Saunders Question HA Latest Update Comprehensive Questions with Correct Answers Guaranteed Pass 100%
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Saunders Rn
Saunders Question HA Latest Update
Comprehensive Questions with Correct
Answers Guaranteed Pass 100%
A chest x-ray report states that the client has a left apical pneumothorax. The nurse caring for the client
monitors the status of breath sounds in that area by placing the stethoscope at which ...
Saunders Respiratory Latest Update
Comprehensive Questions with Correct
Answers Guaranteed Pass 100%
A cardiac monitor alarm sounds, and the nurse notes a straight line on the monitor screen. What is the
nurse's immediate nursing action? - Answer -Check the client.
A client arrives in the emergency department with an episode of status asthmaticus. What is the nurse's
priority action? - Answer -Place the client in high-Fowler's position.
A client attached to mechanical ventilation suddenly becomes restless and pulls out the tracheostomy
tube. Which is the nurse's priority intervention? - Answer -Check the client for spontaneous
breathing.
A client being discharged from the hospital to home with a diagnosis of tuberculosis is worried about the
possibility of infecting family members and others. Which information should reassure the client that
contaminating family members and others is not likely? - Answer -4. The family will receive
prophylactic therapy, and the client will not be contagious after 2 to 3 consecutive weeks of medication
therapy.
A client has a chest tube that is attached to a chest drainage system. The chest tube becomes
disconnected. What should the nurse do immediately? - Answer -4. Put open end under sterile
water.
A client has a prescription for continuous monitoring of oxygen saturation by pulse oximetry. The nurse
performs which best action to ensure accurate readings on the oximeter? - Answer -3. Ask the
client to limit motion in the hand attached to the pulse oximeter.
A client is being prepared for a thoracentesis. The nurse reinforces instructions with the client given by
the registered nurse. Which points should be included in the instructions? Select all that apply. -
Answer -1. The client leans over a bedside table.
2. The client should sit on the edge of the bed.
4. A time-out is performed before the procedure.
6. A local anesthetic is administered before the procedure.
A client who has been taking isoniazid for 1½ months complains to the nurse about numbness,
paresthesia, and tingling in the extremities. The nurse interprets that the client is experiencing which
adverse effect? - Answer -2. Peripheral neuritis
A client with acquired immunodeficiency syndrome (AIDS) has histoplasmosis. Which sign/symptom
should the nurse expect the client to experience? - Answer -1. Dyspnea
, A client with pneumonia is admitted to the hospital, and the primary health care provider writes
prescriptions for the client. Which prescription should the nurse complete first? - Answer -Obtain a
culture and sensitivity of sputum.
A client with tuberculosis (TB) asks the nurse about precautions to take after discharge from the hospital
to prevent transmitting infection to others. Which statements indicate prevention of transmission of
tuberculosis? Select all that apply. - Answer -2. "My family and I will practice good hand hygiene."
3. "I will discard disposable tissues into a plastic bag."
4. "I will cover my mouth when I cough, sneeze, or laugh."
The client is diagnosed with pleurisy. The nurse should expect to see which signs and symptoms? Select
all that apply. - Answer -1. Pleural friction rub
2. Sharp, knife-like pain
5. Pain that occurs most often during inspiration
The emergency department nurse is caring for a client who sustained a blunt injury to the chest wall.
Which sign noted in the client indicates the presence of a pneumothorax? - Answer -2. Shortness
of breath
The low-exhaled volume (low-pressure) alarm sounds on a ventilator. The nurse rushes to the client's
room and checks the client to determine the cause of the alarm but is unable to do so. Which would be
the next immediate nursing action? - Answer -Ventilate the client with a resuscitation bag.
The low-pressure alarm sounds on the ventilator. The nurse checks the client and then attempts to
determine the cause of the alarm but is unsuccessful. Which initial action should the nurse take? -
Answer -2. Ventilate the client manually.
The nurse checks a closed chest tube drainage system on a client who had a lobectomy of the left lung
24 hours ago. The nurse notes that there has been no chest tube drainage for the past hour. Which
should the nurse do first? - Answer -Check for kinks in the chest drainage system.
The nurse instructs a client on pursed-lip breathing and asks the client to demonstrate the breathing
technique. Which observation by the nurse indicates that the client is performing the technique
correctly? - Answer -2. The client breathes out slowly through the mouth.
The nurse is assigned to assist the primary health care provider (PHCP) with the removal of a chest tube.
Which interventions should the nurse anticipate performing during this process? Select all that apply. -
Answer -2. Cover the site with an occlusive dressing after the tube is removed.
5. Have the client perform the Valsalva maneuver as the chest tube is pulled out.
The nurse is assigned to assist with caring for a client who has a chest tube. The nurse notes fluctuations
of the fluid level in the water-seal chamber. Based on this observation, which action would be
appropriate? - Answer -1. Continue to monitor.
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