Excelsior College NUR 211 LifeSpan1 - Final Exam
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)?
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By: PASSINGMASTER01 • 6 months ago
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By: PASSINGMASTER01 • 1 year ago
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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NUR211_M8E0142
1.25 points possible (graded, results hidden)
Which information should the RN provide when educating a patient with chronic obstructive pulmonary disease (COPD) that is prescribed two metered dose inhalers, salmeterol and fluticasone?
Exhale through the device after administering the medication.
Rinse the mouth after administering each medication.
Wait at least one minute between each medication.
Self-administer the bronchodilator last.
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NUR211_M8E0130
1.25 points possible (graded, results hidden)
Which outcome is most appropriate for the nursing diagnosis Activity intolerance for the patient with chronic obstructive pulmonary disease (COPD)?
The patient will:
Ambulate 100 feet without experiencing dyspnea
Drink at least 2,500 mL of water each day.
Shower immediately after waking up in the morning.
Demonstrate pursed-lip breathing.
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