Maintaining functional ability Instruct the client to limit fluid intake to less than 2000 ml/day. 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. Aminophylline (theophylline) is prescribed for a client with acute bronchitis. An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by: A decreasing oxygen pressure in the blood, An increasing carbon dioxide pressure in the blood. A priority goal for the client with COPD is to manage the s/s of the disease process so as to maintain the client’s functional ability. She states that she started taking birth control pills 3 weeks ago and that she smokes. 2. 19. Answer: 2. ANSWER D. The most common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or agent. A client with acute asthma is prescribed short-term corticosteroid therapy. This results in decreased pH and decreased oxygen saturation. 2. 4. The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. If this activity does not load, try refreshing your browser. The wife who is caring for a husband with cancer has the highest priority of the clients described. Nutrition nclex practice quiz 10 items this or that paeral nutrition nclex practice quiz 20 items nutrition nclex practice quiz 10 items nurseslabs nclex practice questions nutrition and copd respiratory basic. 1. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The client with emphysema has hyperinflation of the alveoli and flattening of the diaphragm. High calorie, high-protein diet. If loading fails, click here to try again. Wait until the client’s lab work is done. It should go away in a couple of weeks.”, “You are using your inhaler too much and it has irritated your mouth.”, “You have developed a fungal infection from your medication. Use sedatives to ensure uninterrupted sleep at night. Answer: 3. Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? A daily brisk walk will help promote drainage.” Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Increased anteroposterior chest diameter A 60-year-old man with a hiatal hernia Severe cough and no pain. 4. 3. 1. Cardiac involvement usually doesn’t occur. 3. A client with COPD has developed secondary polycythemia. 48. 1. nclex 100 questions and answers with rationale pediatric. If the answer is correct, you will see a green checkmark and can go to the next question. HOW I STUDIED FOR THE NCLEX-RN IN 2020| U … All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. 4. Ensuring the return of the gag reflex before offering foods or fluids Which of the following findings would be expected? Pneumonia A female client is scheduled to have a chest radiograph. Non-rebreather mask The position that will most likely be ordered postoperatively for his is the: Assessing a client who has developed atelectasis postoperatively, the nurse will most likely find: A fifty-year-old client has a tracheostomy and requires tracheal suctioning. This client may have pulmonary embolism, so she should be monitored for this condition (4), but it is not the first intervention. Collapsed neck veins These are two NCLEX review questions for health assessment. To promote oxygen intake In relation to oxygen, the first nursing action would be to: 1. Once developed, thrush must be treated by antibiotic therapy; it will not resolve on its own. FREE App with 60 of the best NCLEX questions with Rationale plus BONUS NCLEX Video Classes. Waits 1 to 2 minutes between puffs if more than one puff has been prescribed. 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? 2. 29. Removes the cap and shakes the inhaler well before use. Want 6,000+ more practice questions? Nasal decongestant sprays should not be used regularly because they can cause a rebound effect. Stressors in the client’s life should be modified but cannot be totally eliminated. 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. Which of the following s/s would be included in the teaching plan? Answer: 3. Diseases of the Respiratory System 2. Assessing a client who has developed atelectasis postoperatively, the nurse will most likely find: 1. 3. Repeat auscultation after asking the client to deep breathe and cough. Pedal edema Apple RN Classes. 4. “Can you hold your breath easily?” A female client comes into the emergency room complaining of SOB and pain in the lung area. 19. A decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the blood. Which of the following diets would be most appropriate for a client with COPD? 2. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Eliminate stressors in the work and home environment 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. 4. If a lateral view of the chest is ordered, the client is asked to raise the arms above the head. You are given 1 minute per question, a total of 10 minutes in this quiz. 1. Preventing infection would be a goal of care for the client with COPD. The fluid forms a solid mass, which prevents the remaining lung from being drawn into the space. Administer oxygen at 2 L/minute and no more, for if the client if emphysemic and receives too high a level of oxygen, he will develop CO2 narcosis and the respiratory system will cease to function. 47. Answer: 1. 1. 1. He tells the nurse that he has painful, white patches in his mouth. 17. Which of the following is a priority goal for the client with COPD? 4. 42. Irregular heartbeat Change the tracheostomy dressing Question 1: A nurse cares for a toddler who has a decreased appetite, an erratic eating pattern, and fussiness at mealtime. Corticosteroids have an anti-inflammatory effect, Corticosteroids prevent development of respiratory infections. Answer: 1. The nurse monitors the client for which side effect of this medication? If you need more clarifications, please direct them to the comments section. 4. 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? 1. Based on these findings, what action should the nurse take to initiate care of the client? Decongestants and bronchodilators are not typically prescribed for the flu. These changes are the result of air trapping and hypoventilation. Fluid volume deficit related to blood loss. 2. The client with COPD is suffering from chronic CO2 retention. Serosanguineous drainage from the puncture site. A nurse teaches a client about the use of a respiratory inhaler. 3. 1. If you leave this page, your progress will be lost. A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. system audiobook audible com. If the answer is correct, you will see a green checkmark and can go to the next question. 3. A nurse would implement which of the following nursing interventions for this client? answers and rationale for nclex questions about airway. Answer: 3. Increased PaCO2 1. 3. As COPD progresses, the client typically develops increased PaCO2 levels and decreased PaO2 levels. 2. Diarrhea 3. Which of the following ABG abnormalities should the nurse anticipate in a client with advanced COPD? Sodium bicarbonate (3) would be given to reverse acidosis; mechanical ventilation (1) may be ordered for acute respiratory acidosis. Select all that apply. The nurse then releases pressure on one artery and observes whether circulation is restored quickly. 26. OXYGENATION AND OXYGEN DELIVERY NURSING. Written by a leader in the healthcare exam industry. Cyanosis is a late sign of hypoxia. 2. 33. ANSWERS and RATIONALE – NCLEX Questions for Cancer. A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. 49. A client has been taking benzonatate (Tessalon Perles) as prescribed. Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma? A nurse would implement which of the following nursing interventions for this client? Are fixed in an inspiratory position nausea, and increased pH be routinely taken to induce sleep of thrombosis version! And it has irritated your mouth. ” 3: Don ’ t forget to scroll to the offending or... A cyanotic client with COPD attacks are triggered by exercising in cold.. 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