NUR 101 Respiratory care

NUR 101 Respiratory care

• A nurse is monitoring an older adult pt following a bronchoscopy. the nurses priority is to

monitor which of the following

• Observing for confusion
• Auscultating breath sounds
• Confirming the gag reflex
• Measuring blood pressure

Answer

• Confirming the gag reflex

• A nurse is providing discharge teaching for a pt with new prescribed home oxygen via nasal

cannula. which of the following should the nurse include in the teaching? Select All That Apply

• Verify the oxygen flow rate every other day.
• Check the cannula position on a regular basis.
• Check the tops of the ears for skin breakdown.
• Post "no smoking" signs in a prominent location in the home.
• Apply petroleum ointment to nares if they become dry and irritated.

Answer

• Check the cannula position on a regular basis.

• Check the tops of the ears for skin breakdown.
• Post "no smoking" signs in a prominent location in the home.

• A nurse is caring for a pneumonia pt on 5L/min O2 via nasal cannula. which of the following

actions should the nurse take?

• Attach a humidifier bottle to the base of the flow meter.
• Remove the nasal cannula while the client eats.
• Secure the oxygen tubing to the bed sheet near the client's head.
• Apply petroleum jelly to the nares as needed to soothe mucous mem- branes.

Answer

• Attach a humidifier bottle to the base of the flow meter.

• nurse is listening to a clients breath sounds who has asthma. when the pt exhales, the nurse 1 / 3

hears a continuous high-pitched squeak. how would you document this?

• Crackles
• Rhonchi
• Stridor
• Wheezes

Answer

• Wheezes

• the nurse is assessing a pt who just returned from surgery, their O2 is 85%. what is the nurses

first action?

• Administer oxygen at 2 L/min.
• Administer prescribed analgesic medication.
• Encourage coughing and deep breathing.

• Raise the head of the bed.

Answer

• Raise the head of the bed.

• when preparing to observe someone's oxygen saturation, you notice edema of both hands and

thickens toenails, where should the nurse apply the pulse ox?

• Finger
• Earlobe
• Toe
• Skin fold

Answer

• Earlobe

• the nurse is assessing an older client whose son reports the client has had a respiratory

infection for a week. Which of the following findings is a manifestation of pneumonia in an older adult client?

• Bradycardia
• Night sweats
• Confusion 2 / 3

• Narrowed pulse pressure

Answer

• Confusion

• A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula.The nurse

explains this method delivery does which of the following?

• Delivers a constant rate of a specific concentration of oxygen
• Delivers a high concentration of oxygen
• Delivers a low concentration of oxygen

• Restricts the client's ability to eat, speak, or drink

Answer

• Delivers a low concentration of oxygen

• A nurse is providing discharge teaching for a client who requires home oxygen therapy.

Which of the following statements should the nurse identify as an indication that the client needs further teaching?

• "I will be able to tell how much oxygen I'm getting by looking at the flowmeter."
• "I should call my doctor if I find it harder to concentrate."
• "I will make sure my visitors smoke outside."
• "I will wear synthetic clothing and woolen socks when using my oxygen."

Answer

• "I will wear synthetic clothing and woolen socks when using my oxygen."

• A nurse is caring for a client who has pneumonia. Which of the following actions should

the nurse take to promote thinning of respiratory secretions?

• Encourage the client to ambulate frequently.
• Encourage coughing and deep breathing.
• Encourage the client to increase fluid intake.
• Encourage regular use of the incentive spirometer.

Answer

• Encourage the client to increase fluid intake.

• A nurse is providing discharge teaching for a client who has a new pre- scription for home
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