RESPIRATORY
This assessment finding is an early sign of hypoxia
Restlessness or anxiety
This oxygen delivery device provides the highest concentration of oxygen.
Non-rebreather mask
This assessment finding is most concerning in a client with GI bleeding.
Black, tarry stools (melena)
Which diet is appropriate for a client with GERD?
Low-fat, non-spicy diet
This short-acting beta-agonist is used for acute asthma attacks.
Albuterol
The nurse should place a client with suspected aspiration pneumonia in this position.
High-Fowler’s position
The nurse should encourage this technique to prevent atelectasis postoperatively.
Incentive spirometry
The nurse should expect this lab value to be decreased in chronic liver disease.
Albumin
The nurse should position a client with a nasogastric tube how to prevent aspiration?
Head of bed elevated 30–45°
What is the priority assessment before administering a beta-agonist inhaler?
Heart rate
This ABG finding indicates respiratory acidosis.
pH < 7.35 and PaCO₂ > 45 mmHg
Stridor heard in a client indicates this life-threatening condition.
Upper airway obstruction
A client with pancreatitis should be kept NPO for what primary reason?
To reduce pancreatic enzyme secretion
A client with Crohn’s disease is at highest risk for this complication.
Malnutrition
A client using inhaled corticosteroids should be taught to do what after each use?
Rinse mouth to prevent oral candidiasis
A client with COPD is receiving oxygen. What is the priority nursing action?
Monitor oxygen saturation and respiratory status closely (avoid excessive oxygen)
A client with asthma is experiencing wheezing and dyspnea. What medication should the nurse administer first?
Short-acting beta-agonist (albuterol)
This electrolyte imbalance is common with prolonged vomiting.
Hypokalemia
After abdominal surgery, absence of bowel sounds most likely indicates:
Paralytic ileus
This medication is commonly prescribed for long-term control of asthma and decreases airway inflammation.
Inhaled corticosteroids (e.g., fluticasone)
A client with a chest tube has continuous bubbling in the water seal chamber. What does this indicate?
An air leak
A client suddenly develops dyspnea, chest pain, and hypotension after surgery. What is the priority suspected diagnosis?
Pulmonary embolism
A client with cirrhosis develops confusion and asterixis. What is the priority intervention?
Administer lactulose
A client with peptic ulcer disease is prescribed a proton pump inhibitor. What is the primary therapeutic effect of this medication?
Decreases gastric acid secretion
This anticholinergic inhaler is commonly used for COPD and can cause dry mouth.
Ipratropium