Question 53 In infants and children admitted for bronchiolitis, electronic monitoring of vital signs and oxygenation is a suitable substitute for regular clinical assessment. Question 53 options: True False
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Question 53
In infants and children admitted for bronchiolitis, electronic monitoring of vital signs and oxygenation is a suitable substitute for regular clinical assessment.
Question 53 options:
| True | |
| False |
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Solved in 2 steps
- Question 55 Which of the following is NOT included in the care plan of a patient with COPD according to the RNAO's Best Practice Guideline: Nursing Care of Dyspnea? Question 55 options: Limit eating to 3 larger meals a day Lateral-costal breathing Use of fresh air or a fan as a relaxation technique Pacing as a conservative strategyQUESTION 1 A nurse is caring for a child who is receiving oxygen therapy. Which of the following findings indicates oxygen toxicity? Hyperventilation Decreased PaCO2 Increased blood pressure Unconsciousness QUESTION 2 A 7-year-old boy is being discharged from having a tonsillectomy and adenoidectomy and is being discharged home with his mother. Home care instructions should include which of the following? Please select all that apply Encourage the child to cough every 4 to 5 hours to prevent pneumonia Observe the child for continuous swallowing Administer an analgesic such as acetaminophen for pain Observe the child for restlessness or difficulty breathing Encourage the child to take spin of cool, clear liquids QUESTION 3 Parents brought a 6-month old infant into a well-child clinic for complaints of vomiting and failure to grow. His birth weight was 7Ibs, and now he weighs 8Ibs, 6oz. The infant's mother reports that he is taking 4-8 oz every 4-5 hours, but he “spits up a…Question 53 Which of the following risk factors would prompt a nurse to advocate for a spirometry test for a COPD diagnosis? Question 53 options: Frequent respiratory tract infections History of smoking and over the age of 40 Daily puffer use Persistent cough for the past 2 weeks
- 4:24 al a @ ord-4.pearsonvue.com d © Time Remaining 00:14:25 113 of 125 B Calculator The nurse has taught a client with active pulmonary tuberculosis (TB). Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply. 図1 回2 3. 4. 05. 6. "I should expectorate secretions into a disposable tissue and dispose of the tissue in a plastic bag. "will keep my dishes and eating utensils separate from those of other family members. "I should have a TB skin test again in 6 months." "I will receive prescribed medication for at least 6 months." "I should take the TB medication as long as the symptoms occur." "I will limit my daily activities until I am no longer feeling so tired.Please provide a rationale for each of these 1. Ensure that the operator wears a gown, gloves and face and eye mask because there is a high chance the patient might vomit. 2. NG tubes should not be used in patients with severe facial trauma as it can cause intracranial insertion and cause complications. 3. Consider the breathing status of a patient. If there is any change in breathing status immediately remove tube. 4. See that the patient is positioned upright to ensure a correct neck head alignment. 5. Be careful as to not to come in contact with patient blood or body fluids.+ Part 1: Case information for assessment (this part of the case is required) Emergency Mrs. Green came in through the front door of her house with an armful of groceries. She put the bag down on the kitchen counter and called to her husband. "Herb, I'm home! Are you ready for lunch?" She didn't get an answer, so she walked to the living room and found Mr. Green lying on the floor. "Herb! Are you okay?" she asked. Mr. Green responded weakly while clutching his chest. Mrs. Green called 911. It only took EMS a few minutes to arrive and the ambulance quickly transported Mr. Green to the hospital. Upon admission to the hospital, Mr. Green' vital signs were recorded as follows: Systolic blood pressure (mm Hg) Diastolic blood pressure (mm Hg) Oral temperature (°F) Heart rate (beats per minute) Respiratory rate (breaths per minute) Oxygen saturation Lab results 90 52 98.2 120 33 89% Cardiac involvement Mr. Green was admitted to the hospital with chest pains and shortness of breath. His wife…
- Question 88 Which of the following actions by a client who has asthma indicates a good understanding of the nurse’s teaching about the asthma action plan? Question 88 options: The client adjusts their medications appropriately when they are in the ‘yellow zone’ The client calls the health care provider when Peak Flow readings are less than 90% The client calls the health care provider to confirm and document any potential triggers The client calls the health care provider when they are in the ‘green zone’Your patient is recovering after delivering twin girls 46 hours ago. She complains of uterine pain and has malodorous lochia. Her last vital signs were B/P 120/80, P 122, R 20, Temp 101.2. What do you suspect is happening and what are your priority nursing actions/rationales Patient Ana was recovering after delivering twin girls 46 hours ago. She complains of uterine pain and has mal odorous lochia. Her vital signs are the following: BP 120/80; PR 122; RR 20; Temp 101.2 F. Guide Questions: What do you suspect is happening to Patient Ana? What are your priority nursing diagnosis? What are your priority nursing interventions and include the rationale?Question 32 A thorough review of a chest x-ray report from a client with COPD can yield what information? Question 32 options: Evidence of inflammation, anemia, collapsed airways, and ischemic heart disease Evidence of air trapping, pulmonary edema, right sided heart failure, infection Evidence of narrowed airways, sputum production, V/Q mismatch, and osteoporosis. Evidence of hypoxemia, hypercapnia, acidosis, and respiratory failure
- Question 41 Clinical significance is determined by: Question 41 options: Ensuring the results are statistically significant. Calculating the OR (odds ratio) or RR (relative risk) Analyzing the confidence intervals. Calculating the numbers needed to treat.At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (i.v) Explain the reason for intravenous (JV) Hydrocortisone. . Provide two (2) nursing interventions with rationales to improve airway clearance and/or improve breathing patternScenario: Upon completing a medical history and physical assessment the nurse learns that the client has an eight-year history of chronic obstructive pulmonary disease (COPD) and continues to smoke ½ pack of cigarettes daily. The client is febrile (101.20 F) and reports experiencing periods of chilling. The client has a productive cough resulting in large amounts of purulent sputum and reports, "All this coughing and difficulty breathing makes my chest hurt." The client's spouse shares that the client hasn't been eating or drinking as well as usual and constipation has been a problem for the last 3 days. Both covid-19 infection and pneumonia are being ruled out as the possible diagnosis. The nurse will identify which assessment and/or history data as supporting a diagnosis of pneumonia? Select all that apply. Cough Anorexia Chest pain Constipation Fever and Chills Purulent sputum History of COPD