Exam 36: Oxygenation

The nurse is providing teachings on smoking cessation to an older client with emphysema. The client states, "My doctor wants me to quit smoking. It's too late now, though; I already have lung problems." Which of the following would be the best response to his statement?

The nurse is providing care for a client admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs. What nursing diagnosis would be most appropriate for this client?

The nurse assesses a client diagnosed with pneumonia. Which data findings indicate that the client is not oxygenating adequately? Select all that apply.

Obesity is associated with higher risk for which of the following conditions that affect the pulmonary and cardiovascular systems? Select all that apply.

The nurse is planning care for an older adult client newly admitted with a medical diagnosis of pneumonia and a nursing diagnosis of Ineffective Airway Clearance. Which of the following is the nurse's priority intervention?

The nurse is preparing to administer medication to the client with an exacerbation of asthma. Which of the following medications would improve the respiratory function of the client?

The nurse is providing care to the adult client with mechanically ventilated client who has a tracheostomy. The client has a pulse oximetry reading at 85%, heart rate at 113 beats/min, and respiratory rate at 30 breaths/min. The client has become restless and has labored gurgling respirations. The nurse auscultates bilateral crackles and rhonchi. What is the most appropriate nursing action at this time?

The nurse is caring for a client who had experienced an acute asthma event. What classification of medications would the nurse anticipate administering to this client? Select all that apply.

The nurse is providing care for a young adult client with an intracranial hemorrhage secondary to a closed head injury. During the assessment, the nurse notices that the client's respirations follow a cycle progressively increasing in depth, then progressively decreasing in depth, followed by a period of apnea. Which of the following appropriately describes this respiratory pattern?

Which of the following is/are accurate about nasotracheal suctioning? Select all that apply.

The nurse is assessing the client has a history of chronic obstructive pulmonary disease (COPD). At this time, the client's pulse oximetry reading is 97%. What other findings would indicate adequate tissue and organ oxygenation? Select all that apply.

The nurse is caring for a client with a chest tube. What outcome would indicate the chest tube can be discontinued?

When providing safety education to the mother of a toddler, the nurse would inform the mother that based on the child's developmental stage, he is at high risk for which of the following factors that influence oxygenation? Select all that apply.

Which of the following factors influence normal lung volumes and capacities? Select all that apply.

The nurse, working in the postanesthesia care unit inserts an oral airway into the semiconscious client to prevent airway obstruction. When should the airway be removed?

A nurse is preparing to obtain a sputum specimen from an adult client. Which of the following nursing actions will facilitate obtaining the specimen?

The nurse is providing care to a pregnant woman in preterm labor. The client is 32 weeks pregnant. Initially, the client states, "I've gained 30 pounds. That should be enough for the baby. Everything will be okay if I deliver now." After teaching the client about fetal development, the nurse will know her teaching is effective if the client makes which of the following statements?

Which procedure can the nurse safely delegate to the certified nursing assistant who is knowledgeable and experienced in the procedure?

The nurse is teaching a client about her chest drainage system. Which of the following should the nurse include in the teaching? Select all that apply.

The nurse is caring for a client diagnosed with pneumonia, teaching him or her how to cough and deep-breathe. The client asks, "Why is drinking fluids so important?" What is the nurse's best response?