The RN observes the assistive personnel (AP) removing the nasal cannula from the patient with chronic obstructive pulmonary disease (COPD) while ambulating the patient to the bathroom. Which action should the RN take?
Praise the AP since this prevents the patient from tripping on the oxygen tubing...
,Which outcome would be identified by the RN for the nursing diagnosis
Ineffective Breathing Pattern in a patient diagnosed with chronic
obstructive pulmonary disease (COPD)?
The patient will:
Maintain an oxygen saturation of 95% or greater on room
air. Have clear breath sounds in both upper and both
lower lobes. Ambulate 100 feet without dyspnea.
Demonstrate pursed-lip breathing.
unanswered
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NUR211_M8E0159
1.25 points possible (graded, results hidden)
Which nursing interventions should the RN implement to
prevent atelectasis? Select all that apply.
Limit the use of opioids to manage
pain. Encourage early ambulation.
Change patient position
frequently. Obtain order for daily
chest x-ray.
Assist with coughing and deep breathing
exercises. unanswered
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NUR211_M8E0081
1.25 points possible (graded, results hidden)
,Which etiology would the RN identify for the nursing diagnosis
Imbalanced nutrition: less than body requirements in a patient
with pneumonia?
Elevated body
temperature. Shortness
of breath.
Retained secretions.
Insensible fluid
loss. unanswered
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NUR211_M8E0094
1.25 points possible (graded, results hidden)
The RN administers the prescribed sedation to the intubated patient with
acute respiratory distress syndrome (ARDS). What is the primary
rationale for this intervention?
To decrease oxygen
consumption. To promote lung
volume expansion.
To prevent mechanical ventilator malfunction.
To reduce the production of
secretions. unanswered
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NUR211_M8E0005
1.25 points possible (graded, results hidden)
The RN is assessing a patient with pneumonia who is reporting chest
pain during inspiration and coughing. Which assessment data would be
associated with this symptom?
Distant heart sounds.
, Pleural friction
rub. Expiratory
wheeze.
Absent breath
sounds. unanswered
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NUR211_M8E0092
1.25 points possible (graded, results hidden)
The RN assesses a patient admitted to the Emergency Department
following a motor vehicle accident. The RN notes a paradoxical chest
rise, multiple bruises across the chest and torso, crepitus and
tachypnea. Which intervention will the patient need first?
Application of a chest
binder. Administration of
analgesics Insertion of a
chest tube.
Stabilization of the
airway. unanswered
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NUR211_M8E0082
1.25 points possible (graded, results hidden)
Which patient would the RN identify as being at increased risk for
aspiration?
The patient in a side lying position following an
endoscopy. The patient with a non functioning
nasogastric tube.
The patient with an endotracheal tube with a cuff pressure of 25 cm
H 2O.
The patient with a tube feeding with the head of the bed at a 45
degree angle. unanswered
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