NURS 327 Exam 2 With Verified Questions and Answers
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Course
NURS 327
Institution
NURS 327
NURS 327 Exam 2 With Verified Questions
and Answers
A client with cystic fibrosis is admitted to the hospital with pneumonia. When should the nurse
administer the pancreatic enzymes that the client has been prescribed? - answerWith meals
The nurse is caring for a patient with status asthmaticus...
NURS 327 Exam 2 With Verified Questions
and Answers
A client with cystic fibrosis is admitted to the hospital with pneumonia. When should the nurse
administer the pancreatic enzymes that the client has been prescribed? - answer✔✔With meals
The nurse is caring for a patient with status asthmaticus in the intensive care unit (ICU). What
does the nurse anticipate observing for the blood gas results related to hyperventilation for this
patient? - answer✔✔Respiratory alkalosis
Which of the following occupy space in the thorax, but do not contribute to ventilation? -
answer✔✔Bullae
A physician orders metaproterenol by metered-dose inhalation four times daily for a client with
acute bronchitis. Which statement by the client indicates effective teaching about this
medication? - answer✔✔"I need to hold my breath as long as possible after I take a deep
inhalation."
A commonly prescribed methylxanthine used as a bronchodilator is which of the following? -
answer✔✔Theophylline
In chronic obstructive pulmonary disease (COPD), decreased carbon dioxide elimination results
in increased carbon dioxide tension in arterial blood, leading to which of the following acid-base
imbalances? - answer✔✔Respiratory Acidosis
A client is being admitted to the medical-surgical unit for the treatment of an exacerbation of
acute asthma. Which medication is contraindicated in the treatment of asthma exacerbations? -
answer✔✔Cromolyn Sodium
A client is receiving theophylline for long-term control and prevention of asthma symptoms.
Client education related to this medication will include - answer✔✔the importance of blood tests
to monitor serum concentrations.
A home health nurse sees a client with end-stage chronic obstructive pulmonary disease. An
outcome identified for this client is preventing infection. Which finding indicates that this
outcome has been met? - answer✔✔Decreased oxygen Requirements
A client with chronic obstructive pulmonary disease (COPD) reports increased shortness of
breath and fatigue for 1 hour after awakening in the morning. Which of the following statements
by the nurse would best help with the client's shortness of breath and fatigue? -
answer✔✔"Delay self-care activities for 1 hour."
Which of the following is a leading cause of chronic obstructive pulmonary disease (COPD)
exacerbation? - answer✔✔bronchitis
A nurse is admitting a client with emphysema. What are presenting findings the nurse should
assess? Select all that apply. - answer✔✔Chronic cough
Dyspnea
A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on
continuous mechanical ventilation. Which equipment is most important for the nurse to keep at
this client's bedside? - answer✔✔Manual resuscitation bag
Which is a potential complication of a low pressure in the endotracheal tube cuff? -
answer✔✔Aspiration pneumonia
Which type of ventilator has a preset volume of air to be delivered with each inspiration? -
answer✔✔Volume-controlled
The nurse is assisting a client with postural drainage. Which of the following demonstrates
correct implementation of this technique? - answer✔✔Instruct the client to remain in each
position of the postural drainage sequence for 10 to 15 minutes.
The nurse is teaching a client the proper technique for diaphragmatic breathing. Place the steps
for this procedure in the correct sequence. - answer✔✔1. Place one hand on the abdomen and the
other hand on the middle of the chest to increase awareness of the position of the diaphragm and
its function in breathing.
2. Breathe in slowly and deeply through the nose, letting the abdomen protrude as far as possible.
3. Breathe out through pursed lips while tightening the abdominal muscles.
4. Press firmly inward and upward on the abdomen while breathing out.
5. Repeat for 1 minute; follow with a 2-minute rest period.
A nurse is caring for a client who has a tracheostomy and temperature of 103° F (39.4° C).
Which intervention will most likely lower the client's arterial blood oxygen saturation? -
answer✔✔Endotracheal suctioning
A nurse is weaning a client from mechanical ventilation. Which nursing assessment finding
indicates the weaning process should be stopped? - answer✔✔Runs of ventricular tachycardia
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