Exam 15: Oxygenation

The nurse is planning care for the client diagnosed with chronic obstructive pulmonary disease (COPD)who has a breathing rate of 32 per minutes,elevated blood pressure,and fatigue.Which nursing diagnosis is the priority for this client?

The nurse is providing care to a client who has a tracheostomy.The nurse will monitor the client for complications related to the loss of which protective mechanism?

The nurse is planning care for a child with respiratory syncytial virus (RSV)bronchiolitis with the nursing diagnosis of Impaired Gas Exchange.Which interventions should be included in the child's plan of care? Select all that apply.

The nurse is planning care for a new mother of African-American descent who smoked during the pregnancy and whose sister lost a child to sudden infant death syndrome (SIDS).Which interventions are appropriate for the nurse to include in the plan of care for the new mother and baby? Select all that apply.

The nurse educator prepares to speak to a group of nursing students about direct and indirect insults to the lungs that may lead to the development of acute respiratory distress syndrome (ARDS).Which conditions will the nurse include in the teaching session? Select all that apply.

The nurse is providing care to clients on a medical-surgical unit.Which independent nursing interventions are appropriate for a client who is experiencing an alteration in oxygenation? Select all that apply.

The nurse working in the emergency department (ED)is assessing an infant client.Whch findings support the diagnosis of respiratory syncytial virus (RSV)? Select all that apply.

The nurse is providing care to a client who is diagnosed with acute respiratory distress syndrome (ARDS).Which clinical manifestation does the nurse anticipate for this client who is experiencing hypoxia as a result of the ARDS diagnosis?

A client with a respiratory rate of 8 breaths per minute has an oxygen saturation of 82%.Which nursing diagnosis is a priority for this client?

An infant with respiratory syncytial virus (RSV)bronchiolitis is prescribed intubation to maintain an adequate airway.Who will the nurse collaborate with to maintain the endotracheal tube and ventilation? Select all that apply.

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

A client admitted with smoke inhalation injuries develops signs and symptoms of acute respiratory distress syndrome (ARDS).The nurse anticipates the healthcare provider will prescribe which course of action with regard to oxygen therapy?

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?

The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD)? Which factors in the client's history support the current diagnosis? Select all that apply.

The nurse is providing care to a client experiencing the acid-base balance of respiratory acidosis.Which effects does the nurse anticipate based on this diagnosis? Select all that apply.

The nurse is planning care for a client experiencing dyspnea and a subsequent activity intolerance.Which action by the nurse is the most appropriate?

A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS).Which interventions are appropriate to decrease an infant's risk for SIDS? Select all that apply.

The nurse is providing care for a client admitted during an acute exacerbation of asthma.Which medication does the nurse anticipate to relieve the acute symptoms exhibited by the client?

A client diagnosed with chronic obstructive pulmonary disease (COPD)has a pulse oximetry reading of 93%,increased red blood and white blood cell count,temperature of 101°F,pulse 100 bpm,respirations 35 bpm,and a chest x-ray that showed a flattened diaphragm with infiltrates.Based on this data,which prescription does the nurse question for this client?

While performing nasotracheal suctioning,the nurse notes the older adult client is moving the head around and pulling at the nurse's hand to remove the suction catheter.Which actions by the nurse are appropriate? Select all that apply.