LATEST VERSION 2025
side effect of cisplatin (treat multiple cancer) IV - (answer)Tinnitus
R: SE is ototoxicity
COPD w/ pneumonia - (answer)Respiratory acidosis
R: common complication of COPD. this occurs because clients who have COPD are unable to exhale CO2
due to a loss of elastic recoil in the lungs
preparing to get blood for ABGs - (answer)Perform Allen's test
R: the nurse should ensure that circulation to the hand is adequate from the ulnar a. in case the radial
injury is injured from the blood draw. the most common site for withdrawal of ABGs is radial a.
pursed lip breathing - (answer)promotes carbon dioxide elimination
R: patieint with COPD w/emphysema shoudl use pursed-lip breathing when experiencing dyspnea
preparing client for thoracentesis - (answer)sitting while leaning forward over the bedside table
R: this position maximizes the space between the clients ribs and allows for aspiration of accumulated
fluid and air
indication of pulmonary embolism - (answer)sudden onset of dyspnea
R: clinical manifestation have a rapid onset. Dyspnea occurs due to reduced blood flow to the lungs
COPD client that is malnourished - (answer)Eat high-calorie foods first