WITH COMPLETE SOLUTIONS VERIFIED
A patient who has been receiving intravenous fluids to increase perfusion now
has crackles in the lungs.
Which action should the nurse perform first?
A) Administer oxygen to the patient.
B) Administer the ordered short-acting beta-agonist (SABA).
C) Obtain arterial blood gases (ABGs).
D) Place the patient in high Fowler position.
D
A hairdresser whose father recently died of emphysema reports a cough lasting
several months.
Which factor should the nurse consider as contributing to the patient's
condition?
A) Residing in a rural environment
B) Workplace exposure to chemicals
, C) Recent flu vaccine
D) Early parental death from emphysema due to smoking
B
The nurse is caring for an older adult with a decreased gag reflex.
Which nursing intervention is a priority?
A) Administer oxygen at 1 L/min as ordered.
B) Have suction equipment available.
C) Administer anticholinergic medications as ordered.
D) Encourage use of incentive spirometer hourly.
B
Where should the nurse feel the strongest vibration when performing tactile
fremitus on a patient?
A) Over the trachea
B) Over the bronchioles
C) Over the alveoli
D) Over the lower half sternum
A
A patient asks, "Why do I need to have my position changed every 2 hours?"
Which response should the nurse provide?