HESI CASE STUDY - COPD WITH PNEUMONIA NEW 2022 EXAM UPDATE
Which assessment is most important for the nurse to complete next? - ANS IS Auscultate
breath sounds
Which assessment finding supports Mr. Johnson's diagnosis of pneumonia? - ANS IS Pulse
rate of 115
Based on these ABG results, which acid base imabalance is Mr. Johnson experiencing? -
ANS IS Respiratory acidosis
Which nursing diagnosis has the highest priority when planning care for Mr. Johnson? -
ANS IS Ineffective airway clearance
Which nursing action should be implemented before administering the prescribed Unasyn?
- ANS IS Obtain a sputum culture
The ampicillin (Unasyn) 1 gm IVPB is supplied in 50mL of D5W to be delivered over
30min. The nurse should set the IV pump at how many mL per hour? - ANS IS 100
Which assessment is most important for the nurse to perform while Mr. Johnson is
receiving Ventolin? - ANS IS Monitor pulse and BP
After observing Mr. Johnson, what client teaching should the nurse initiate? - ANS IS Wait
at least 1min between each puff of the same medication
Which instruction should the nurse provide Mr. Johnson for an acute episode of asthma -
ANS IS Use the Ventolin inhaler for acute asthma attacks
Which assessment is most important for the nurse to complete next? - ANS IS Auscultate
breath sounds
Which assessment finding supports Mr. Johnson's diagnosis of pneumonia? - ANS IS Pulse
rate of 115
Based on these ABG results, which acid base imabalance is Mr. Johnson experiencing? -
ANS IS Respiratory acidosis
Which nursing diagnosis has the highest priority when planning care for Mr. Johnson? -
ANS IS Ineffective airway clearance
Which nursing action should be implemented before administering the prescribed Unasyn?
- ANS IS Obtain a sputum culture
The ampicillin (Unasyn) 1 gm IVPB is supplied in 50mL of D5W to be delivered over
30min. The nurse should set the IV pump at how many mL per hour? - ANS IS 100
Which assessment is most important for the nurse to perform while Mr. Johnson is
receiving Ventolin? - ANS IS Monitor pulse and BP
After observing Mr. Johnson, what client teaching should the nurse initiate? - ANS IS Wait
at least 1min between each puff of the same medication
Which instruction should the nurse provide Mr. Johnson for an acute episode of asthma -
ANS IS Use the Ventolin inhaler for acute asthma attacks
