Exam 15: Oxygenation

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A client receiving treatment for acute respiratory distress syndrome (ARDS)is demonstrating anxiety related to having to stay on the ventilator indefinitely.Which interventions by the nurse are appropriate? Select all that apply.

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The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease (COPD).Which conditions will you include when you teach the client's family about the types of COPD?

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The nurse is evaluating care provided to a client diagnosed with chronic obstructive pulmonary disease (COPD).Which observation would indicate that care provided to this client has been effective?

(Multiple Choice)
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The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD)after years of experiencing emphysema.Which clinical manifestation does the nurse anticipate when assessing this client?

(Multiple Choice)
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The nurse working on a pediatric unit is caring for a client newly diagnosed with asthma.Which assessment data indicate impending respiratory failure and the need for immediate intervention? Select all that apply.

(Multiple Choice)
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The nurse is providing care to an adult client with a long history of chronic obstructive pulmonary disease (COPD).The client is admitted to the intensive care unit with a pneumothorax.Which interventions are appropriate for this client? Select all that apply.

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A client asks why asthma medication is needed even though the client's last attack was several months ago.Which response by the nurse is appropriate?

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The nurse is instructing a client who is prescribed ipratropium bromide (Atrovent)for asthma.Which should be included in this client's teaching? Select all that apply.

(Multiple Choice)
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The nurse is planning care for a baby born to a mother who smoked during the pregnancy.The mother states that she believes in bed sharing.Which nursing diagnosis would be appropriate for this baby?

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The nurse is planning care for a young adolescent client diagnosed with asthma.Which evidence-based age-appropriate interventions will the nurse include in the plan of care? Select all that apply.

(Multiple Choice)
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The nurse is caring for a Spanish-speaking client admitted for exacerbation of chronic obstructive pulmonary disease (COPD).The client speaks very little English and is a smoker.Which action would be the most beneficial for this client?

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The client with ARDS who is likely to have the poorest outcome is

(Multiple Choice)
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The nurse is collecting a health history for a 12-month-old child.The child lives in a home where both parents smoke,and the child has had respiratory syncytial virus twice since birth.The child's older sister was recently diagnosed with asthma.The nurse understands that this child's risk of developing asthma later in life is

(Multiple Choice)
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Which independent nursing interventions are appropriate for a client who is experiencing an alteration in oxygenation? Select all that apply.

(Multiple Choice)
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The nurse is caring for a 72-year-old client who has presented to the emergency department for the third time in 8 months with acute asthma exacerbations.The client states that he has trouble holding his inhaler,and sometimes he forgets to take his medication.He is also worried because he thinks his new drugs are adversely interacting with medications for his other conditions.What nursing diagnosis is appropriate for this client?

(Multiple Choice)
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Besides the respiratory system,which system would be critical for the nurse to assess in a client recently diagnosed with cystic fibrosis?

(Multiple Choice)
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The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS).The client is intubated and placed on mechanical ventilation with positive pressure ventilation.Which assessment finding indicates a decrease of cardiac output secondary to positive pressure ventilation?

(Multiple Choice)
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A nurse is teaching environmental control to the parents of a child with asthma.Which statement by the parents indicates effective teaching?

(Multiple Choice)
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The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis.The client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs.The client's vital signs are: P 138,R 43,T 101.3°F,BP 86/40,SpO2 88%.The client is coughing up thick,green mucus.What independent nursing intervention can the nurse implement to improve the client's oxygenation?

(Multiple Choice)
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A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS).Which variables should the nurse highlight as contributing to increased risk of SIDS? Select all that apply.

(Multiple Choice)
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