12. The nurse is caring for a

12. The nurse is caring for a client with Chronic Obstructive Pulmonary Disease (COPD)Which of the follow nursing actions could the nurse delegate to an experienced unlicensed assistive personnel (UAP)? A. Obtain oxygen saturation using pulse oximetry. B. Monitor for increased oxygen need with exercise. C. Teach the patient about safe use of oxygen at home. D. Adjust oxygen to keep saturation in prescribed parameters. 13. A nurse is caring for a client who is diagnosed with bacterial pneumonia and hospitalized in an acute care setting. Which nursing interventions will the nurse include in the client’s plan of care? A. Maintain bedrest B. Encourage increased fluid intake C. Recommend a low-fat diet D. Insert an indwelling urinary catheter 14. A nurse is assigned to care for four clients. Which client will the nurse assess first? A. A client who has a heart rate of 90 beats per minute B. A client who told the assistive personnel that he is short of breath C. A client who received oral analgesia 60 minutes ago D. A client who is scheduled for a chest x-ray 15. A nurse is teaching a client diagnosed with chronic obstructive pulmonary disease about beneficial snacks. Which food items will the nurse recommend to the client? A. Celery and peanut butter B. Apples and cheese C. Hard boiled eggs and cheese sticks D. Crackers and tuna fish 16. A nurse is teaching a client who has been diagnosed with pneumonia how to properly use an incentive spirometer. Which action by the client demonstrates that the nurse’s teaching was effective? A. The client exhales into the mouthpiece B. The client inhales into the mouthpiece C. The client holds the mouthpiece away from the mouth D. The client uses a rhythmic motion during the procedure 17. The nurse is caring for a client with COPD who is receiving oxygen via nasal cannula. The client’s oxygen saturation reads 91% at 2 liters of humidified oxygen. What action should the nurse perform next? A. Change the nasal cannula to a face mask to deliver a higher flow rate of oxygen. B. Call the provider. C. Change the nasal cannula to a nonrebreather mask to deliver a higher concentration of oxygen. D. Document the findings as an expected finding. 18. A nurse enters the hospital room of a client who is admitted for a COPD exacerbation. The client’s oxygen via nasal cannula has been increased to 5 L per nasal cannula. The nursing assistant tells the nurse that she increased the oxygen because the client’s oxygen saturation was 88%. What is the nurse’s best response? A. “Please let me know when you increase a client’s oxygen.” B. “We will draw ABGs before we raise the levels.” C. “Too much oxygen for this patient is risky. I need to assess prior to changes.” D. “Only raise the oxygen to 4liters next time.” 19. A nurse evaluates the following vital sign results for a client with chronic obstructive pulmonary disease (COPD): Heart rate = 110 beats/min, regular Respiratory rate = 32 breaths/min Blood pressure = 145/65 mm Hg Oxygen saturation = 76% on room air Which action should the nurse take first? A. Administer a short-acting beta 2 agonist inhaler. B. Document the findings as normal for a client with COPD. C. Teach the client diaphragmatic breathing techniques. D. Apply oxygen nasal cannula 2 liters to the client, as ordered. 20. A nurse is suctioning a client’s artificial airway (tracheostomy). Which of the following techniques performed by the nurse is correct? A. The nurse hyperoxygenated the client with 100% oxygen before suctioning B. The nurse applied clean gloves prior to suctioning C. The nurse suctioned the client for 30 seconds D. The nurse set the suction machine to 160 mm Hg before suctioning 21. A nurse is teaching caregivers in a long-term care facility about manifestations of tuberculosis. Which of the following manifestations should the nurse include in the teaching? Select all that apply A. Weight gain B. Night sweats C. Fatigue D. Anorexia E. Alopecia 22. The nurse notes in their assessment findings that the client has thick, purulent sputum and associates it with which medical diagnosis? A. Tuberculosis B. Sinusitis C. Bacterial Pneumonia D. Allergic Rhinitis 23. A client develops hospital-acquired pneumonia. Which interventions should the nurse include in the client’s plan of care? A. Limit fluids to 1 liter per twenty-four hours B. Ambulate client three times per day C. Provide oral hygiene daily. D. Wear sterile gloves when entering the room 24. The nurse is preparing to administer a prescribed dose of antibiotics to a client with pneumonia. What is the nurses’ priority before giving the medication? A. Auscultate the client’s lungs B. Assess the client’s level of orientation C. Verify the sputum culture was collected D. Assess the client’s oxygen saturation SCIENCE HEALTH SCIENCE NURSING MEDICAL ASSISTANT 2060

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