ABGs and oxygenation

Question 1

The nurse is providing education to a client with COPD about the importance of nutrition. Which of the following would be important for the nurse to include? SATA

1. avoid spicy or gas producing food
2. eat frequent small meals
3. have a cup of hot tea with each meal
4. drink 3L of fluids per day

Answer 1

answer 1,2,4

rationale: avoiding acid reflux with ‘spicy foods, eating small meals preserves energy consumption and drinking 3L of fluid a day moves mucus

Question 1

A client is in metabolic acidosis and documents the client is experiencing kussmauls respirations. which resp patterns support the observation SATA

1. shallow resps
2. increase RR
3. abnorm slow
4. abnorm deep
5. resps that cease for several secs

Answer 1

answer 2, 4

Question 2

A client comes into the emergency department with an asthma exacerbation. they report they have been using their Salbutamol for the past 2 hours but it is not working. Which of the following assessment findings are most concerning?

1. silent breath sounds
2. audible wheezing
3. tachycardia
4. use of accessory muscles

Answer 2

answer 1

OBSTRUCTION

Question 3

the nurse has a prescription to give a client salmeterol, 2 puffs and beclomethasone 2 puffs, by inhaler which order

1. beclomethasone then salmetorol
2. salmeterol then beclomethasone

Answer 3

answer 2

bronchodilator then steroid

Question 4

A client begins therapy with theophylline. the nurse plans to teach the client to limit which items
1. coffee cola and chocolate
2. oysters lobster shrimp
3. melons oranges pineapple

Answer 4

answer 1

avoid items with xantheine

Question 5

a client has a prescription for guaifesin. the nurse determine that the client understands the proper administration when the client says

1. take extra dose if fever
2. take with meals only
3. increase water intake

Answer 5

answer 3