A client with no prior history of respiratory illness has been admitted to a postoperative unit following foot surgery. What intervention should the nurse prioritize in an effort to prevent postoperative pneumonia and atelectasis during this time of reduced mobility following surgery? educating the...
Nur 231 Ch. 39 Questions and Correct
Answers
A client with no prior history of respiratory illness has been admitted to a postoperative
unit following foot surgery. What intervention should the nurse prioritize in an effort to
prevent postoperative pneumonia and atelectasis during this time of reduced mobility
following surgery? ✅educating the client on the use of incentive spirometry
In which client would the nurse assess for a depressed respiratory system? ✅a client
taking opioids for cancer pain
A client receiving home oxygen calls the telehealth nurse to report that her caretaker
removed her oxygen tank from the wheeled carrier. What is the appropriate telehealth
nurse response? ✅"The caregiver will need to place the oxygen tank back into the
secure carrier."
A client who was prescribed CPAP reports nonadherence to treatment. What is the
priority nursing intervention? ✅Ask the client what factors contribute to nonadherence.
A nurse takes a client's pulse oximetry reading and finds that it is normal. What does
this finding indicate? ✅The client's available hemoglobin is adequately saturated with
oxygen.
The nurse is conducting a respiratory assessment of a client age 71 years who has
been recently admitted to the hospital unit. Which assessment finding should the nurse
interpret as abnormal? ✅fine crackles to the bases of the lungs bilaterally
The nurse is caring for a client who is diagnosed with Impaired Gas Exchange. While
performing a physical assessment of the client, which data is the nurse likely to find,
keeping in mind the client's diagnosis? ✅high respiratory rate
To determine the quality of oxygenation, the nurse performs the physical assessment,
the arterial blood gas test, and pulse oximetry. What is the purpose of the pulse
oximetry test? ✅Monitor the amount of oxygen saturation in the blood.
A client has been put on oxygen therapy because of low oxygen saturation levels in the
blood. What should the nurse use to regulate the amount of oxygen delivered to the
client? ✅flow meter
During the physical assessment of a client who has been inactive due to a leg injury, the
nurse notes that the client tends to breathe very shallowly. What technique should the
nurse teach the client in order to breathe more efficiently? ✅deep breathing
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