
The nurse is caring for a client with recurrent hemoptysis who has undergone a bronchoscopy. Immediately following the procedure, the nurse should complete which action?
Ensure the client remains moderately sedated to decrease anxiety
Offer the client ice chips
Instruct the client that bed rest must be maintained for 2 hours
Assess the client for a cough reflex
What are the possible complications in a patient with pulmonary embolism?
Right ventricular failure
Cardiogenic shock
Septic shock
Both A and B.
The nurse is preparing to educate the client on how to perform incentive spirometry. Which concepts should the nurse include?
Incentive spirometry provides visual reinforcement of deep breathing
The client should forcefully exhale into the incentive spirometer and continue to exhale until unable to continue
Decrease oxygen saturation is expected during the first few minutes of incentive spirometry
Proper, frequent use of incentive spirometry can improve pulmonary circulation
Which of the following are goals of chest physiotherapy (CPT)
Dislodge mucus and remove bronchial secretions
Help Breathe for the client
Remove Bronchial Secretions
Increase efficiency of the respiratory muscles
Gas exchange between the lungs and blood, and between the blood and tissues is called
Respiration
Diffusion
Ventilation
Gas Exchange
The movement of air in and out of the airways is referred to as
Respiration
Diffusion
Ventilation
Gas Exchange
Which of the following is NOT a common source of transmission for Hepatitis A? Select all that apply:
Water
Food
Semen
Blood
The nurse is educating a patient who has been treated for hepatic encephalopathy about dietary restrictions to prevent ammonia accumulation. What should the nurse include in the teaching?
Decrease the amount of fats in the diet
Increase the amount of potassium in the diet
Decrease the amount of protein in the diet
Increase the amount of magnesium in the diet
Liver Function Tests do not reveal abnormal results until ____ of the liver is damaged
80%
70%
90%
60%
Ruptured Esophageal Varices are the most common single cause of death in patients with cirrhosis
If a client continues to hypoventilate, the nurse will continually assess for a complication of:
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Acidosis
Metabolic Alkalosis
A nurse is caring for a client with pulmonary edema whose respiratory status is declining. Chronologically arrange the nursing interventions to prioritize care. All options must be used.
Position the client upright at a 45-degree angle
Insert an indwelling catheter
Prepare suctioning equipment at the bedside
Administer furosemide 40 mg IV State
Call the healthcare provider
Initiate oxygen via nasal cannula at 2 L/min
Mr. Brown, a 25-year-old man with a drug overdose, has been maintained on a volume-cycled ventilator for 3 weeks. Which of the following indicates the patient is experiencing hypoxia and hypoxemia
Cyanosis & Shallow Breaths
Tachycardia & tachypnea
Bradycardia & bradypnea
Loss of consciousness, confusion
Who performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for how long?
0 to 5 seconds
30-35 seconds
10-15 seconds
20-25 seconds
The nurse is caring for a client who is scheduled for a bronchoscopy. The nurse understands that it is important to provide the required information and appropriate explanations for any diagnostic procedure to a client with a respiratory disorder in a way that
Manages decreased energy levels
Ensures adequate rest periods
Aid in the client's caregivers
Manages respiratory distress
The client diagnosed with a pulmonary embolus is being discharged. Which intervention should the nurse discuss with the client? Select all that apply.
Increase fluid intake to 2 to 3 L/day.
Eat a low-sodium, low-fat diet.
Avoid being around large crowds.
Receive pneumonia and flu vaccines.
Stop smokin
Which nursing interventions should the nurse implement for the client diagnosed with a pulmonary embolus undergoing thrombolytic therapy? Select all that apply.
Keep protamine sulfate readily available.
Avoid applying pressure to venipuncture sites.
Assess for overt and covert signs of bleeding.
Avoid invasive procedures and injections.
Administer stool softeners as ordered.
The client is suspected of having a PE. Which diagnostic test suggests the presence of a pulmonary embolus and requires further investigation?
Plasma D-dimer test.
Arterial blood gases.
Chest x-ray (CXR).
Magnetic resonance imaging (MRI).
The male client diagnosed with CKD received the initial dose of erythropoietin 1 week ago. Which report by the client indicates the need to notify the health-care provider (HCP)?
The client reports flu-like symptoms.
The client reports flu-like symptoms.
The client reports an elevation in his blood pressure.
The client reports discomfort in his legs and back.
The client diagnosed with AKI is experiencing hyperkalemia. Which medication should the nurse prepare to administer to help decrease the potassium level?
Erythropoietin
Calcium Gluconate
Regular Insulin
Osmotic Diuretic
The client is admitted to the emergency department after a gunshot wound to the abdomen. Which nursing intervention should the nurse implement first to prevent AKI?
. Administer normal saline IV.
Take vital signs.
Place the client on telemetry.
Assess abdominal dressing.
The client diagnosed with AKI is placed on bedrest. The client asks the nurse, âWhy do I have to stay in bed? I donât feel bad.â Which scientific rationale supports the nurseâs response?
Bedrest helps increase the blood return to the renal circulation.
Bedrest reduces the metabolic rate during the acute stage.
Bedrest decreases the workload of the left side of the heart.
Bedrest decreases the workload of the left side of the heart.
The nurse writes the problem âimbalanced nutrition: less than body requirementsâ for the client diagnosed with hepatitis. Which intervention should the nurse include in the plan of care?
Provide a high-calorie intake diet.
Discuss total parenteral nutrition (TPN).
Instruct the client to decrease salt intake.
Encourage the client to increase water intake.
The client is diagnosed with AKI. Which clinical manifestations indicate to the nurse the client is in the recovery period? Select all that apply.
Increased alertness and no seizure activity.
Increase in hemoglobin and hematocrit.
Denial of nausea and vomiting.
Decreased urine-specific gravity.
Increased serum creatinine level.
The UAP tells the nurse the client diagnosed with CKD has a white crystal-like layer on top of the skin. Which intervention should the RN implement?
Have the assistant apply a moisture barrier cream to the skin.
Instruct the UAP to bathe the client in cool water.
Tell the UAP not to turn the client in this condition.
Tell the UAP not to turn the client in this condition.
The nurse caring for a client diagnosed with CKD writes a client problem of ânoncompliance with dietary restrictions.â Which intervention should be included in the plan of care?
Teach the client the proper diet to eat while undergoing dialysis.
Refer the client and significant other to the dietitian.
Explain the importance of eating the proper foods.
Determine the reason for the client not adhering to the diet.
The client diagnosed with CKD is receiving peritoneal dialysis. Which assessment data warrant immediate intervention by the nurse?
Inability to auscultate a bruit over the fistula.
The clientâs abdomen is soft, is nontender, and has bowel sounds.
The dialysate being removed from the clientâs abdomen is clear.
The dialysate instilled was 1,500 mL and removed was 1,500 mL.
The client diagnosed with a pulmonary embolus is being discharged. Which intervention should the nurse discuss with the client? Select all that apply.
Increase fluid intake to 2 to 3 L/day.
Eat a low-sodium, low-fat diet.
Avoid being around large crowds.
Receive pneumonia and flu vaccines.
Stop smoking.
The two-pack-a-day cigarette smoker develops ARDS after a near-drowning. The client asks the nurse, âWhat is happening to me? Why did I get this?â Which statement by the nurse is most appropriate?
âMost people develop ARDS after a near-drowning.â
âPlatelets and fluid enter the alveoli due to permeability instability.â
âYour lungs are filling up with fluid, causing breathing problems.â
âSmoking has caused your lungs to become weakened, so you got ARDS.â
The client diagnosed with ARDS is in respiratory distress, and the ventilator is malfunctioning. Which intervention should the nurse implement first?
Notify the respiratory therapist immediately.
Ventilate with a manual resuscitation bag.
Request STAT arterial blood gases.
Auscultate the clientâs lung sounds.