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The nurse has just received arterial blood gas (ABG) results on four
patients. Which result is most important to report rapidly to the
health care provider?
A. pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
B. pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95%
C. pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98%
D. pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96% -
Answers:-D.
A nurse is teaching a client who is beginning fluticasone
propionate/salmeterol therapy. Which of the following instructions
should the nurse include?
a. Take the drug as needed for acute asthma.
b. Follow a low-sodium diet.
c. Use an alternate-day dosing schedule.
d. Increase weight-bearing activity. -Answers:-d. Increase weight-
bearing activity.
,A nurse is caring for a client who is having difficulty mobilizing thick
respiratory secretions. Which of the following drugs should the
nurse expect to administer to the client?
a. Ipratropium
b. Beclomethasone
c. Acetylcysteine
d. Azelastine -Answers:-c. Acetylcysteine
A nurse is caring for a client who is taking codeine. The nurse should
identify that which of the following assessments is priority to make?
a. Blood pressure
b. Apical heart rate
c. Respirations
d. Level of consciousness -Answers:-c. Respirations
A nurse is teaching a client about the use of antihistamines to treat
allergic rhinitis. The nurse should explain that these drugs are
effective because they perform which of the following actions?
, a. Decrease viscosity of nasal secretions
b. Block H2 receptors
c. Prevent histamine from binding to receptors
d. Reduce nasal congestion -Answers:-c. Prevent histamine from
binding to receptors
Legal restrictions apply to the purchase of pseudoephedrine
(Sudafed) because of which of the following risks?
a. Respiratory depression
b. Drug abuse
c. Drug tolerance
d. Rebound congestion -Answers:-b. Drug abuse
A nurse is teaching a client about the use of mucolytic to treat a
cough. The nurse should include that a mucolytic has which of the
following therapeutic effects?
a. Suppresses the cough stimulus
b. Reduces inflammation
c. Thins and loosens mucus