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Kaplan Respiratory Test A
Terms in this set (30)
The client diagnosed with COPD is drowsy and unable to expectorate secretions. The nurse takes which initial action?
Performs nasotracheal suctioning.
Which action is essential for the nurse to take after ABG's are drawn?
Apply pressure to puncture site.
The nurse prepares to suction the endotracheal tube of a client on a mechanical ventilator. Which ventilator setting is adjusted by the nurse before and after this procedure?
Fraction of inspired oxygen (FIO2)
A client is scheduled for rhinoplasty. Postoperative, it is most important for the nurse to place the client in which position?
The nurse obtains a history from a client admitted to the hospital with COPD. The nurse identifies which factor is related to the client developing COPD?
The client smoked for more than 30 years.
The nurse expects which mode of mechanical ventilation will be prescribed for a client with severe Guillain-Barre syndrome?
Controlled Mechanical Ventilation (CMV).
The nurse performs nutritional counseling for a client who is diagnosed with COPD. It is most important for the nurse to advise the client to avoid consuming which nutrient in high amounts?
A client is prescribed rifampin and isoniazid. which explanation concerning these medications is most appropriate for the nurse to give the client?
"You will have to take these medications for 6-9 months."
The nurse provides care for clients on the medical/surgical unit. The nurse expects postural drainage to be prescribed for which client?
A client diagnosed with Cystic Fibrosis.
To facilitate communication with a client who has a tracheostomy, which nursing approach is best?
Tell the client to nod the head to indicate "yes," and shake the head to indicate "no."
The clinical nurse instructs a client in the use of a metered dose inhaler (MDI). Which statement by the client indicates the need for further teaching?
"I will be careful not to shake the canister before I use it."
The nurse observes a student nurse provide tracheostomy care to a client. The nurse determines care is appropriate if the student nurse places the client in which position?
The nurse in the community health center identifies which of the following types of food is most likely to present problems for a client with respiratory difficulties?
The nurse provides care for a preschool-age client in an oxygen tent who is diagnosed with Acute Laryngotracheobronchitis. The nurse is most concerned if which observation is made?
The child is playing with a stuffed animal.
The nurse understands which is the cause of Respiratory Alkalosis?
The nurse provides care for a client receiving Aminophylline via continuous IV drip. The nurse understands Aminophylline is which type of medication?
Which route of administration does the nurse use when giving a Mantoux test?
The nurse teaches pursed-lip breathing to a client diagnosed with COPD. The nurse understand which is the best description of the underlying purpose of this type of breathing?
Prevent air trapping.
The nurse provides care for a client immediately after laryngoscopy. It is most important for the nurse to intervene if which observation is made?
The client is talking loudly and demanding to get out of bed and walk.
The nurse review staff documentation for the client diagnosed with pleural effusion. The nurse expects to find which notation in the client's record?
"Decreased breath sounds noted in left lower lobe."
A client undergoes nasal surgery. The nurse instructs the client to not blow the nose. What is the reason for this instruction?
Blowing encourages bruising and edema.
A client requires an emergency tracheostomy. When caring for the tracheostomy, the nurse takes which action?
Cleans the site every 4 hours.
The nurse know sit is essential to have which piece of equipment at the bedside of the client receiving mechanical ventilation?
An adult client is eating lunch and suddenly starts to choke, gasp for breath, an grab the throat. Which action does the nurse take first?
Ask the client to speak.
Immediately following a thoracentesis, the nurse notices a progressive swelling on the right side of the client's chest and neck. The nurse knows which condition is the most likely cause of the swelling?
A client is admitted to the hospital after sustaining severe electrical burns. A tracheostomy is performed, and the client is unable to use either hand. It is most important for the nurse to take which action?
Obtain a blow-touch call bell.
The nurse teaches a client diagnosed with asthma. The nurse determines further teaching is necessary if the client makes which statement?
"Stress does not cause an asthma attack."
The nurse provides care for a client receiving oxygen per nasal cannula. Which observation requires an immediate intervention by the nurse?
A visitor is putting clear nail polish on the fingernails of the client.
The nurse suctions a client's tracheostomy. The nurse lubricates the catheter with which material?
The nurse provides care for a client diagnosed with active tuberculosis. Which instructions does the nurse give the client about follow-up care after discharge from the hospital?
"We would like you to come to the clinic monthly to check the effects of the medication you are taking."
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