OXYGENATION nurseslabs questions

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50 terms cpconol2665qc Preview NCLEX 50 terms jaim Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnosed asthma. When teaching the patient about this drug, the nurse

should explain that it may cause:

• Nasal congestion
• Nervousness
• Lethargy
• Hyperkalemia
• nervousness

Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the

color of the drainage. In acute rhinitis, nasal drainage normally is:

• Yellow
• Green
• Clear
• Gray
• clear

Normally, nasal drainage in acute rhinitis is clear. Yellow or green drainage indicates spread of the infection to the sinuses. Gray drainage may indicate a secondary infection.

A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?

• Nausea or vomiting
• Abdominal pain or diarrhea
• Hallucinations or tinnitus
• Lightheadedness or paresthesia
• lightheadedness or paresthesia

The patient with respiratory alkalosis may complain of lightheadedness or paresthesia (numbness and tingling in the arms and legs). Nausea, vomiting, abdominal pain, and diarrhea may accompany respiratory acidosis.On auscultation, which finding suggests a right pneumothorax?

• Bilateral inspiratory and expiratory crackles
• Absence of breaths sound in the right thorax
• Inspiratory wheezes in the right thorax
• Bilateral pleural friction rub
• Absence of breath sounds in the right thorax

A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient?

• Activity intolerance related to fatigue
• Anxiety related to actual threat to health status
• Risk for infection related to retained secretions
• Impaired gas exchange related to airflow obstruction
• impaired gas exchange related to airflow obstruction

Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the:

• Contralateral side in a simple pneumothorax
• Affected side in a hemothorax
• Affected side in a tension pneumothorax
• Contralateral side in hemothorax
• contralateral side in hemothorax

In tension pneumothorax and hemothorax, accumulation of air or fluid causes a shift away from the injured side.

After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. When caring for this patient, the nurse must:

• Monitor fluctuations in the water-seal chamber
• Clamp the chest tube once every shift
• Encourage coughing and deep breathing
• Milk the chest tube every 2 hours
• encourage coughing and deep breathing

the nurse should encourage coughing and deep breathing to prevent pneumonia in the unaffected lung. Because the lung has been removed, the water-seal chamber should display no fluctuations.For a patient with advance chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?

• Encouraging the patient to drink three glasses of fluid daily
• Keeping the patient in semi-fowler's position
• Using a high-flow venturi mask to deliver oxygen as prescribe
• Administering a sedative, as prescribe
• Using a high-flow venturi mask to deliver oxygen as prescribed

To promote adequate gas exchange, the nurse should use a Venturi mask to deliver a specified, controlled amount of oxygen consistently and accurately.For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway?

• Restricting fluid intake to 1,000 ml per day
• Enforcing absolute bed rest
• Teaching the patient how to perform controlled coughing
• Administering prescribe sedatives regularly and in large amounts
• teaching the pt how to perform controlled coughing

Controlled coughing helps maintain a patent airway by helping to mobilize and remove secretions.Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes continues gentle bubbling in the suction control chamber. What action is appropriate?

• Do nothing, because this is an expected finding
• Immediately clamp the chest tube and notify the physician
• Check for an air leak because the bubbling should be intermittent
• Increase the suction pressure so that the bubbling becomes vigorous
• do nothing, because this is an expected finding

While changing the tapes on a tracheostomy tube, the male client coughs and tube is dislodged. The initial nursing action is to:

• Call the physician to reinsert the tube
• Grasp the retention sutures to spread the opening
• Call the respiratory therapy department to reinsert the tracheotomy
• Cover the tracheostomy site with a sterile dressing to prevent infection
• grasp the retention sutures to spread the opening

An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?

• A low respiratory rate
• Diminished breath sounds
• The presence of a barrel chest
• A sucking sound at the site of injury
• diminished breath sounds

Nurse Rachel is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment of this client?

• Hypocapnia
• A hyperinflated chest noted on the chest x-ray
• Increased oxygen saturation with exercise
• A widened diaphragm noted on the chest x-ray
• a hyperinflated chest noted on the chest-ray

An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed?

• Face tent
• Venturi Mask
• Aerosol mask
• Tracheostomy collar
• venturi mask

Blessy, a community health nurse is conducting an educational session with community members regarding tuberculosis. The nurse tells the

group that one of the first symptoms associated with tuberculosis is:

• Dyspnea
• Chest pain
• A bloody, productive cough
• A cough with the expectoration of mucoid sputum
• a cough with the expectorant of mucoid sputum