vsim Kenneth Bronson pre/post
The nurse is auscultating lung sounds. What lung sound is associated with
narrowing of the airway?
Wheezing
Rational: Wheezing is a high-pitched, musical sound associated with airway
narrowing. Crackles are described as a popping sound heard during inspiration
from fluid or delayed opening of collapsed alveoli. Bronchophony or egophony
can be auscultated when there is increased lung density from pneumonia and
pulmonary edema.
Epinephrine is the first-line drug for anaphylaxis because of which of the
following properties?
Relaxes bronchial muscle
Rationale:Epinephrine relaxes bronchial smooth muscle by stimulating beta2
receptors; this improves oxygenation, decreasing respiratory distress.
Epinephrine does not decrease inflammation. Epinephrine increases blood
pressure. Although Epinephrine may decrease urticaria, that is not the primary
reason it is given during anaphylaxis.
What is the priority action by the nurse when a client experiences sudden
respiratory distress?
Assess the airway
Rationale:The priority action is to assess the airway. Raising the head of bed will
improve lung expansion. The provider should be notified and IV line may be
needed, but assessing the client is the priority.
, Which of the following represent initial signs and symptoms of a client in
respiratory distress? (Select all that apply.)
Hypoxemia , Dyspnea , Tachypnea
Rationale:Dyspnea and tachypnea accompanied by low oxygen in the blood are
associated with respiratory distress. Cyanosis is a very late indicator of hypoxia
to the tissues. Fever is an indication of infection.
The client experiencing an anaphylactic reaction may experience which of the
following signs and symptoms? (Select all that apply.)
Rationale:Mild systemic reactions consist of peripheral tingling, warmth, a
sensation of fullness in the mouth and throat, nasal congestion, periorbital
swelling, pruritus, sneezing, and tearing of the eyes. Moderate systemic
reactions may include flushing and anxiety in addition to any of the milder
symptoms. More serious reactions include bronchospasm, laryngeal edema,
severe dyspnea, cyanosis, and hypotension. Dysphagia (difficulty swallowing),
abdominal cramping, vomiting, diarrhea, and seizures can also occur. Cardiac
arrest and coma may follow.
When a client presents to the emergency department with pneumonia, which
signs and symptoms would the nurse expect the client to exhibit? (Select all that
apply.)
Dyspnea , Fatigue , Orthopnea , Fever
Rationale:Fever is present with the infection. Clients will exhibit dyspnea,
preferring to be propped up or sitting up due to orthopnea (shortness of breath
when reclining or supine). The client is fatigued from the work of breathing.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hkane. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
