bakasakali Flashcards
Nurse Murphy administer albuterol (proventil), as prescribed, to client with emphysema. which finding indicates that the drug is producing a therapeutic effects?
a. Respiratory rate of 22 breath/minute
b. Dilated and reactive pupils
c. Urine output of 40 ml/hour
d. Heart rate of 100 beats/minute
a. Respiratory rate of 22 breath/minute
What is normal pH range for arterial blood?
a. 7 to 7.49
b. 7.35 to 7.45
c. 7.50 to 7.60
d. 7.55 to 7. 65
b. 7.35 to 7.45
Before weaning a male client from a ventilator, which assessment parameter is most important for nurse to review?
a. Fluid intake for the last 24 hours
b. Base arterial blood gas
(ABG) level
c. Prior outcomes of weaning
d. Electrocardiogram (ECG) results
b. Base arterial blood gas
(ABG) level
which of the following would be most appropriate for male client with an arterial blood gas (ABG)Bof pH 7.5, PaC02 26 mm Hg, 02 saturation 96% HCO3 24mEq/L and Pao2 94 mm Hg?
a. Administer a prescribed decongestant.
b. Instruct the client to breathe into paper bag
c. Offer the client fluids frequently
d. Administer prescribed supplemental oxygen
b. Instruct the client to breathe into paper bag
a female client is receiving supplemental oxygen. when determining the effectiveness of the oxygen theraphy, Which arterial blood gas value is most important
a. pH
b. Bicarbone (HC03)
c. Partial pressure of arterial oxygen (Pa02)
d. Partial pressure of arterial carbon dioxide (PaCO2)
c. Partial pressure of arterial oxygen (Pa02)
Nurse Julia is caring for a client who has a tracheostomy and temperature of 100F (39.4 C ) Which of the following interventions will most like lower the client’s arterial blood oxygen saturation
a. Endotracheal Suctioning
b. Encouragement of coughing
c. Use of Cooling blankit
d. Stripping the chest tube every level
a. Endotracheal Suctioning
For male client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the plan of care
a. Measuring and documenting the drainage in the collection Chamber
b. Maintaining continunuos bubling in the water-seal chamber
c. Keeping the collection chamber at chest level
d. stripping the chest tube every hour
a. Measuring and documenting the drainage in the collection Chamber
Nurse Eve formulates a nursing diagnosis of activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instruct the client to avoid conditions that increase oxygen demands. Such condition include:
a. drinking more than 1,500 ml of luid daily
b. being overweight.
c. eating a high-protein snack at bedtime.
d. eating more than three large meals a day
b. being overweight.
a black male client with asthma seeks emergency care for acute respiratory distress. because of the client’s dark skin, the nurse should assess for cyanosis by inspecting the:
a. lips
b. mucous membranes
c. nail beds
d. earlobes
b. mucous membranes
a female client with asthma is receiving a theophylline preparation to promote bronchodilation. because of the risk of drug toxicity, the nurse must monitor the client’s serum theophylline level closely. the nurse knows that the therapeutic theophylline cocencentration falls within which range?
a. 1 to 2 mcg/ml
b. 2 to 5 mcg/ml
c. 5 to 10 mcg/ml
d. 10 to 20 mcg/ml
d. 10 to 20 mcg/ml
a male client is to receive I.V. vancomycin (Vancocin). When preparing to administer this drug, the nurse should keep in mind that:
a. vancomycin should be infused over 60 to 90 minutes in a large volume of fluid
b. vancomycin may cause irreversible neutropenia
c. vancomycin should br administered repidly in large volume of fluid
d. vancomycin should be administered over 1 to 2 minutes as an I.V. bolus
a. vancomycin should be infused over 60 to 90 minutes in a large volume of fluid
before seeing a newly assigned female client with respiratory alkalosis, the nurse quickly reviews the client’s medical history, Which condition is predisposing factor for respiratory alkosis?
a. Myasthenia gravis
b. Type 1 diabetes mellitus
c. extreme anxiety
d. Narcotic overdose
c. extreme anxiety
pulmonary disease (COPD) which nursing action best promotes adequate gas exchange
a encourage the client to drink three glasses of fluid daily
b. keeping the client in semi-flowler’ position
c. using a high-flow venturi mask to deliver oxygen as prescribed
d. administering a sedative as prescribed
c. using a high-flow venturi mask to deliver oxygen as prescribed
at 11 p. a male client is admitted to the emergency department. he has a respiratory rate 44, he’s anxious and wheezes are audible. the client is immediately given oxygen by face mask and methylprednisolone (depo-medrol)
I.V. at 11:30 pm the client arterial blood oxygen saturation is 86% and still wheezing. the nursing should plan to do administer
a. alprazolam (Xanax)
b. propranolol (Inderal)
c. morphine
d. Albuterol (Proventil)
d. Albuterol (Proventil)
nurse joana is teaching a client with empjysema hoe to perform pursed-lip breathing. the client asks the nurse to explain purpose of this breathing technique. which explanation should the nurse provide?
a. It helps prevent early airway collpase
b. It increase inspiratory muscle strength
c. It decrease use of accessory breathing muscles
d. it prolongs the inspiratory phase respiratory
a. It helps prevent early airway collpase
