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A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking
theophylline. The nurse should instruct the client to monitor for which of the following findings as an
adverse effect of the medication?
Tachycardia
A nurse is reinforcing teaching with the parent of a school-age child who has a new diagnosis of asthma.
Which of the following responses should the nurse make?
Repeat back to me what to do if your child has trouble breathing
A nurse is reinforcing teaching about self-management strategies with a client who has emphysema.
Which of the following client statements indicates that the client understands the instructions?
"I will follow a diet high in calories and protein"
A nurse is caring for a client who has COPD. Which of the following actions should the nurse take?
Encourage the client to drink 8 glasses of water a day
A nurse is providing care to a client who has COPD and is receiving supplemental oxygen. Which of the
following findings should the nurse report to the RN immediately?
Speaks in short phrases
A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using
beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor
and report to the provider as an adverse effect of the medication?
White coating in the mouth
A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following medications
should the nurse instruct the child to use to abort an ongoing attack?
Albuterol
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to
suction. Which of the following actions should the nurse take?
Maintain the drainage container below the level of the client's chest
A nurse is collecting data from a school-age child who has asthma. The nurse should identify which of
the following findings?
, Periodic episodes of wheezing
A nurse is assessing a client who has asthma and signs of central cyanosis. Which of the following is a
reliable indicator of cyanosis?
oral mucosa
A nurse is planning home care for a school-age child who is awaiting discharge to home following an
acute asthma attack. Which of the following growth and development stages according to Erickson
should the nurse consider in the planning?
Industry vs inferiority
A nurse collecting data from a client who has a right hemothorax and water-seal chest tube drainage
system to closed suction. For while of the following findings should the nurse contact the charge nurse?
Subcutaneous emphysema is present on the client's right chest wall.
A nurse is caring for a client who has three-chamber closed chest tube system. Which of the following
should the nurse do after noticing a rise in the water seal with client inspiration?
Continue to monitor the client
A nurse is caring for a client who reports shortness of breath. The nurse notices that the client has
decreased movement of the chest wall and absent breath sounds on the right side. The nurse should
suspect which of the following conditions?
Pleural effusion
A nurse caring for a client who has a chest tube to water-seal drainage plans to straighten the client's
bed linens, rub her back, and assist her to reposition in bed. For which of the following purposes should
the nurse perform these actions for this client?
To modify the client's perception of pain
A nurse is reinforcing teaching with the parents of a preschool-age child who has asthma and a
prescription for montelukast chewable tablets. Which of the following statements by a parent indicates
understanding of the teaching?
"I will have my child chew the tablet every evening"
A nurse applies wrist restraints to a client who is confused and attempting to pull out a chest tube.
Which of the following actions should the nurse take?
Document what less-restrictive interventions she tried
A nurse is caring for a client who has COPD. Which of the following nursing actions should the nurse
take?