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Quiz: The nurse understands which is the cause of respiratory alkalosis?
A. hyperglycemia
b. hyperventilation
c. fluid loss
d. airway compromise
Ans: b. hyperventilation
Quiz: the nurse instructs a pt how to use an incentive spirometer. which
statement by the pt shows that teaching is effective?
a. i should take a deep breathe and blow into the mouthpiece
b. im glad i only have to do this twice a day
c. i can ask for pain medication prior to using the spirometer
d. i should lie down to use the spirometer
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, Ans: c. i can ask for pain medication prior to using the spirometer
rationale: the pt will put the mouthpiece in the mouth and close the lips tightly
around it. the pt will slowly exhale completely. the pt will then inhale slowly
and deeply to make the piston rise
Quiz: the nurse identifies which client is most at risk for developing
pneumonia?
a. a client with a urinary catheter
b. a client with an ng tube
c. a client with psoriasis
d. a client with paget disease
Ans: b. a client with an ng tube
Quiz: when assessing a client for tactile remitUs, which part of the hand does
the nurse use?
a. fingertips and finger pads
b. dorsal surface of the hand
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, c. ulnar and palmar surface of the hand
d. dorsiflexed surface of the wrist
Ans: c. ulnar and palmar surface of the hand
rationale: the nurse asks the pt to say the number "99". tactile remits is
palpable vibrations that will increase when lung consolidation exists such as
with pneumonia, and decreased with pleural effusion, pneumothorax,
bronchial obstruction or air trapping occurs
Quiz: a pt is admitted into the hospital with a diagnosis of acute right upper
lobe pneumonia. the pt has a history of chronic bronchitis. which symptom
does the nurse expect to see?
a. moist, cool skin
b. rust-colored sputum
c. bradycardia
d. decreased respiratory rate
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, Ans: b. rust-colored sputum
rationale: rust colored sputum, or blood-tinged due to inflammation is a typical
finding for pneumonia. the pt may also have increased respirations, dyspnea,
coughing, and pleuritic pain. treatment includes antibiotics, supplemental
oxygen, and chest pt. the nurse should assess breath sounds, VS including pulse
oximetry. the nurse should encourage coughing and deep breathing every 2
hours and increased fluids
Quiz: the nurse places a pulse oximetry probe on a pt. the pt asks "why do i
have this thing on me?" which response by the nurse is the best?
a. it enables your IV fluids to run
b. it monitors your pulse rate
c it tells us if your BP is within normal limits
d it measures the amount of oxygen circulating in your blood
Ans: d it measures the amount of oxygen circulating in your blood
Quiz: on the first post day, a pt developed a fever. the nurse auscultates
crackles bilaterally in the lower lobes. the nurse understands which
complication of surgery is probably developing?
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