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1. A client diagnosed with pneumonia states difficulty in producing a productive cough.
The nurse should instruct the client to complete which of the following to maintain
airway
clearance?
A. decrease fluid intake
B. pursed-lip breathing
technique splint the chest
when coughing
D. deliver oxygen via nasal cannula
2. A client requiring prolonged mechanical ventilation has the following arterial blood
gas (ABG) results: pH: 7.49; PaO2: 85 mm Hg; PaCO2: 30 mm Hg; HCO3: 25 mEq/L. The
nurse interprets these results as
A. metabolic acidosis.
B. metabolic alkalosis.
respiratory
acidosis.
D. respiratory alkalosis.
3. A client is diagnosed with angina pectoris. The nurse has instructed the client on the
proper use of a nitroglycerin sublingual. The nurse also informs the client that which
of the following adverse effects may be caused by this medication?
A. flushing, dizziness, headache, and pedal edema
B. headache, hypotension, dizziness, and flushing
nausea, vomiting, depression, fatigue, and
impotence
D. sedation, nausea, vomiting, and constipation
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