Complete Solution
/. A nurse is providing teaching for a client who has a new prescription for an incentive
spirometer. Which of the following instructions should the nurse include? - Answer-
✅"Use the incentive spirometer every hour while awake."
/.A nurse is planning to measure the cardiac output of a client who had a myocardial
infarction. Which of the following data should the nurse use to calculate the client's
cardiac output? - Answer-✅Stroke volume
/.A nurse is caring for a client who requires 1 L of oxygen. Which of the following oxygen
delivery devices should the nurse expect to us? - Answer-✅Nasal cannula
/.A nurse is reviewing the medical history of a client who has heart disease and a
narrowed valve. Which of the following findings should the nurse expect? - Answer-
✅Stenosis
/.A nurse is assessing a client who is receiving oxygen therapy. The nurse should
identify that which of the following findings can indicate oxygen toxicity? - Answer-
✅Ringing in the ears
/.A nurse is suctioning a client's tracheostomy using an open system. Which of the
following actions should the nurse take? - Answer-✅Administer 100% oxygen before
the procedure
/.A nurse caring for a client who has a chest tube. Which of the following actions should
the nurse take - Answer-✅Monitor the client for subcutaneous emphysema
/.A nurse is providing teaching for a client who has a prescription for home oxygen.
Which of the following instructions should the nurse include? - Answer-✅1. Post a "No
smoking" sign inside the home
2. Attach oxygen containers to a fixed object
3. Notify the fire department that oxygen is used in the home
/.A nurse is explaining the sequence of electrical conduction in the heart to a newly
licensed nurse. What should the nurse include as the correct sequence of the
transmission of electrical impulses? - Answer-✅- SA node
- AV node
- Bundle of His
, - Right and left bundle branches
- Purkinje fibers
/.A nurse is teaching a client who has an abdominal incision about coughing and deep
breathing. In which order should the nurse instruct the client to perform the following
steps? - Answer-✅1. Take a deep breath
2. Hold your breath for several seconds
3. Exhale slowly
4. Brace the incision with a pillow and try to cough deeply
/.A nurse is planning care for a group of clients on a cardiopulmonary unit. Which of the
following clients should the nurse plan to see first? - Answer-✅A client who reports
dyspnea when walking to the bathroom
/.A nurse is performing chest percussion therapy on a client. Which of the following
actions should the nurse take? - Answer-✅Listen for a hollow sound when performing
chest percussion therapy
/.A nurse is obtaining a health history from a client. Which of the following findings
should the nurse identify as risk factors for heart disease? - Answer-✅- A diet high in
saturated fats
- A history of smoking for 25 years
- A sedentary lifestyle
/.A nurse is caring for a client who has a history of asthma and is wheezing. Which of
the following actions should the nurse take first? - Answer-✅Obtain the oxygen
saturation
/.A nurse is caring for a client who has left-sided heart failure. Which of the following
findings should the nurse expect? - Answer-✅Crackles in the lungs
/.A nurse is discussing ventilation and perfusion withe a newly licensed nurse. The
nurse should include in the discussion that the exchange oof oxygen and carbon dioxide
occurs at which of the following locations? - Answer-✅Alveoli
/.A nurse is providing teaching for a client who has a new prescription for a continuous
positive airway pressure (CPAP) machine to treat obstructive sleep apnea. Which of the
following statements should the nurse include? - Answer-✅"Cover your nose with the
CPAP mask".
/.A nurse is assessing a client who is being discharged. The nurse notes the client has a
regular and quiet breathing. The nurse should identify this breathing pattern as which of
the following? - Answer-✅Normal breathing