Podcast
Questions and Answers
Which finding in a client at risk for acute respiratory distress syndrome (ARDS) indicates the client is becoming hypoxemic?
Which finding in a client at risk for acute respiratory distress syndrome (ARDS) indicates the client is becoming hypoxemic?
- Hypoxia not responsive to oxygen therapy (correct)
- Severe, unexplained electrolyte imbalance
- Elevated carbon dioxide level
- Metabolic acidosis
In a client with ARDS showing increased dyspnea, which blood gas value should be concerning?
In a client with ARDS showing increased dyspnea, which blood gas value should be concerning?
- Partial pressure of arterial oxygen (PaO2) 95 mmHg
- Bicarbonate (HCO3-) 22 mEq/L
- pH 7.35
- Partial pressure of carbon dioxide (PaCO2) 25 mmHg (correct)
Which task can the nurse delegate to unlicensed assistive personnel (UAP) in a pulmonary unit?
Which task can the nurse delegate to unlicensed assistive personnel (UAP) in a pulmonary unit?
- Adjusting flow rates based on client responses
- Monitoring a client for adverse effects of oxygen therapy
- Assisting a client with adjusting their nasal cannula (correct)
- Assessing a client for the best method of oxygen delivery
Which clients are considered at risk for a pulmonary embolism?
Which clients are considered at risk for a pulmonary embolism?
Following a bronchoscopy, which finding should the nurse report to the provider?
Following a bronchoscopy, which finding should the nurse report to the provider?
During the removal of a chest tube, which dressing is most appropriate for the site where the tube was removed?
During the removal of a chest tube, which dressing is most appropriate for the site where the tube was removed?
A client with chest drainage observes gentle bubbling in the water seal chamber. What should the nurse do?
A client with chest drainage observes gentle bubbling in the water seal chamber. What should the nurse do?
A client with a chest tube inserted for a pneumothorax shows fluctuating fluid levels in the water seal chamber with each breath. What does this indicate?
A client with a chest tube inserted for a pneumothorax shows fluctuating fluid levels in the water seal chamber with each breath. What does this indicate?
A client with rib fractures and a pneumothorax has a chest tube connected to a water seal drainage system. The nurse notes that the fluid in the water seal column is not fluctuating. What should the nurse suspect?
A client with rib fractures and a pneumothorax has a chest tube connected to a water seal drainage system. The nurse notes that the fluid in the water seal column is not fluctuating. What should the nurse suspect?
A client is undergoing a thoracentesis. What should the nurse monitor for during and immediately after the procedure?
A client is undergoing a thoracentesis. What should the nurse monitor for during and immediately after the procedure?
Which position is most beneficial for improving oxygenation in a patient with acute respiratory distress syndrome(ARDS) receiving mechanical ventilation?
Which position is most beneficial for improving oxygenation in a patient with acute respiratory distress syndrome(ARDS) receiving mechanical ventilation?
A client with a crushing chest injury is admitted to the ICU. Which finding poses the highest risk for developing acute respiratory distress syndrome(ARDS)?
A client with a crushing chest injury is admitted to the ICU. Which finding poses the highest risk for developing acute respiratory distress syndrome(ARDS)?
A nurse needs to administer 10 mg of morphine sulfate to a client with three fractured ribs. The available concentration is 15 mg/mL. How many mL should the nurse administer?
A nurse needs to administer 10 mg of morphine sulfate to a client with three fractured ribs. The available concentration is 15 mg/mL. How many mL should the nurse administer?
What finding in a client with chronic obstructive pulmonary disease requires immediate intervention?
What finding in a client with chronic obstructive pulmonary disease requires immediate intervention?
Which statement is true concerning oxygen administration to a client with COPD?
Which statement is true concerning oxygen administration to a client with COPD?
What should the nurse do first for a client with asthma who is dyspneic and has diminished breath sounds?
What should the nurse do first for a client with asthma who is dyspneic and has diminished breath sounds?
What is the expected outcome of short-term corticosteroid therapy for a client with acute asthma?
What is the expected outcome of short-term corticosteroid therapy for a client with acute asthma?
Which finding would most likely indicate the presence of a respiratory infection in a client with asthma?
Which finding would most likely indicate the presence of a respiratory infection in a client with asthma?
What is the correct procedure for suctioning a tracheostomy tube placed 3 days ago?
What is the correct procedure for suctioning a tracheostomy tube placed 3 days ago?
What should the nurse do regarding the gauze pad for a client with a tracheostomy tube inserted 2 days ago?
What should the nurse do regarding the gauze pad for a client with a tracheostomy tube inserted 2 days ago?
What should a nurse do to ensure the safe effective use of a chest tube and water seal drainage system?
What should a nurse do to ensure the safe effective use of a chest tube and water seal drainage system?
Which indicator of oxygenation is best for determining the effectiveness of oxygen therapy in a client with bacterial pneumonia?
Which indicator of oxygenation is best for determining the effectiveness of oxygen therapy in a client with bacterial pneumonia?
Which of the following findings requires immediate attention for a client with COPD?
Which of the following findings requires immediate attention for a client with COPD?
Before administering intravenous antibiotics, which diagnostic test should the nurse verify has been completed?
Before administering intravenous antibiotics, which diagnostic test should the nurse verify has been completed?
Which symptom indicates a need for further medical evaluation in a patient with chronic asthma?
Which symptom indicates a need for further medical evaluation in a patient with chronic asthma?
What information should be included in a teaching plan for a client newly diagnosed with chronic obstructive pulmonary disease (COPD)?
What information should be included in a teaching plan for a client newly diagnosed with chronic obstructive pulmonary disease (COPD)?
Which statement best reflects a misconception regarding pneumonia treatment?
Which statement best reflects a misconception regarding pneumonia treatment?
Which action is incorrect when caring for a client with a tracheostomy?
Which action is incorrect when caring for a client with a tracheostomy?
Flashcards
Hypoxemia unresponsive to oxygen therapy
Hypoxemia unresponsive to oxygen therapy
A condition where the body's oxygen levels are dangerously low and cannot be improved by supplemental oxygen therapy.
What is Acute Respiratory Distress Syndrome (ARDS)?
What is Acute Respiratory Distress Syndrome (ARDS)?
A life-threatening condition that occurs when the lungs become inflamed and stiff, leading to difficulty breathing and low blood oxygen levels.
Bronchospasms after bronchoscopy
Bronchospasms after bronchoscopy
A potential complication of bronchoscopy where the airways constrict, making it difficult to breathe.
Metabolic Acidosis
Metabolic Acidosis
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Pulmonary Embolism
Pulmonary Embolism
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Tracheostomy Suctioning: What is the correct procedure for suctioning?
Tracheostomy Suctioning: What is the correct procedure for suctioning?
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Tracheostomy Care: How should the gauze pad be positioned?
Tracheostomy Care: How should the gauze pad be positioned?
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Assessing Oxygen Therapy Effectiveness: Which indicator is best?
Assessing Oxygen Therapy Effectiveness: Which indicator is best?
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Antibiotic Therapy for Pneumonia: What diagnostic test is needed before starting antibiotics?
Antibiotic Therapy for Pneumonia: What diagnostic test is needed before starting antibiotics?
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COPD Management: What is the most important lifestyle modification?
COPD Management: What is the most important lifestyle modification?
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COPD Management: What is the most important medication?
COPD Management: What is the most important medication?
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COPD Management: How does humidity affect breathing?
COPD Management: How does humidity affect breathing?
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COPD Management: Are pulmonary rehabilitation programs beneficial?
COPD Management: Are pulmonary rehabilitation programs beneficial?
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What is the most urgent finding in a COPD patient?
What is the most urgent finding in a COPD patient?
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Why is high oxygen dangerous for COPD patients?
Why is high oxygen dangerous for COPD patients?
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What is the most alarming finding in an asthma patient?
What is the most alarming finding in an asthma patient?
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What is the primary action of corticosteroids in asthma?
What is the primary action of corticosteroids in asthma?
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What finding in an asthma patient suggests an infection?
What finding in an asthma patient suggests an infection?
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Why is the air vent in a water seal drainage system important?
Why is the air vent in a water seal drainage system important?
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Why shouldn't you clamp a chest tube?
Why shouldn't you clamp a chest tube?
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When should you strip a chest drainage tube?
When should you strip a chest drainage tube?
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Water seal chest drainage system bubbling
Water seal chest drainage system bubbling
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Chest tube removal dressing
Chest tube removal dressing
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Morphine Sulfate Dosage Calculation
Morphine Sulfate Dosage Calculation
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Fluctuating water seal column
Fluctuating water seal column
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Pneumothorax symptom
Pneumothorax symptom
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Thoracentesis complications
Thoracentesis complications
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ARDS patient positioning
ARDS patient positioning
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Crushing chest injury and ARDS
Crushing chest injury and ARDS
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Study Notes
Exam 1 Practice Exam - Study Notes
- Tracheostomy Suctioning (Question 1): Use a clean catheter for each suctioning, disinfecting it in hydrogen peroxide between uses, not in sterile water.
- Tracheostomy Gauze Pad (Question 2): Ensure the gauze pad is dry and the client is in a comfortable position. Make sure to reposition the pad around the stoma with the open end down.
- Oxygenation Assessment (Question 3): Arterial blood gas (ABG) values are the best indicator of oxygenation effectiveness, not cyanosis, respiratory rate, or level of consciousness.
- Antibiotic Administration (Question 4): Ensure a urinalysis and sputum culture, and chest radiograph have been completed before administering intravenous antibiotics.
- Guaifenesin Dosage Calculation (Question 5): The nurse should administer 7.5 mL of guaifenesin for each 300 mg dose.
- COPD Teaching Plan (Question 6): Include pulmonary rehabilitation programs, pneumococcal vaccination, that bronchodilators should be readily available, and smoking cessation to slow/stop disease progression.
- COPD Assessment (Question 7): Distant heart sounds, diminished lung sounds, and/or inability to speak require immediate intervention.
- Oxygen Administration in COPD (Question 8): High oxygen concentrations can cause coughing and dyspnea in some COPD patients, and may inhibit the hypoxic stimulus to breathe. Increased oxygen use may NOT always cause dependence. Increased oxygen use won't always make a client dependent on oxygen, and administration is not always contraindicated with bronchodilators.
- Asthma Emergency (Question 9): Initiate oxygen therapy as prescribed and reassess the client, with dyspnea and high respiratory rate, nasal flaring, and accessory muscle use. Greatly diminished breath sounds need immediate assessment and action.
- Steroid Therapy in Asthma (Question 10): Steroids have an anti-inflammatory effect.
- Respiratory Infection in Asthma (Question 11): Cough productive of yellow sputum can indicate a respiratory infection.
- Chest Tube and Water Seal Drainage (Question 12): Verify the air vent is capped when suction is off, avoid clamping the chest tube when moving, and ensure the drainage apparatus is below the chest level.
- Water Seal Bubbling in Drainage (Question 13): Gentle, constant bubbling in the water seal is likely expected.
- Chest Tube Removal (Question 14): Use appropriate dressings during chest tube removal.
- Morphine Dosage Calculation (Question 15): Administer 0.7mL of morphine.
- Chest Tube Fluctuation (Question 16): Fluctuating fluid in the water seal column indicates the chest tube system is functioning properly, and there is no leak.
- Pneumothorax Assessment (Question 17): Sudden, sharp chest pain, warrants immediate reporting to the health care provider. Watch for Hemoptysis (coughing up blood) and cyanosis (bluish skin discoloration).
- Thoracentesis Monitoring (Question 18): Monitor clients for pneumothorax, subcutaneous emphysema, tension pneumothorax, pulmonary edema, and infection.
- ARDS Positioning (Question 19): Semi-Fowler's position is best.
- Hypoxemia (ARDS) Assessment (Question 20): Low blood oxygen level (hypoxemia) is indicated by Elevated carbon dioxide level, hypoxia not responsive to oxygen therapy, and potentially metabolic acidosis.
- Additional Concern findings in Assessment (Question 21): No Additional concern findings in the question.
- Blood Gas Values (Question 22): pH, PaCO2, HCO3- and PaO2 values are all concerning if out of normal expected parameters.
- UAP Delegation (Question 23): UAP can assist clients with adjusting their nasal cannula.
- Pulmonary Embolism Risk (Question 24): Clients with a BMI of 30 are at risk for pulmonary embolism.
- Bronchoscopy Follow-up (Question 25): The nurse should report any blood-tinged sputum to the provider.
Additional Information
- Answer Key (Page 7): Provides answers to the questions in the exam.
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Description
Prepare for your nursing exam with this practice quiz focusing on critical aspects such as tracheostomy care, oxygenation assessment, antibiotic administration, and medication dosage calculations. Each question is designed to reinforce key concepts and ensure you are well-prepared for your evaluation.
