PN 102 Final Exam Review
The nurse is caring for a respiratory client who uses a oxygen delivery system that delivers the highest amount of oxygen. Which medical equipment does the nurse anticipate to find in the client's room? - ANSWER-A nonrebreather mask
The nurse receives an order to obtain a sputum sample from a client with hemoptysis.When advising the client of the physician's order, the client states not being able to produce sputum. Which suggestion, offered by the nurse, is helpful in producing the sputum sample? - ANSWER-Take deep breaths and cough forcefully.
When managing the postoperative pain after a lobectomy, the nurse is most concerned about which assessment data? - ANSWER-Respirations 10 breaths/minute
The nurse is obtaining a health history from a client with laryngitis. Which causative factor, stated by the client, is least likely? - ANSWER-"I was chewing ice chips all day long."
What is the difference between respiration and ventilation? - ANSWER-Ventilation is the movement of air in and out of the respiratory tract.
The clinic nurse is caring for a client with acute bronchitis. The client asks what may have caused the infection. What might cause acute bronchitis? - ANSWER-Viral or Bacterial infections
The client, with a lower respiratory airway infection, is presenting with symptoms such as fever, chills, dry hacking cough, and wheezing. Which nursing diagnosis best supports the assessment by the nurse? - ANSWER-Ineffective Airway Clearance
The client is returning from the operating room following a bronchoscopy. Which action, performed by the nursing assistant, would the nurse stop if began prior to nursing assessment? - ANSWER-The nursing assistant is pouring a glass of water to wet the client's mouth.
The nurse is providing health education on the body's ability to exchange oxygen and carbon dioxide through the alveolar capillary membrane. Which statement, provided by the nurse, is most correct when asked about diffusion during inspiration? - ANSWER- During inspiration, oxygen is greater in the alveoli than in the capillaries.
A nurse is evaluating teaching when discussing care of a new tracheostomy. Which statement, made by the client, indicates that the client does not accept the new tracheostomy? - ANSWER-"Tell my wife about it, I do not want to touch it."
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