy performed under moderate sedation an hour ago. Which action will the nurse delegate to assistive personnel (AP) at this time? A. Auscultate breath sounds B. Determine the level of consciousness C. Assist with urinal or bedpan use for elimination. D. Offer clear liquids to moisten mucous membranes 5. Which blood gas value indicates to the nurse that a client is experiencing hypercarbia? A. pH = 7.33 B. Bicarbonate = 20 mEq/L C. D. PaO2 = 80 mm Hg 6. Which action will the nurse teach an older client with a respiratory problem to make as an accommodation to promote adequate gas exchange? A. Avoid any nonessential physical activity or exercise. B. If you must walk any distance in cool weather move quickly to keep warm. C. Replace at least one meal each day with a high-calorie liquid food supplement. D. Notify your primary health care provider at the first sign of respiratory infection. 7. What is the priority action for the nurse to take when a client comes to the emergency department with extremely labored breathing and a history of asthma that is unresponsive to prescribed inhalers? A. Preparing the client for intubation B. Establishing IV access to give emergency medications. C. Placing the client in a high-Fowler position, and starting oxygen D. Asking the client how long he or she has had asthma and what triggered this attack 8. Which statement made by a client prescribed a reliever drug inhaler for asthma indicates to the nurse the correct understanding of this therapy? A. “I will keep this inhaler with me at all times.” B. “Reliever drugs are needed to prevent asthma attacks.” C. “At night, I will be sure to store the inhaler in a cool, dry place.” D. “If I forget a dose, I will use the inhaler as soon as I remember it.” 9. Which outcome indicates to the nurse that oxygen therapy for the client with chronic obstructive pulmonary disease (COPD) who has hypoxemia and hypercarbia is effective? A. PCO2 is within normal range. B. Finger clubbing has resolved. C. Client reports decreased distress. D. 10. Which action will the nurse teach a client with chronic bronchitis to use to mobilize secretions? A. Avoiding triggers that cause coughing B. Elevating the head of the bed 45 degrees C. Drinking at least 2 L of fluid daily D. Assuming the tripod position as often as possible 11. Which action is most important for a nurse to take to prevent complications for a client with a history of chronic obstructive pulmonary disease (COPD) is admitted for a surgical procedure that is unrelated to the respiratory system? A. Assessing the client’s respiratory system every 8 hours B. Monitoring for signs and symptoms of pneumonia C. Instructing the client to use a tissue when coughing or sneezing D. Ensuring the client remains in bed for a full 24 hours after surgery 12. Which features will the nurse expect to be present in a client who has long-term chronic obstructive pulmonary disease? (Select all that apply.) A. Poor gas exchange from decreased alveolar surface area B. Increased anteroposterior chest diameter from air-trapping C. Arterial blood gas value with increased PaO2 level D. E. Respiratory acidosis with a low pH F. Increased eosinophil count 13. Which actions or behaviors represent to the nurse that a client is engaging in secondary cancer prevention practices? (Select all that apply.) A. Having a mole removed from the neck B. Obtaining a colonoscopy every 5 years C. Eating a diet high in fiber and low in animal fat D. Getting a mammogram or breast MRI annually E. Having a health checkup, including chest x-ray, annually F. Electing to have both ovaries removed a person who has a BRCA2 mutation 14. Which conditions does the nurse teach a client are some of the seven warning signs of cancer? (Select all that apply.) A. Menstrual bleeding that has decreased B. Thickening of breast tissue in one area C. Indigestion regardless of food type eaten D. Increased pigmentation with deeper coloring in a mole E. Difficulty starting the stream of urine for the past 6 months F. Heavy nosebleeds independent of trauma to the nasal mucosa 15. Which warning signs of cancer would the nurse specifically teach in a wellness course directed to a group of older adults? (Select all that apply.) A. Chronic diarrhea B. Severe heartburn C. Curd-like vaginal discharge D. Difficulty swallowing with meals E. Persistent hoarseness F. Loss of skin turgor 16. The nurse is caring for a client with end-stage ovarian cancer who needs clarification on the purpose of palliative surgery. Which outcome will the nurse teach the client is the goal of palliative surgery? A. Cure of the cancer