SureThing Flashcards
The nurse is caring for a male client with chest tube. If the chest drainage system is accidentally disconnected, What should the nurse plan to do
a. Place the end of the chest tube in containner of sterile saline
b. Apply an occlusive dressing and notify the physician
c. Clamp the chest tube immediately
d. Secure the chest tube with tape
a. Place the end of the chest tube in containner of sterile saline
a male elderly client is admitted to an acute care facility with influenza. The nurse monitors the client closely for complications. What is the most common complication of influenza?
a. Septicemia
b. Pneumonia
c. Meningitis
d. Pulmonary
b. Pneumonia
A female client has a tracheostomy but doesn’t require continuous mechanical ventilation. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for:
a. 15 to 60 seconds
b. 5 to 20 minutes
c. 30 to 40 minutes
d. 45 to 60 minutes
b. 5 to 20 minutes
Gina a home health nurse is visiting a home care client with advanced lung cancer. upon assessing the client, the nurse discover wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition?
a. Hypoxia
b. delirium
c. Hyperventilation
d. semiconconsciousness
a. Hypoxia
A male client with Guillain-Barre syndrome develops respiratory acidosis as a result of reduced alveolar ventilation. Which combination of arterial blood gas (ABG) values confirms respiratory acidosis?
a. pH 5.0 PaCo2 30 mm Hg
b. pH 7.40; PaCO2 35 mm Hg
c. pH 7.35; PaC02 40 mm Hg
d. pH 7.25; PaCO2 5O mm Hg
d. pH 7.25; PaCO2 5O mm Hg
A female client with interstial lung disease is prescribed prednisone (Deltasone) to control inflammation. During client teaching, the nurse stresses the importance of taking prednisone exactly as prescribed and cautions against discontinuing the drug abruptly. A client who discontinues prednisone abruptly may experience:
a. hyperglycemia and glycosuria
b. acute adrenocortical insufficiency
c. GI bleeding
d. restlessness and seizures
b. acute adrenocortical insufficiency
A male client is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this client?
a. Activity intolerance related to fatigue
b. Anxiety related to actual threat to health status
c. Risk for infection related to retained secretions
d. Impared gas exchange related to airflow obstruction
d. Impared gas exchange related to airflow obstruction
A male client abruptly sits up in bed, reports having difficulty breathing and has am arterial oxygen saturation of 88% Which mode of oxygen delivery would most likely reverse the manifesstations?
a. Simple mask
b. Non-rebreather mask
c. Face tent
d. Nasal canulla
b. Non-rebreather mask
A Male adult client with cystic fibrosis is admitted to an acute care facility with an acute respiratory infection. Prescribed respiratory treatment includes chest physiotherapy. When should the nurse perform this procedure?
a. Immediately before a meal
b. At least 2 hours after a meal
c. When bronchospasms occur
d. When secretions have mobilized
b. At least 2 hours after a meal
On arrival at the intensive care unit, a critically ill female client suffers respiratory arrest and is placed on mechanical ventilation. the physician orders pulse oximetry to monitor the client’s arterial oxygen saturation (SaO2) noninvasively. Which vital sign abnormality may alter pulse oximetry values?
a. helping him communicate
b. Tachypnea
c. Tachycardia
d. Hypotension
d. Hypotension
The nurse is caring for male client who recently underwent a tracheostomy. The first prioty when caring for a client with a tracheostomy is:
a. helping him communicate.
b. keeping his airway patent
c. encouraging him to perform activities of daily living
d. preventing him from developing an infection.
b. keeping his airway patent
For a male client with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway?
a. Restricting fluid intake to 100ml/day
b. Enforcing absolute bed rest
c. Teaching the client how to perform controlled coughing
d. Administering prescribed sedatives regularly and in large amounts
c. Teaching the client how to perform controlled coughing
The amount of air inspired and expired with each breath is called:
a. tidal volume
b. residual volume
c. vitual capacity
d. dead-space volume
a. tidal volume
A male client with pneumonia develops respiratory failure and has partial pressure of arterial oxygen of 55 mm Hg. He’s placed in mechanical ventilation with a fraction of inspired oxygen (FIO2) OF 0.9 The nursing goal should be to reduce the FIO2 to no greater then
a. 021
b. 0.35
c. 0.5
d. O.7
c. 0.5
Nurse mickey is administering a purified protein derivative (PPD) test to a homeless client. Which of the following statements concerning PPD testing is true?
a. a positive reaction indicates that the client has active tuberculosis (TB)
b. A postive reactive indicates that the client has been exposed to the disease
c. A negative reaction always excludes the diagnosis of TB
d. The PPD can be read with 12 hours after the injection.
b. A postive reactive indicates that the client has been exposed to the disease
