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1. Which of the following spirometry studies refers to the volume of air inspired and expired during breathing?
Tidal Volume
Residual Volume
Vital Capacity
Total Capacity
2. A client with pneumothorax has a right upper anterior chest tube. The chest tube is to -20 underwater seal suction and was inserted yesterday. The client is awake, alert, and oriented. 3 Nursing actions for this client include? Select all that apply.
Assess the client’s chest tube insertion site occlusive dressing
Auscultate the client’s lung sounds and monitor O2 saturation
Tape all chest tubing connections to make sure there is a complete seal and check for bubbling in the pleurovac water seal. chamber
The client is on complete bedrest due to having a chest tube
3. 2 minutes after a client has received his pre-op medication by IM injection, he asks to get up to go to the bathroom to urinate. What is the most appropriate action by the practical nurse?
Offer him a urinal and position him in bed to promote voiding
Assist him to the bathroom and stay with him in bed to protect him from falling
Allow him to get up to go to the bathroom because the onset of the effect of the medication takes more than 10 minutes
Tell him to hold the urine because he will be catheterized in the operating room
4. Which of the following suggestions is most helpful when providing health teaching for COPD clients?
Suggest that bronchodilator puffers be taken before meals
Recommend a high carbohydrate, low-fat diet
Suggest the Flovelent puffer be used before the Ventolin puffer
5. A client who has a tracheostomy is becoming agitated and restless. They are trying to cough but are not able to. Their respiration increases to 20 to 32/mins and is shallow. They develop facial pallor and their lips have a blush color. The nursing actions required for this client are. Select all that apply
Change the inner canular of the client’s tracheostomy in case it is blocked with secretions
Suction the client to clear any secretions
Check the client’s vital signs, and if necessary, apply oxygen as per the unit’s protocol
Position the client in a prone position
6. Why is smoking contraindicated (not recommended) for clients with COPD?
Damages the ciliary cleansing mechanism of the respiratory tract
Shrinks the alveoli in the lungs, making air exchange difficult
Causes the Hgb (hemoglobin) to become highly oxygenated
Decrease the amount of mucous production
7. Mrs. Jones had major abdominal surgery 3 days ago and has been using a PCA pump for pain control. She started taking small amounts of the clear liquid diet today. She tells her nurse that she feels distended and has sharp cramping gas pains. Which of the following nursing actions is the most appropriate?
Assist Mrs. Jones to walk in the hall as movement will encourage peristalsis to return
Obtain an order for a different narcotic as Mrs. jones is having uncontrolled pains
Obtain an order for a laxative as Mrs. Jones likely must have a bowel movement
Withhold all oral fluids as Mrs. Jones’s digestive tract is not ready to digest food
8. Cardiac arrhythmias and neurological disturbances are seen with low or high levels of which of the following electrolytes
K+ (Potassium)
B C1 (Chloride)
Hgb (hemoglobin)
CO2 (Carbon dioxide)
9. Which findings indicate to the practical nurse that a hospitalized client may develop pneumonia
A product cough with a purulent sputum
The temperature of 37.8 degrees C
Nausea vomiting and diarrhea
Chest pain and tachypnea (increased respiration)
10. A nurse is caring for a client with renal failure. Which 3 blood lab test results does the nurse need to carefully assess for this client? Select all that apply.
Creatine
BUN
C K+ (Potassium)
Troponin
SCIENCE
HEALTH SCIENCE
NURSING
NURSING NRSG1006
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