The nurse is caring for a client whose calcium level is 5.8 mg/dL and when the nurse was obtaining the client's blood pressure the client experienced carpal tunnel spasms. Which of the following actions would be a priority for the nurse to take?
Assist the client to breathe into a paper bag
The...
EXAM 1.NU 448 WITH ANS 2024 LATEST
The nurse is caring for a client whose calcium level is 5.8 mg/dL and when the nurse was
obtaining the client's blood pressure the client experienced carpal tunnel spasms. Which of the
following actions would be a priority for the nurse to take?
Assist the client to breathe into a paper bag
The nurse is preparing to assist with weaning an assigned client from the mechanical ventilator.
Which of the following should be a priority for the nurse to assess prior to weaning the client
from the ventilator?
Baseline arterial blood gas (ABG) levels
The nurse is caring for a client experiencing acute metabolic alkalosis from gastroenteritis and
notes the client's pulse is 110 beats/min, and on telemetry the client was flattened T waves and
presence of U waves. Which of the following information should the nurse explain to the client?
Your body is showing signs of decreased potassium and will require potassium replacement
therapy
The nurse is caring for a client who is postoperative lung surgery. The client has a shallow,
monotonous respiratory pattern and is reluctant to cough. The nurse should assess the client
for which of the following?
Atelectasis
The nurse is preparing to suction a client with an endotracheal tube (ET). Which of the following
should be the nurse's first step in the suctioning process?
Assess the client's lung sounds and SaO2 via pulse oximeter
A nurse is caring for a client in the ED who had a radiography (xray) that reveals rib fractures,
and the client is diagnosed with a small flail chest injury. Which of the following interventions
should the nurse include in the client's plan of care?
Suction the client's airway secretions
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The nurse is educating the parents of a child diagnosed with cystic fibrosis. Which of the
following prescribed interventions should the nurse include in the teaching?
Chest physiotherapy (CPT), postural drainage, and digestive enzymes
The nurse is caring for a client experiencing acute respiratory failure (ARF) from acute
bronchitis. Which of the following medication prescriptions should the nurse question?
Methylprednisolone via nebulization
, The nurse is caring for a client who arrived in the emergency department (ED) with reports of
nonproductive cough, fever, and fatigue. Which of the following assessment findings would
require immediate action by the nurse?
PaO2 45 mm Hg
The nurse is caring for a client with acute respiratory failure (ARF) who has a prescription for
postural drainage with percussion and vibration twice daily. Which of the following
interventions would be appropriate for the nurse to implement?
Administer prescribed albuterol before the client receives the therapy.
The nurse is caring for a group of assigned clients. The nurse should prepare to administer
prescribed bicarbonate intravenously to the client with which of the following clinical
manifestations?
pH 7.28, HCO3- 16 mEq/L, PCO2 45 mm Hg, PO2 98mm Hg secondary to excessive diarrhea
The nurse is caring for a client who has just experienced a 90 second tonic clonic seizure and
has the following arterial blood gas values: pH 6.88, HCO3 22mEq/L, PCO2 60 mm Hg, PO2 50
mm Hg. Which of the following actions should the nurse take?
Apply the prescribed oxygen by mask or nasal cannula
The nurse is evaluating care plans for a group of assigned clients who have acute respiratory
failure with a new nursing diagnosis of ineffective airway clearance related to excessive
secretions. Which of the following clients requires immediate revision of the care plan?
The client receiving non-invasive positive pressure ventilation
The nurse is assessing a client who experienced metabolic alkalosis from food poisoning and
received intermittent parenteral fluid therapy. Which of the following findings would indicate
that the fluid therapy was successful?
pH and HCO3 levels have decreased
The nurse is caring for a client who is receiving a long term mechanical ventilation. The client
becomes frustrated when trying to communicate with the nurse. Which of the following would
be an appropriate action by the nurse?
Provide a picture board or alphabet board for the client to communicate
The nurse is assessing for therapeutic effects of a newly prescribed bronchodilator for a client
with COPD. Which of the following findings would indicate to the nurse an improvement in
respiratory status has occurred?
Increased expiratory rate,
Relief of dyspnea reported
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