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NR 324 Adult Health I Week 2 Questions with Correct Answers
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NR 324 Adult Health I Week 2 Questions with Correct Answers
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NR 324 Adult Health I Week 2 Questions with CorrectAnswers
Looking for a cause of this altered gas exchange, the healthcare provider
orders a sputum collection for gram stain, culture and sensitivity. What
action is appropriate when collecting this sputum? Correct Answer-
Collect the sputum in the morning
The healthcare provider orders albuterol 2.5 mg inhaler via nebulization
three times a day, and prednisone 30 mg orally daily for 14 days. What
are the appropriate nursing actions when administering these
medications? Select all that apply. Correct Answer-*Assess lung sounds
before and after medications administration
*Assess respiratory rate and oxygen saturation
*Administer albuterol first, then prednisone
Review the client's medication list and select the items that should
improve gas exchange. Select all that apply. Correct Answer-*oxygen
therapy
*prednisone
*albuterol inhaler
Select the assessment data that support altered gas exchange. Correct
Answer-*episodes of shortness of breath
*confused
*emphysema
RR 27 breaths/ minute
,*88% oxygen saturation
Based on the assessment data, which nursing actions could improve gas
exchange? Select all that apply. Correct Answer-*Administer oxygen as
prescribed.*Educate patient on pursed-lip breathing techniques.*Elevate
the head of the bed from 45 degrees to 90 degrees.
The client will have 1.___________________ bilaterally.The client will
have 2.___________________ pain in the site where the thoracentesis is
done Correct Answer-1. improved lung sounds
2. decreased
After receiving report from the morning shift, you visit each of your
clients in the rehabilitation center. Which of the following identified
issues is your highest priority? Correct Answer-Respiratory rate
increased to 30 in a client with a tracheostomy
Which of the following would give the nurse the most accurate
information about an alteration in gas exchange? Correct Answer-
Arterial blood gas
The client is transferred from the assisted living facility to emergency
department due to acute respiratory distress secondary to pneumothorax.
When preparing for chest tube insertion, the nurse takes into
consideration which facts? Select all that apply. Correct Answer-*Most
chest tube systems should be stored below the level of chest tube
insertion.
, *A chest tube requires an occlusive dressing like petroleum gauze.
*Monitor fluid drainage frequently, and if it is excessive, the healthcare
provider should be notified.
A client presents to the emergency department due to episodes of stools
with streaks of blood. The spouse verbalizes that this has been
happening for the past 3 days. Upon assessment, the client seems pale,
lips are dry, and they are confused. The vital signs are T 97º F, RR 24
breaths/minute, HR 105 beats/minute, BP 90/50 mm Hg and 88%
oxygen saturation on room air. What are the best options for delivering
oxygen to this client? Select all that apply. Correct Answer-*Simple face
mask
*Venturi mask
*Partial rebreather mask
*Non-rebreather mask
1. Elevate the head of the bed (45-90 degrees/semi to high Fowler's
position)
2. Monitor respiratory rate, breathing pattern and oxygen saturation.
3. Assess for adventitious lung sounds (crackles, rales, stridor or absent
etc).
4. Encourage deep/purse lip breathing exercises, ambulation,
active/passive range of motion (ROM) and use of incentive spirometer.
5. Report new abnormal findings or changes to health care provider.
Correct Answer-1. This will expand the lungs by taking pressure off the
diaphragm and forcing any fluid in the lungs towards the bottom so
more surface area is available for gas exchange.
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