QUESTIONS WITH VERIFIED ANSWERS 2026
This can cause dehydration due to excessive fluid loss due to diaphoresis as well as
increases metabolism and demand for O2 - CORRECT ANSWER Fever
ALOC, depressed or absent cough/gag reflexes, brain injury, drug overdose, stroke
victims, immunocompromised, susceptibility to oropharyngeal secretions such as
alcoholics and anesthetized individuals. - CORRECT ANSWER Clients at High Risk
for Pneumonia
Irritability and Restlessness - CORRECT ANSWER Early sign of Cerebral Hypoxia
Bronchial Breath Sounds - CORRECT ANSWER This is heard over areas or density or
consolidation...
Tachypnea, Fever with chills, productive cough, and bronchial breath sounds. -
CORRECT ANSWER Common symptoms of pneumonia a nurse could note on
physical examination...
Encouragement of deep breathing, fluid intake increase up to 3 L/day, humidity to
loosen secretions, and suction airway to stimulate coughing. - CORRECT ANSWER
Interventions for assisting client to cough productively...
Rapid respiratory rate, lethargy, anorexia, and confusion. - CORRECT ANSWER
Symptoms of pneumonia seen in older clients...
, Deliver 100% O2 before and after each time - CORRECT ANSWER Way to prevent
hypoxia during suctioning...
Monitor client's respiratory status and secure connections, establish
communication mechanism with client, and keep airway clear by coughing and
suctioning. - CORRECT ANSWER Nursing interventions during mechanical
ventilation...
Barrel chest, dry/productive cough, decreased breath sounds, dyspnea, and
crackles in lung fields. - CORRECT ANSWER Physical findings with emphysema...
Smoking - CORRECT ANSWER Most common risk factor involved with lung
cancer...
Involve family and client in manipulation of trach equipment prior to procedure,
plan acceptable communication methods, refer to speech pathologist, and discuss
rehabilitation program. - CORRECT ANSWER Preoperative nursing care for client
undergoing laryngectomy...
Monitor fluid drainage and mark time and measurement of fluid levels, encourage
client to breathe deeply periodically, monitor client clinical status, keep all
connections tight and taped, and maintain a dry occlusive dressing on chest tube.
- CORRECT ANSWER Nursing interventions after chest tube insertion...