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- Question During the first 36 hours after the insertion of a chest tube, the nurse notes the water in the water seal chamber is not tidaling. The nurse suspects the chest tube is occluded. The initial nursing intervention should be to: A. Inform the physician B. Take the client's vital signs C. Milk the chest tube D. Instruct the client to coughQuestion 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minuteQuestion 2 Oxygenation - Patient 2 Patient Data History and Physical Nurses' Notes Imaging Studies ↑ 0800 The 77-year-old male client has a productive cough with thick, green secretions. Heart sounds are muffled. Breath sounds are diminished bilaterally with inspiratory and expiratory wheezes noted. The client denies pain, rating his pain a 0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest is barrel shaped. The client ate only 25% of his breakfast today. Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular, respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation 90% at rest on 2 L of oxygen via nasal cannula. The nurse reviews assessment data and health history from the medical record. Which finding indicates this client is experiencing impaired oxygenation? Select all that apply. Productive cough Muffled heart sounds Diminished breath sounds Wheezing Dyspnea Barrel-shaped chest Oxygen saturation of 90%…
- Question 86 The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective? Question 86 options: No wheezes are audible Oxygen saturation is >92% Accessory muscle use has decreased Respiratory rate is 16 breaths / minuteQuestion 89 The nurse is assessing a client with asthma who has recorded daily peak flows that are 85% of their baseline. Which of the following actions should the nurse take? Question 89 options: Administer a bronchodilator and recheck the peak flow Instruct the client to continue to use their current medications Evaluate whether the peak flow meter is being used correctly Teach the client how to use oral corticosteroidsQuestion 63 A nurse is assessing a client who has been diagnosed with sciatica. The client states that the pain usually starts in the back and then goes to the buttocks, posterior thigh, posterior leg, and the foot. The nurse should document these findings as which description? Question 63 options: Referred pain Radiating pain Persistent pain Breakthrough pain
- Question 54 A 5-month-old infant was admitted to the pediatric unit with bronchiolitis. They are currently being monitored and receiving supportive care, including supplemental oxygen. Which of the following should be included in the nurse's assessment and documentation? Select all that apply. Question 54 options: Hydration status Oxygen saturation Respiratory rate and work of breathing Findings on auscultation Feeding statusQuestion 32 The nurse palpated the tactile fremitus and detected abnormalities. The nurse suspects accumulation of fluid in the lungs. What should be the tone of the patient to confirm the suspicion? Low tone Loud tone Normal tone Whispered tone Confident Not Sure amazon 3888 2:Question 1: Write a 1-2 page analysis stating your decision regarding whether the nurse was liable for the death of the patient in the scenario below. IT’S YOUR GAVEL… CHANCE OF SURVIVAL DIMINISHED On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseated. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr. Ard did not survive the code. There was no documentation in the medical records for May 20, between 5:30 PM and 6:45 PM, that would indicate that any nurse or physician…
- Question 17 Karen (65 years old) comes to the emergency department as she is experiencing an acute asthma attack. After obtaining her baseline oximetry value, what should the nurse do next? Select the correct action from the list below: Question 17 options: Complete a thorough health history Ask about inhaled corticosteroid use Obtain her Forced Expiratory (FEV1) flow rate Start an intravenous (IV) of Ringers LactateQuestion 6 A nurse walks into a room and notices a client in acute respiratory distress. You would expect the nurse to do all of the following EXCEPT: Question 6 options: Check the client's vital signs Leave the client to ask for help Coach the client through deep breathing techniques Place the client on oxygen to maintain an SP02 > 89%Question 25 When providing post operative health teaching to the client who has a new ostomy on how to prevent parastomal hernias, the nurse should include the following: Question 25 options: Wear firm supportive abdominal binders 1 week after surgery Perform abdominal strengthening exercises as soon as possible Avoid any heavy lifting up to 6 weeks after surgery Routinely irrigate the stoma if stool appears firm