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Nursing 330 Exam 3 questions resp_gi_gu
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- NUR 330: Exam 1- SI Practice Questio
Nursing 330 Exam 3 questions resp_gi_gu
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Nursing 330 Exam 3 questions resp/gi/guA nurse is caring for a client who has asthma and is taking fluticasone. The nurse should
monitor the client for which of the following adverse effects?
A) hypoglycemia
B) hypertension
C) polyuria
D) oral candidiasis - correct answer-D) oral candidiasis
It can cause this or even thrust therefore the client should rinse her mouth with water. It can
also cause hyperglycemia
A nurse is providing discharge instructions to a client who has asthma and is about to start
taking theophylline (Theo-24) The nurse should tell the client that this medication might
cause which of the following adverse effects?
A) drowsiness
B) constipation
C) Oliguria
D) tachycardia - correct answer-D) tachycardia
This can increase cardiac stimulation
A nurse is providing discharge teaching's to a client who has a new prescription for home
oxygen therapy via nasal cannula. Which of the following should the nurse include in the
teaching? (Select all that apply)
a) verify the oxygen flow rate every other day
B) check the cannula position on a regular basis
C) check the tops of the ears for skin breakdown
D) post no smoking signs in a prominent location in the home
E) apply petroleum appointment to nails if they become dry and irritated - correct answer-B)
check the cannula position on a regular basis
C) check the tops of the ears for skin breakdown
,D) post no smoking signs in a prominent location in the home
The cannula position should be verified every eight hours or more often if needed. The tops
of the years the nears and nasal mucous membrane should be assessed regularly for skin
breakdown. The family is instructed to post no smoking signs in a prominent location in the
home because oxygen increases the risk for injuries. The rate of oxygen flow should be
checked daily. And the client should use water-based lubricant or Celine nasal spray to
reduce dryness or irritation. Oxygen has a high combustion potential and petroleum products
are combustile
A nurse is providing education to a school age child who has a new diagnosis of asthma.
Which of the following statement should the nurse include in teaching?
A)take cromolyn sodium at the first sign of breathing difficulty
B) you should stop playing basketball but you can swim instead
C) use the peak expiratory flow meter once per week
D) avoid triggers that can cause an attack - correct answer-D) avoid triggers that can cause
an attack
The nurse should emphasize that the ability to prevent asthma attacks can be improved by
avoiding allergens that the child is sensitive to. Triggers can include animals, dust, certain
foods, pollen, and grass. Clients who have asthma manifestations throughout the year
should receive allergy testing to determine specific triggers. The child should use a peak
expiratory flow meter once or twice per day participation of sports is prohibited when asthma
is not adequately controlled abutyryl should be used as a first sign of asthma where
chromolyn sodium is a mast cell stabilizer
A nurse is caring for a client who has heart failure in histories of asthma. The nurse reviews
the providers orders and recognizes that a clarification is needed for which of the following
medications?
A) carvediol
B) fluticasone
C) captipril
D) isosorbide dinitrate - correct answer-A) carvediol
Medications that block beta-2 receptors are contraindicated in clients with asthma
A nurse in an urgent care center is caring for a client who has an acute asthma
exacerbation. Which of the following actions is the nurses highest priority?
, A) initiating oxygen therapy
B) providing immediate rest for the client
C) positioning the client in high Fowlers
D) administering a nebulized beta adrenergic - correct answer-D) administering a nebulized
beta adrenergic
Greatest risk to the client safety is airway obstruction. Beta adrenergic Medications act as
bronchial dilator's. They provide prompt relief to airway obstructing by relaxing bronchial are
smooth muscles and are the initial priority intervention when a client has an acute asthma
exacerbation
A nurse is providing discharge teaching's to a client who requires home oxygen therapy.
Which of the following statements should the nurse identify as an indication that the client
needs further teaching?
A) I will be able to tell how much oxygen I am getting by looking at the flowmeter
B) I should call my doctor if I find it hard to concentrate
C) I will make sure my visitor smoke outside
D) I will wear synthetic clothing and woolen socks when I use my oxygen - correct answer-D)
I will wear synthetic clothing and woolen socks when I use my oxygen
Woolen in synthetic material can generate static electricity. Because oxygen is flammable
gas, the client should wear cotton clothing and use cotton blending in blankets
A nurse is preparing to measure a clients level of oxygen saturation and observes edema of
both hands and thickened toenails. The nurse should apply the pulse oximeter probe to
which of the following locations?
A) finger
B) earlobe
C) toe
D) skinfold - correct answer-B) earlobe
The earlobe is rarely edematous and is less affected by decreased blood flow, and has
greater accuracy when measuring oxygen saturation
A nurse is caring for a client who has pneumonia. The clients oxygen saturation is 85%.
Which of the following actions should the nurse take first?
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