Complete Solutions
A home health nurse visit a client who has the pneumonia and is
receiving oxygen at 2 L per minute via nasal cannula. The client
reports difficulty breathing. Which of the following actions is
the nurses priority?
A) increase the oxygen flow to 3 L per minute
B) assess the clients respiratory status
C) call emergency services for the client
D) had the client cough and expectorate the secretions Correct
Answers B) assess the clients respiratory status
The first action the nurse should take is using the nursing
process is to collect data from the client. The nurse should
immediately assess the clients respiratory status before
determining an appropriate intervention
A nurse admits a client to the emergency department who
reports nausea and vomiting that worsens when he lies down.
And acids do not help. The provider suspects acute pancreatitis.
Which of the following laboratory test should the nurse expect
to see?
A) decreased white blood cells
B) increased Serum amylase
,C) decreased serum lipase
D) increased serum calcium Correct Answers B) increased
Serum amylase
With a cute para Titus serum amylase rises within 24 hours of
the start of the clients symptoms. White blood cell count usually
elevates. Serum lipase generally elevate.
A nurse in a providers office is assessing an older adult client
who son reports that the client has been sick with a respiratory
illness for the past six days. Which of the following assessment
findings is a manifestation of pneumonia in an older adult
client?
A) Bradycardia
B) night sweats
C) Confusion
D) narrowed pulse pressure Correct Answers C) confusion
Weakness and anorexia are manifestations of pneumonia is in an
older adult client
A nurse in an emergency department is caring for a child who is
experiencing an acute asthma attack. Which of the following
medication should the nurse expect to administer?
,A) fluticasone
B) budesonide
C) montelukast
D) albuterol Correct Answers D) albuterol
This is considered a rescue medication due to its rapid onset of
action asthma is a chronic inflammatory disease of the airways.
Asthmatic episodes are associated with airflow limitations or
reversible obstruction. Albuterol is used for the treatment of
acute exaggerations of asthma by promoting bronchial dilation
and suppressing histamine release in the lungs. This medication
can be given by inhalation, orally, or in preparation. The inhaled
medication has more rapid onset of an action then the oral form
and also reduces the risk for adverse effects such as irritability,
tremors, nervousness and insomnia
A nurse in an urgent care center is caring for a client who has an
acute asthma exacerbation. Which of the following actions is the
nurses highest priority?
A) initiating oxygen therapy
B) providing immediate rest for the client
C) positioning the client in high Fowlers
D) administering a nebulized beta adrenergic Correct Answers
D) administering a nebulized beta adrenergic
, Greatest risk to the client safety is airway obstruction. Beta
adrenergic Medications act as bronchial dilator's. They provide
prompt relief to airway obstructing by relaxing bronchial are
smooth muscles and are the initial priority intervention when a
client has an acute asthma exacerbation
A nurse in the emergency department is assessing an older adult
client who has community acquired pneumonia which of the
following findings should the nurse expect?
A) equal pupils
B) hypertension
C) tympany upon chest percussion
D) confusion Correct Answers D) confusion
Confusion is due to hypoxemia
A nurse is a ministering 250 MG of antibiotic intramuscularly.
Available is 3G/ 5 mL. How many milliliters should the nurse
administer? Correct Answers 0.4mL
Desired 250 g
Have 3g
Convert units measurements