Upgrade to remove ads Show Only ₩37,125/year
Compilations of questions from nclex book... MS1 book and knowledge based from MS1 book Terms in this set (92)A nurse is preparing to obtain a sputum specimen from a male client. Which of the following nursing actions will facilitate obtaining the specimen? Having the client take deep breaths Nurse Joy is caring for a client after a bronchoscopy and biopsy. Which of the following signs, if noticed in the client, should be reported immediately to the physician? Blood-streaked sputum A nurse is suctioning fluids from a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum
of: 10 A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is the appropriate nursing intervention? Stop the procedure and reoxygenate the client A male adult client is suspected of having a pulmonary embolus. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism? dyspnea The common clinical manifestations of pulmonary embolism are tachypnea, tachycardia, dyspnea, and _________? chest pain A vasovagal response may occur, causing _________?. bradycardia A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client's chest wall, the nurse expects to elicit: Resonant sounds A male client who weighs 175 lb (79.4 kg) is receiving aminophylline (Aminophyllin) (400 mg in 500 ml) at 50 ml/hour. The theophylline level is reported as 6 mcg/ml. The nurse calls the physician who instructs the nurse to change the dosage to 0.45 mg/kg/hour. The nurse should: Question the order because it's too low. A therapeutic theophylline level is _____ mcg/ml. 10 - 20 The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching? Use diaphragmatic breathing. Which phrase is used to describe the volume of air inspired and expired with a normal breath? Tidal volume A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations? Non-rebreather mask A female client must take streptomycin for tuberculosis. Before therapy begins, the nurse should instruct the client to notify the physician if which health concern occurs? Decreased hearing acuity Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude? an air leak. A black client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the: mucous membranes The nurse assesses a male client's respiratory status. Which observation indicates that the client is experiencing difficulty breathing? Use of accessory muscles 20. A male client with chronic obstructive pulmonary disease (COPD) is recovering from a myocardial infarction. Because the client is extremely weak and can't produce an effective cough, the nurse should monitor closely for: Atelectasis. The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide? "It helps prevent early airway collapse." A male client suffers adult respiratory distress syndrome as a consequence of shock. The client's condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm? Kinking of the ventilator tubing At 11 p.m., a male client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86% and he's still wheezing. The nurse should plan to administer: Albuterol (Proventil). Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find: Deposits of adipose tissue in the trunk and dorsocervical area pacemaker of the heart sinoatrial (SA) node the left atrium receives _____ blood from the lungs by the way of the four pulmonary veins oxygenated The right atrium recieves ____ blood from the upper body by way of the superior vena cava and from the lower body by way of the inferior vena cava. deoxygenated Epinephrine secreated by the adrenal medulla in stressful situations is ________ sympathomimetic ______ increases the rexcretion fo sodium by the kidneys ANP arterial natriuretic peptide _____ released from the posterior pituitary, directly increases water reabosorption by the kidneys, thus increasing blood volume and blood pressure ADH antidiureitc hormone ________ is the deposition of lipds in the walls o ateries' lemens and form rough surfaces that may stimulate intravascular clot formation, and decreases blood flow to the afected organ. Artherosclerosis the older adult is at increased risk for developing orthosatic hypotension, which could precipitate a fall is often due to, age, immobility, chronic illness, and medication A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect? DiabeticNeuropathy A patient's chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute? Weight Gain A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed? Thyroid Function Test A 28 year old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first? Blood Sugar test The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is: the vital signs The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? "I will make sure I eat breakfast within 10 minutes of taking my insulin." A 25-year-old client with Grave's disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal? Exophthalmos The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? "I will eat a snack around three o'clock each afternoon." The physician has ordered a thyroid scan to confirm the diagnosis. Before the procedure, the nurse should: Assess the client for allergies A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown. The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside? A tracheotomy set Which medication is an example of an oral hypoglycemic agent? Glypizide (Glucotrol) While reviewing a clients lab results, the nurse recognizes that a fasting glucose value of ________________ is within normal limits. 80 With relation to orthostatic hypertension, in response to the drop in BP the pulse increase _______ bpm to maintain cardiac output. 15-20 Orthostatic hypotensiohn is a drop in systolic BP greater than ___mmhg; and an increase in heart rate greater than _____ bpm in response to the drop in BP. 15; 20 Accurate teaching for a Cardiac Holter monitor is: Do not take a shower or bath while on the monitor. In which area should the nurse assess a patient who is on bed rest for the presence of edema? Ankles The increase of resting blood pressure with age may contribute to which of the following? Left sided Heart Failure If it take longer than 3 seconds for the color to return when assessing capillary refill, which of the following may be indicated? Decreased arterial flow to the extremity A nurse is preparing to ambulate a postoperative client following cardiac surgery. The nurse plans to do which of he following to enable the client to best tolerate the ambulation. Premedicate the paient with an analgesic prior to ambulating The nurse is caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse takes care not to dislodge the pacing catheter by: Limiting the movement and abduction of the right arm. Client diagnosed with thrombophlebitis one (1) day ago suddenly complains of chest pain and SOB and the client is visibility anxious. The nurse immediately checks the clients for signs and symptoms of _______., Pulmonary embolism A client with a diagnosis of congestive heart failure is seen in the clinic. The client is being treated with a variety of medications, icnluding digoxin (alnoxin) and furosemide (Lasix). Which finding? on data collection would lead the nurse to suspect that the client is hypokalemic. Muscle weakness and leg cramps A client is scheduled for cardiac catheterization using radiopaque dye. The nurse checks which most critical item before the procedure? Allergies to iodine or shellfish A client is admitted to the hospital with possible rheumatic endocarditis. The nurse would chekc the client for signs and symptoms of concrrent _________ streptococcal infection A nurse provides instructions to a client at risk for thrombophelbitis regarding measures to prevent its occurrence. Which statement by the client indicates an understanding of the measures to prevent thrombophlebitis? "I should avoid sitting or standing in one position for long periods of time." What part of the cardiac cycle does the "lubb" of the characteristic lubb-dupp" heart sound indicate? Closure of the AV valves A patient is returning from transesophgeal echocardiography. Which of the following would the nurse include in the patient's plan of care? Keep the patient NPO until the gag reflect has returned., Which medication would the nurse teach a patient to wear protective clothing, sunglasses, and a hat. Captopril (Capoten) What is a nursing priority when administering Captopril (Capoten)? Edema with HF and decreased BP with HTN. What increases the amount of water reabsorbed by the kidney tubules, which decreases urine output? ADH-antidiuretic hormone This causes contraction of smooth muscle in the uterus and mammory glands? Oxytocin ADH and oxytocin are secreted from which gland? Posterior pituitary gland Growth hormone and TSH(thyroid stimulating hormone) are secreted from what gland? Anterior pituitary gland ACTH(adrenocorticotropic hormone) and Prolactin are secreted from which gland? Anterior pituitary gland FSH(follicle-stimulating hormone) and LH(luteinizing hormone) are secreted from what gland? Anterior pituitary gland Increases all of the following, cell division in tissues, rate of mitosis, transport rate of amino acids into cells, rate of protein synthesis, and use of fats for energy? Growth hormone(GH)
What is the function(s) of TSH(thyroid stimulating hormone)? Increases secretion of thyroxine and T3 by the thyroid gland Releasing hormones location? Hypothalamus Function of the hormone ACTH(adrenocorticotropic hormone)? Increases secretion of cortisol by the adrenal cortex. This hormone stimulates milk production by the mammary glands? Prolactin Causes all of the following: ovulation, the ruptured membranes to become corpus luteum, and increases secretion of progesterone by the corpus luteum? LH(luteinizing hormone) Increases secretion of testosterone by the interstitial cells of the testes? LH(luteinizing hormone) Initiates sperm production in the testes? FSH(follicle stimulating hormone) Initiates growth of ova in ovarian follicles and increases secretion of estrogen by follicle cells? FSH(follicle stimulating hormone) Thyroxine(T4), triiodothyronine(T3) and calcitonin are hormones of which gland? Thyroid An autoimmmune disorder that evenatually destroys thyroid tissue, leading to hypothyroidism? Hashimoto's thyroiditis A nurse is caring for a client with respiratory insufficiency. The ABG results indicate a pH of 7.50 and a PC02 of mm Hg, and the nurse is told that the client is experiencing respiratory alkalosis. Which of the following additional lab values would the nurse expect to note? A potassium level of 3.2 mEq/L A client arrives in the emergency department complaining of chest pain began 4 hours ago. A troponin T blood specimen is obtained, and the results indicate a level of 0.69ng/mL. The nurse interprets that this result indicates A level that indicates angina pectoris The nurse is planning care for a paient with cardiomyopathy. For which of the following complications of cardiomyopathy should the nurse collect data? Heart Failure Which of the following symptoms would the nurse identify as a priority to report for a patient with aortic stenosis Angina The nurse is evaluating patient teaching for Mitral Valve prolapse. The patient shows understanding of the prognosis of MVP by stating "There are often no symptoms" Which of these assessment findings is an atypical symptom of myocardial infarction when chest pain is not present Fatigue Which of the following is a classic symptom of peripheral arterial occlusive disease Intermittent claudication The nurse is caring for a patient who has peripheral arterial disease. Which of the following statements by the patient indicates understanding of how to manage the pain of peripheral arterial disease " I will sit with my legs down" ______ describes a violin like sound heard on chest asuculatation Wheezes Which is the best explanation by a nurse for why a physician did not prescribe antibiotics for influenza " Influenza is caused by viruses" After a laryngectomy, which of the following assessments takes priority Airway patency Which of the following interventions is most appropriate for the patient with an ineffective breathing pattern teach the patient controlled diaphragmatic breathing The patient with end stage COPD has a nursing diagnosis of impaired gas exchange. Which assessment finding shows that interventions have been effective SP02 97% on 2L of O2 The nurse is doing an admission assessment on a new residne to an extended care facility. The patients face and shoulders seem to have a lot of fat, but the patients arms and legs are thin. Excess of which hormone might be involved. T Cortisol which action by nurse is most important following hypohysectomy Neurological Sets with similar termsPathophysiology Chapter 23 (Disorders of Ventilati…33 terms megspollock Ch 20 Respiratory Distress46 terms walcott59 Patho Quiz 6 (Respiratory)30 terms Kaylee_Hancock Sets found in the same folderNCLEX - Respiratory103 terms tara_l_andersen GI, Digestive, and Metabolic NCLEX221 terms es262908 exam 217 terms Jihaan_Garrett nclex for respiratory69 terms Geyersm Other sets by this creatorAPBIO - C 999 terms marciebabiTEACHER Drug Screen Study Guide33 terms marciebabiTEACHER information literacy97 terms marciebabiTEACHER MS1 Final Exam review Questions89 terms marciebabiTEACHER Other Quizlet setsFON Lab Study guide232 terms michaela_marie5 Skills Ch 4 ,13, 10, 16, 2 End of CH review questi…49 terms cortney_mas LAB EXAM PART 3- FOLEYS AND INSULINS38 terms NAHHMANGW prep u chapter 5774 terms Erika_nurselife Related questionsQUESTION The nurse should warn a patient taking aluminum and calcium-containing antacids about which adverse effects? 9 answers QUESTION A nurse is applying a condom catheter for an older adult pt who is uncircumcised. WOTF is an appropriate step in the procedure? 15 answers QUESTION tibiofemoral joint, because its made entirely by muscles and ligaments 2 answers QUESTION How long should a baby heel warmer be applied? 15 answers What is the most common complication associated with bronchoscopy?The most consistently reported mechanical complications are related to airway manipulation/trauma and bleeding.
Is bronchospasm normal after bronchoscopy?Diagnostic sampling may lead to immediate, although rare, complications, such as intrabronchial bleeding, bronchospasm, and pneumothorax. In addition, some discomfort may be felt in the days after the procedure, such as fever, sore throat, cough, or reactions to the medications used (1).
What complications should the nurse be aware may occur during a bronchoscopy?Common complications may include shortness of breath, a drop in oxygen level during the procedure, chest pain, and cough. In addition, if a lung biopsy is necessary, it may cause leakage of air called a pneumothorax and/or bleeding from the lung. Pneumothorax occurs in less than 1% of cases requiring lung biopsy.
What can I see for a post bronchoscopy?However, you should call for help immediately if you have increasing chest pain or shortness of breath, or if you cough up more than a few quarter-sized clots or teaspoons of blood. Fever (temperature greater than 100.4ºF or 38ºC) can occur after bronchoscopy, but usually for only for 24 hours.
|
Which of the following assessment findings should you report immediately after bronchoscopy?
zusammenhängende Posts
Urheberrechte © © 2024 defrojeostern Inc.
