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A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?
C. Inhales the mist and quickly exhales.
A client has been taking benzonatate (Tessalon Perles) as prescribed. A nurse concludes that the medication is having the intended effect if the client experiences:
D. Decreased frequency and intensity of cough.
A female client with suspected pneumonia is scheduled to have a chest radiograph.
Which of the following questions is priority to the nurse assessing this client?
A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. Which of the following instructions would be appropriate for the nurse to give the client?
Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema?
D. To promote carbon dioxide elimination.
Which of the following individuals would the nurse consider to have the highest priority for receiving an influenza vaccination?
C. A 50-year-old woman caring for a spouse with cancer.
A cromolyn sodium (Intal) inhaler is prescribed to a client with asthma. A nurse provides instructions regarding the side effects of this medication. The nurse tells the client to immediately report which of the following symptom?
Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? The client will:
A. Maintain a fluid intake of 800 ml every 24 hours.
B. Experience chills only once a day.
C. Cough productively without chest discomfort.
D. Experience less nasal obstruction and discharge.
D. Experience less nasal obstruction and discharge.
A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. Which of the following instructions would be appropriate for the nurse to give the client?
Which of the following diets would be most appropriate for a new nurse to teach a client with COPD to follow?
Guaifenesin 300 mg four times daily has been ordered as an expectorant. The dosage strength of the liquid is 200mg/5ml. How many mL should the nurse administer each dose? F
Round to the nearest tenth decimal place.
7.5 ML/DOSE
A client has been taking isoniazid (INH). The client went to the health care facility with complaints of numbness and tingling sensation in the extremities. The nurse determines that the client is most likely suffering from?
C. Peripheral neuropathy
Which of the following is a priority goal to evaluate for in the client with COPD?
A client’s arterial blood gas levels are as follows: pH 7.31; PaO2 80 mm Hg, PaCO2 65 mm Hg; HCO3- 36 mEq/L. Which of the following signs or symptoms would the nurse expect?
A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which common clinical findings of respiratory alkalosis would the nurse educate the patient about?
D. Lightheadedness or paresthesia
Pseudoephedrine (Sudafed) has been ordered as a nasal decongestant. Which of the following is a possible side effect of this drug?
D. Restlessness
A nurse is monitoring a client receiving isoniazid for adverse effects. The nurse determines that the client is experiencing a side effect of the medication, in which of the following?
Which of the following ABG abnormalities should the nurse evaluate for in a client with advanced COPD?
A. Increased PaCO2
The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. Which of the following findings would be expected?
Before administering ephedrine for nasal congestion, the nurse assesses the patient’s history. Because of ephedrine’s central nervous system (CNS) effects, it is not recommended for:
The nurse should instruct a client who is taking an expectorant to:
All of which are examples of antiviral influenza medications except?
B. ethionamide (Trecator)
A elderly female patient is admitted to a respiratory unit due to severe respiratory distress related to complicated pneumonia. The patient is given albuterol nebulizers q 4 hours PRN, oxygen via venturi mask continuously at 5 LPM, prednisone IM injections QD. After the orders have been initiated the nurse evaluates the patient and finds the following assessment:
Vital signs:
RR 16
SpO2 89% on 5LPM
Blood pressure 100/70
Pulse 70 BPM
Objective
Patient is laying in bed with eyes closed.
Intercostal and substernal retractions
Breath sounds are diminished
How does the nurse evaluate this?
A. The patient is in respiratory distress.
B. The patient is in respiratory failure.
C. The patient has chronic obstructive pulmonary disease.
D. The patient has a pulmonary embolism.
B. The patient is in respiratory failure.
Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In acute rhinitis, nasal drainage normally is:
C. Clear
A nurse instructs a female client to use the pursed-lip method of breathing and the client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed-lip breathing is to:
Phenylephrine hydrochloride (Neo-Synephrine) is prescribed for a client with nasal congestion. The nurse who is providing teachings about the medication should include which of the following? Select all that apply.