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Terms in this set (25)A nurse is providing teaching for a client who has a new prescription for an incentive spirometer. Which of the following instructions should the nurse include? B ***The nurse should instruct the client to use the incentive spirometer every hour while awake to promote lung expansion and mobilize secretions. A nurse is providing teaching for a client who has a new prescription for a continuous positive airway pressure (CPAP) machine to treat obstructive sleep apnea. Which of the following
statements should the nurse include? B. ***The nurse should instruct the client to cover their nose with the CPAP mask to create a seal to treat obstructive sleep apnea. CPAP is used for obstructive sleep apnea to keep the upper airway open and increase a client's oxygenation. A nurse is reviewing the medical history of a client who has heart disease and a narrowed valve. Which of the following findings should the nurse expect? B. ***The nurse should expect a client who has heart disease and a narrowed valve to have stenosis. Stenosis is a narrowing or stiffening of the heart valve that causes backflow of the blood. A nurse is assessing a client who is being discharged. The nurse notes the client has regular and quiet breathing. The nurse should identify this breathing pattern as which of the following? A. ***A normal breathing pattern is regular, quiet, and shows no manifestations of discomfort. A nurse is caring for a client who has a history of asthma and is wheezing. Which of the following actions should the nurse take first? C. ***The greatest risk to this client is injury from hypoxia; therefore, the first action the nurse should take is to obtain the client's oxygen saturation. Obtaining the client's oxygen saturation will assist the nurse in determining the next intervention. A nurse is caring for a client who has atelectasis. The nurse should identify that which of the following substance is required to keep the client's alveoli from collapsing and causing atelectasis? D. *** The nurse should identify that surfactant is a lubricant required to keep alveoli in the lungs from collapsing during exhalation. A lack of surfactant can result in atelectasis. A nurse is assessing a client who has COPD. The nurse should identify that which of the following is an expected finding? B. ***The nurse should identify that clubbing of the fingers is an expected finding for a client who has a chrnic pulmonary disease, such as COPD. A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. The nurse should identify that which of the following can cause hypoxia? B. ***The nurse should identify that smoke inhalation can cause hypoxia. Smoke inhalation can cause a client to become hypoxic due to a lack of oxygen and ventilation A nurse is teaching a newly licensed nurse about pulmonary function tests. The nurse should include that which of the following is the vital capacity? B. ***The vital capacity is the amount of air that is forcibly expelled after a maximal inspiration A nurse is suctioning a client's tracheostomy using an
open system. Which of the following actions should the nurse take? C. A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. In which order should the nurse instruct the client to perform the following steps? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) 1- Take a deep breath A
nurse is assessing a client who is receiving oxygen therapy. The nurse should identify that which of the following findings can indicate oxygen toxicity? B. ***The nurse should identify that ringing in the ears, as well as headache, disorientation, and muscle twitching can indicate oxygen toxicity A nurse is auscultating a
client's heart sounds and hears a low-pitched whooshing or blowing sound over the apex of the heart. The nurse should identify that this indicates which of the following? B. ***A whooshing or blowing sound indicates a murmur and can be low-, medium-, or high-pitched A nurse is caring for a client who requires 1L of oxygen. Which of the
following oxygen delivery devices should the nurse expect to use? A. ***The nurse should plan to use a nasal cannula because oxygen via nasal cannula can be delivered at low concentrations of 1 to 4 L/ min. A nurse is performing chest percussion therapy on a client. Which of the following actions should the
nurse take? B. ***The nurse should hear a hollow sound when performing chest percussion therapy. This indicates proper technique is being used to loosen the secretions. A
nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take? A. ***The nurse should monitor the client for subcutaneous emphysema, which can indicate a leak or blockage of the system. A nurse is planning care for a group of clients on a cardiopulmonary unit. Which of the following clients should the nurse plan to see first. B. ***When using the urgent vs. nonurgent approach to client care, the nurse determines that the first client the nurse should see is the client who reports, dyspnea. The client might be experiencing hypoxia due to inadequate oxygenation, which requires further intervention by the nurse. A nurse is caring for a client who has left-sided heart failure. Which of the following findings
should the nurse expect? A. ***The nurse should expect the client who has left-sided heart failure to have crackles in the lungs. Left-sided heart failure causes the blood to back up into the pulmonary circulation, causing crackles in the lungs A nurse is providing teaching for a client who
has a prescription for home oxygen. Which of the following instructions should the nurse include? A, B, D, A nurse is obtaining a health
history from a client. Which of the following findings should the nurse identify as risk factors for heart disease? (Select all that apply) A, C, D A nurse is planning to measure the cardiac output of a client who had a
myocardia infarction. Which of the following data should the nurse use to calculate the client's cardiac output? C. ***The nurse should use stroke volume to calculate the client's cardiac output. Cardiac output is a measurement of the volume of blood pumped by the left ventricle in 1 min. Cardiac output is calculated by multiplying the client's heart rate by the client's stroke volume A nurse is discussing atrial fibrillation with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of atrial fibrillation? C. ***This statement by the newly licensed nurse indicates an understanding of atrial fibrillation. Atrial fib is caused when electrical impulses start outside of the SA node, causing an irregular heart rate. A nurse is discussing ventilation and perfusion with a newly licensed nurse. The nurse should include in the discussion that the exchange of oxygen and
carbon dioxide occurs at which of the following locations? B. ***The alveoli are air filled sacs where the exchange of oxygen and carbon dioxide occurs A nurse is explaining the sequence of electrical conduction in the heart to a newly license nurse. What should the nurse include as the correct sequence of the transmission of electrical
impulses? A. AV node B, A, E, D, C A nurse is caring for a client who requires 7 L of oxygen to maintain oxygen saturation. Which of the following oxygen delivery devices should the nurse expect to use? D. *** The nurse should expect to use a simple face mask because it can deliver oxygen at medium concentrations of 5 to 8 L/min. Sets with similar termsNCLEX Pharmacology Question 1-200200 terms jessicadawn1980 Pharmacology Test #2, Pharmacology #3, Pharmacolog…208 terms SodaBaer ch. 16, 17, 24, 25, 26 pharm24 terms kaylea_paye Sets found in the same folderTissue Integrity ATI25 terms valeriee133 Pain27 terms Kccarroll09 Elimination30 terms soccerbia17 Infection Control and Isolation25 terms Kccarroll09 Other sets by this creatorInfection Control and Isolation Test25 terms gabygonzalez26 Mobility Post test7 terms gabygonzalez26 Comprehensive physical assessment of an adult post…12 terms gabygonzalez26 Vital Signs Post Test14 terms gabygonzalez26 Other Quizlet setsPsycho MAP / SoSe VL8 - Lern- und Unterrichtsformen10 terms pwatzup MUS_H_LI 4317 Final Exam Study Guide77 terms themusicmia MLT 102 Unit 2 PC VB - Lab Math20 terms Leanna_Reyes Milady Ch.13 Esthetics30 terms chloe082716 Related questionsQUESTION A nurse teaches a client with functional urinary incontinence. Which statement should the nurse include in this client's teaching? 10 answers QUESTION **what is an anesthetic cause of fever INTRAoperatively? 15 answers QUESTION What are the 2 main branches of the LCA? 14 answers QUESTION What is the definitive surgical cure for esophageal cancer 6 answers |
A nurse is reviewing the medical history of a client who has heart disease and a narrowed valve
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