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    Exam Review

    1. A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L Which of the following interpretations of the ABG values should the nurse make?
      A)Respiratory alkalosis
      B)Metabolic alkalosis
      C)Respiratory acidosis
      D)Metabolic acidosis
    2. The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?
      A)Empty the collection container every shift.
      B)Maintain the drainage container below the level of the client's chest.
      C)Clamp the chest tubes if it becomes disconnected
      D)Add tap water as needed to the suction control chamber.
    3. A nurse is reinforcing teaching with a client who has a new prescription for nebulizer treatments. Which of the following client statements indicates to the nurse a need for further teaching?
      A)"I should keep medication in my nebulizer at all times."
      B)"I will seal my lips around the mouthpiece and take slow, deep breaths."
      C)"I should wash the mouthpiece with warm, soapy water each day."
      D)"I will store my nebulizer at room temperature."
    4. A nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions should the nurse plan to take?
      A)Place the client in left Sims' position.
      B)Use clean technique when providing tracheostomy suctioning.
      C)Provide humidified air.
      D)Clean the tracheostomy stoma with povidone-iodine.
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    Exam Review

    1. A nurse is collecting data from a client who has a new chest tube that is attached to closed chest water-seal drainage and suction. The nurse should report which of the following findings to the charge nurse?
      A)Tidalling, Fluctuations in the fluid level in the water-seal chamber
      B)Occasional bubbling in the water-seal chamber
      C)Continuous, vigorous bubbling in the water-seal chamber
      D)Patient respiratory status is stable and denies pain to chest tube site.
    2. A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply.)(SATA)
      A)The medication will reduce inflammation.
      B)The medication will open the airways.
      C)The medication will prevent wheezing.
      D)The medication will increase the amount of mucus.
      E)The medication will decrease bronchospasms
    3. A nurse is caring for a client who is postoperative and has developed atelectasis. Which of the following findings should the nurse expect?
      A)Decreasing respiratory rate
      B)Increasing dyspnea
      C)Facial flushing
      D)Dry cough
    4. A nurse is collecting data from a client who has pneumonia and is experiencing acute respiratory acidosis. Which of the following manifestations should the nurse expect to find?
      A)Deep rapid breathing
      B)Cool, clammy skin
      C)Severe diarrhea
      D)Decreased level of consciousness
    Page 2 of 5

    Exam Review

    1. A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?
      A)Inspiratory stridor
      B)Expiratory wheeze
      C)Coarse crackles
      D)Absence of breath sounds
    2. A nurse is preparing to administer dexamethasone 3 mg PO. Available is dexamethasone 1.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is caring for a client who has a chest tube inserted for a pneumothorax. Which of the following actions should the nurse take?
      A)Tape or pin the chest tube to the client's gown.
      B)Strip the client's chest tube every 2 hr.
      C)Empty the collection chamber on the client's chest tube every 4 hr.
      D)Tape the connections on the client's chest tube.
    4. A nurse in an emergency department is assisting with admitting a client Exhibits A nurse is caring for a client who has pneumonia. Select the 4 findings in the client's medical record that places them at risk for pneumonia.(SATA)
      A)Fluid intake
      B)Influenza vaccine
      C)Age
      D)Smoking history
      E)Level of consciousness
      F)Pneumococcal vaccine
      G)Health history
    Page 3 of 5

    Exam Review

    1. A nurse is caring for a client who has asthma and is taking fluticasone salmeterol (powder inhaler). For which of the following adverse effects should the nurse monitor?
      A)Oral candidiasis
      B)Hypertension
      C)Hypoglycemia
      D)Polyuria
    2. A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24. PaCO2 of 53, and an HCO, of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?
      A)Metabolic acidosis
      B)Respiratory acidosis
      C)Respiratory alkalosis
      D)Metabolic alkalosis
    3. A nurse is reinforcing teaching with a client who is taking guaifenesin to manage a cough. The nurse should explain that this medication treats coughs by which of the following mechanisms?
      A)Suppresses the urge to cough
      B)Stimulates secretions
      C)Dries mucous membranes
      D)Reduces inflammation
    4. A nurse is caring for a client whose arterial blood gas results show the following results: PH: 7.2 PaCO2: 50 mm Hg HCO3: 24 mEq/L The nurse should identify the client is experiencing which of the following acid-base conditions?
      A)Metabolic acidosis
      B)Respiratory acidosis
      C)Respiratory alkalosis
      D)Metabolic alkalosis
    Page 4 of 5

    Exam Review

    1. A nurse is contributing to the care plan of an older adult client who has pneumonia. Which of the following interventions should the nurse include in the plan?
      A)Assist the client to cough and deep breathe bid
      B)Encourage independence in completing ADLS.
      C)Encourage fluid intake of 2.5 L per day.
      D)Use an N-95 respirator when providing client care.
    2. A nurse is preparing to review discharge instructions with a client who has pulmonary tuberculosis. Which of the following information should the nurse include?
      A)Consume alcohol in moderation while taking antituberculosis medications.
      B)Place tissue soiled with respiratory secretions in trash for disposal.
      C)Wear a mask while out or around crowds of people.
      D)Provide samples for sputum cultures every 6 weeks.
    3. A nurse is assisting with planning interventions for an influenza outbreak in a long term care facility. Which of the following interventions should the nurse include in the plan?
      A)Provide prophylactic antibiotics for clients who have been exposed to influenza.
      B)Assign health care personnel to nondirect care activities for 24 hr after developing influenza symptoms,
      C)Place restrictions on visitation.
      D)Implement airborne precautions for clients who have influenza.
    4. A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?
      A)Limit fluid intake throughout the day.
      B)Rest in a supine position.
      C)heathe in through her nose and out through pursed lips.
      D)Consume a low-protein diet.
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