Constipation and diplopia are not side effects of pseudoephedrine. 15. All questions are shown, but the results will only be given after you’ve finished the quiz. 3. Client waits 5 minutes between puffs. Encourage slow, regular breathing to decrease the amount of CO2 she is losing. Which of the following outcomes would be appropriate for a client with COPD who has been discharged to home? The client develops respiratory acidosis. Wait until the client’s lab work is done. COPD is a slowly progressive; therefore, maintaining current status and establishing a goal that the client will require less supplemental oxygen are unrealistic expectations. A female client is scheduled to have a chest radiograph. This involves compressing the radial and ulnar arteries and asking the client to close and open the fist. Observe the skin and mucous membrane color. Assessing a client who has developed atelectasis postoperatively, the nurse will most likely find: 1. a. Select all that apply. When developing a discharge plan to manage the care of a client with COPD, the nurse should anticipate that the client will do which of the following? Cardiac involvement usually doesn’t occur. If you need more clarifications, please direct them to the comments section. Therefore, the PaCO2 level increase, the PaO2 level decreases, and the pH decreases, indicating acidosis. The client is getting dehydrated and needs to increase her fluid intake to decrease secretions. 2. Which nursing diagnosis would be included in the plan of care because of the polycythemia? answers and rationale for nclex questions about airway. We have 150 NCLEX-PN practice exam questions with correct answer rationales. Which of the following client actions indicates that he is using the MDI correctly? Sodium bicarbonate (3) would be given to reverse acidosis; mechanical ventilation (1) may be ordered for acute respiratory acidosis. . A nurse teaches a client about the use of a respiratory inhaler. 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A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. Right-sided heart failure is a complication of COPD that occurs because of pulmonary hypertension. 39. Which of the following questions is of most importance to the nurse assessing this client? 2. The nurse knows that these are discrete, non continuous sounds that are: Produced by airflow across passages narrowed by secretions. 1. This leads to carbon dioxide retention and hypoxemia. 3. Before deflating the tracheal cuff (4), the nurse will apply oral or nasal suction to the airway to prevent secretions from falling into the lung. The nurse explains that the tidal volume is the amount of air: 1. Which of the following are potential side effects of metaproterenol? To strengthen the diaphragm “You have developed a fungal infection from your medication. 37. 3. Overly developed, not underdeveloped, neck muscles are associated with COPD because of their increased use in the work of breathing. The client should immediately be placed on oxygen via mask so that the SaO2 is brought up to 95%. Underdeveloped neck muscles Expiration, not inspiration, becomes prolonged. 28. 1. Answer: 3. 3. 22. Also explore over 206 similar quizzes in this category. Clients are also asked to remove any chains or metal objects that could interfere with obtaining an adequate film. Which of the following physical assessment findings would the nurse expect to find in a client with advanced COPD? 3. Daily fluid intake should be increased to more than 1 L every 24 hours to liquefy secretions. 4. Exhaled after there is a normal inspiration. Chest pain is not a typical sign of COPD. The dosage strength of the liquid is 200mg/5ml. Auscultation of the lung fields reveals greatly diminished breath sounds. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the other artery. 1. Which of the following client actions indicates that he is using the MDI correctly? Diseases of the Respiratory System 2. Maintain a fluid intake of 800 ml every 24 hours. The pH (7.50) reflects alkalosis, and the low PaCO2 indicated the lungs are involved. Incorporate physical exercise as tolerated into the treatment plan. Clubbing of nail beds Clients with heart failure have decreased appetites. Find Info and Compare Results Now. 4. 3. Decreased temperature The hypoxic drive is his chief stimulus for breathing. Exhaled after there is a normal inspiration A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. 4. Tidal volume (TV) is defined as the amount of air exhaled after a normal inspiration. Which nursing diagnosis would be included in the plan of care because of the polycythemia? A client is prescribed metaproterenol (Alupent) via a metered dose inhaler (MDI), two puffs every 4 hours. Which of the following ABG abnormalities should the nurse anticipate in a client with advanced COPD? The patient has a chronic productive cough with dyspnea on excretion. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. Answer: 2. The first intervention in completing this procedure would be to: A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. 3. 3. By prolonged exhalation and helping the client relax, pursed-lip breathing helps the client learn to control the rate and depth of respiration. It should go away in a couple of weeks.” ~ Andrew Carnegie. Cyanosis is a late sign of hypoxia. A 50-year-old woman caring for a spouse with cancer. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. Ineffective breathing pattern related to alveolar hypoventilation. Emphysema 3. 4. Before drawing the sample, a nurse occludes the: 1. 4. RATIONALE For NCLEX Questions About Airway. The rationale for the correct answer will also show, so you can read it and find out more. Administering atropine intravenously Develop infections easily The client develops respiratory acidosis. Viral respiratory infections Peak flow numbers should be monitored daily, usually in the morning (before taking medication). A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. She states that she started taking birth control pills 3 weeks ago and that she smokes. 2. This chapter covers terms and skills you'll need to know for the NCLEX-RN exam section on caring for patients with respiratory disorders, including diagnostic tests, pharmacology categories, and exam prep questions. In an acute asthma attack, diminished or absent breath sounds can be an ominous sign of indicating lack of air movement in the lungs and impending respiratory failure. Although good oral hygiene can help prevent the development of a fungal infection, it cannot be used alone to treat the problem. It is likely that the client is developing a secondary bacterial pneumonia. 36. . It it's wrong, you will see a red "x" and the correct answer. A client with COPD has developed secondary polycythemia. Low-Sodium diet 2. What is the rationale for the use of steroids in clients with asthma? The goal of effective coughing is to conserve energy, facilitate removal of secretions, and minimize airway collapse. Cigarette smoke can also trigger asthma attacks, but to a lesser extent than viral respiratory infections. The client should bend forward slightly and, using pursed-lip breathing, exhale. Distended, not collapsed, neck veins are associated with COPD as a symptom of the heart failure that the client may experience secondary to the increased workload on the heart to pump into pulmonary vasculature. Corticosteroids have an anti-inflammatory effect and act to decrease edema in the bronchial airways and decrease mucus secretion. Answer: 2. Waits 1 to 2 minutes between puffs if more than one puff has been prescribed. Sample Nclex Questions with Rationale ii The RN is very short staffed because two people did not show up for work. Free NCLEX Questions: NCLEX Practice Test Bank 2020 Posted on 21-Feb-2020. Inhales the mist and quickly exhales. Operative side or back 4. Which of the following s/s would be included in the teaching plan? Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma? 4. Eliminate stressors in the work and home environment. Aminophylline (theophylline) is prescribed for a client with acute bronchitis. Use sedatives to ensure uninterrupted sleep at night. Which of the following diets would be most appropriate for a client with COPD? Increased PaCO2, decreased PaO2, and decreased pH. Try this amazing Chronic Obstructive Pulmonary Disease Multiple Choice quiz which has been attempted 5152 times by avid quiz takers. Flushed skin Atropine and Versed would be administered before the procedure, not after. 2. Back or either side. Place the client on bedrest in a semi-Fowlers position. Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema? Finding help online is nearly impossible. The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. Use sedatives to ensure uninterrupted sleep at night. This should cause the hand to become pale. FREE App with 60 of the best NCLEX questions with Rationale plus BONUS NCLEX Video Classes. Diarrhea 1. The most reliable index to determine the respiratory status of a client is to: Observe the skin and mucous membrane color, Determine the presence of a femoral pulse. The client: Promises to do pursed lip breathing at home. Instruct the client to limit fluid intake to less than 2000 ml/day. Maintaining functional ability Corticosteroids do not have a bronchodilator effect, act as expectorants, or prevent respiratory infections. A liter flow of 8 to 10 will provide an FIO2 of 70 to 100%. 2. 1. NLE/NCLEX practice test || Respiratory Disorders ||NCLEX-RN Practice Exam - Part 20 | Fundamentals of Nursing | 50 Q\u0026A with rationales | READ TWICE NCLEX-PN exam questions with answers | NCLEX LPN exam questions 2020 | nclex lpn review video 1 NCLEX Pulmonary Questions Examples solas training manual lsa, sample narrative report card comments high school, mcq model question … 2. Pursing the lips prolongs exhalation and provides the client with more control over breathing. Which of the following signs or symptoms would the nurse expect? The patient is primarily concerned about their ability to breath easily. Forcibly inspired over and above a normal respiration. Increasing activity will not control the client’s symptoms; in fact, walking outdoors may increase them if the client is allergic to pollen. 3. 3. Free NCLEX-PN test 4. 3. 3. Irregular heartbeat Experience less nasal obstruction and discharge. A daily brisk walk will help promote drainage.”, “Keep a diary if when your symptoms occur. 3. Preventing infection would be a goal of care for the client with COPD. When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects: 1. The nurse knows that these are discrete, non continuous sounds that are: 1. 42. A presumptive diagnosis is made based on a tuberculin skin test, a sputum smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of granulomatous disease on biopsy. 2. Positioning the client on the operative side facilitates the accumulation of serosanguineous fluid. A client has an order to have radial ABG drawn. Most films are done in posterior-anterior view. If the answer is correct, you will see a green checkmark and can go to the next question. ANSWER A. A client with COPD reports steady weight loss and being “too tired from just breathing to eat.” Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client? How many mL should the nurse administer each dose? Sample NCLEX Questions with Rationale iv Topic: Physiological Integrity. The nursing assistant notifies the nurse that the client’s vital signs are elevated, and the client is complaining of pain and dyspnea. 4. 3. Cannula Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! HOW I STUDIED FOR THE NCLEX-RN IN 2020| U … 3. Extracting promises from clients is not an outcome criterion. 40. 2. Removes the cap and shakes the inhaler well before use. A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest.” The nurse interprets that this client has which of the following forms of chronic airflow limitation? To promote carbon dioxide elimination. The blood sample may be taken safely if collateral circulation is adequate.