Exam 15: Oxygenation

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The nurse is providing care to a client admitted after experiencing an acute asthma attack.Which assessment findings indicate the need for immediate intervention by the nurse? Select all that apply.

(Multiple Choice)
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The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD).Which clinical manifestations indicate the client's perfusion is affected? Select all that apply.

(Multiple Choice)
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The nurse caring for a client admitted with septic shock is aware of the need to assess for the development of acute respiratory distress syndrome (ARDS).Which early clinical manifestation would indicate the development of ARDS?

(Multiple Choice)
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The nurse assigned to the newborn nursery is conducting shift assessments.While assessing one newborn,the nurse notes the respiratory rate is 52 breaths per minute.Which action by the nurse is appropriate?

(Multiple Choice)
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A client with acute respiratory distress syndrome (ARDS)is being weaned from ventilatory support.Which nursing actions are appropriate for this client? Select all that apply.

(Multiple Choice)
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The nurse is planning care for a baby of African-American descent born to a mother who smoked during the pregnancy.Which nursing diagnosis would be appropriate for this baby?

(Multiple Choice)
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The nurse is providing supportive care for the parents of an infant who died from sudden infant death syndrome (SIDS).Which action by the nurse are appropriate?

(Multiple Choice)
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The nurse is reviewing the results of laboratory tests conducted on a client admitted with a respiratory disorder.Which laboratory finding would be most significant for this client?

(Multiple Choice)
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The nurse is providing care to a client admitted to the emergency department with the diagnosis of acute respiratory distress syndrome (ARDS).When educating the client's family on the disease progress,in which order will the nurse present the material? A) Initiation of ARDS B) Onset of pulmonary edema C) End-stage ARDS D) Alveolar collapse

(Short Answer)
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The nurse is providing care to a client on a medical-surgical unit.The client's arterial blood gas analysis is as follows: PaO2 of 82,PaCO2 of 49,HCO3 of 26,and pH of 7.55.Which acid-base imbalance is this client experiencing based on this data?

(Multiple Choice)
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The nurse in the intensive care unit (ICU)is caring for a client diagnosed with acute respiratory distress syndrome (ARDS).Vital signs prior to endotracheal intubation: HR 108 bpm,RR 32 bpm,BP 88/58 mmHg,and oxygen saturation 82%.The client is intubated and placed on mechanical ventilation with positive pressure ventilation.Which assessment finding indicates a further decrease of cardiac output secondary to positive pressure ventilation?

(Multiple Choice)
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The nurse is providing care to a newly diagnosed with asthma.When developing the client's plan of care,which intervention would be most appropriate to promote airway clearance?

(Multiple Choice)
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The nurse caring for a client diagnosed with chronic obstructive pulmonary disease (COPD)is educating the client on effective coughing techniques.Which statement made by the client indicates a need for further teaching?

(Multiple Choice)
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The nurse instructs a client with asthma on bronchodilator therapy.Which statement indicates client understanding?

(Multiple Choice)
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The mother of an 8-month-old baby who has developed respiratory syncytial virus (RSV)/bronchiolitis wants to know which factors contribute to the risk of contracting RSV.Which response by the nurse is appropriate?

(Multiple Choice)
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The nurse caring for a newborn on a ventilator for acute respiratory distress syndrome (ARDS)informs the parents that the newborn is improving.Which data supports the nurse's assessment of the newborn's condition?

(Multiple Choice)
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The nurse is developing a plan of care for a toddler-age client diagnosed with respiratory syncytial virus (RSV).Which intervention is inappropriate for this client?

(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?

(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 on the medical unit is admitting a client with chronic obstructive pulmonary disease (COPD).Which prescription does the nurse anticipate to decrease this client's risk for developing a respiratory infection?

(Multiple Choice)
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