A nurse is assisting with weaning a client from the ventilator. Which of the following parts of the ABCDEF assessment tool does the weaning process represent?

Choice of Analgesia and Sedation

Assess, Prevent, and Manage Pain

Delirium: Assess, Prevent, and Manage

Breathing: Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT)

Answer and Explanation

The Correct Answer is D

A. The "Choice of Analgesia and Sedation" component of the ABCDEF assessment tool focuses on selecting appropriate pain relief and sedation strategies for the patient but does not directly relate to the weaning process.
B. "Assess, Prevent, and Manage Pain" involves ensuring the patient is comfortable and free from pain, which is important but not specifically related to weaning from the ventilator.
C. "Delirium: Assess, Prevent, and Manage" addresses the cognitive status of the patient, particularly the prevention and management of delirium, which is a critical aspect of care but not directly related to ventilator weaning.
D. "Breathing: Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT)" directly involves the weaning process, as it includes assessing the patient's ability to breathe independently by reducing or removing sedation (SAT) and evaluating their capacity for spontaneous breathing (SBT).

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Fever: Although fever can occur with various respiratory conditions, it is not the most specific early sign of an exacerbation in pulmonary sarcoidosis.

B. Weight loss: Weight loss is a more general symptom and not specifically indicative of an exacerbation of sarcoidosis.

C. Fatigue: Fatigue is a common symptom of sarcoidosis but is not necessarily an early sign of an exacerbation.

D. Shortness of breath: Shortness of breath is a significant early indicator of exacerbation in pulmonary sarcoidosis. It reflects worsening inflammation and granuloma formation affecting lung function.

A. Sputum culture B. Chest x-ray C. Tuberculin skin test D. Bronchoscopy

Correct Answer is A

Explanation

A. Sputum culture: A sputum culture is the definitive diagnostic test for tuberculosis (TB). It involves collecting a sample of the patient’s sputum and testing it for the presence of Mycobacterium tuberculosis, the bacterium that causes TB. This test confirms active TB infection and is critical in guiding treatment.

B. Chest x-ray: A chest x-ray can show abnormalities in the lungs that may suggest TB, such as infiltrates or cavities, but it cannot confirm the diagnosis. It is often used as a supporting diagnostic tool alongside other tests.

C. Tuberculin skin test: The tuberculin skin test (TST) is used to identify latent TB infection, not active TB. A positive result indicates that a person has been exposed to TB bacteria, but it does not confirm active disease.

D. Bronchoscopy: Bronchoscopy allows for direct visualization of the airways and collection of samples, but it is not the standard diagnostic test for confirming TB. Sputum culture remains the gold standard for diagnosis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting with weaning a client from the ventilator. Which of the following parts of the ABCDEF assessment tool does the weaning process represent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing discharge instructions to the client with pulmonary sarcoidosis. The nurse knows that the client understands the information if the client verbalizes which early sign of exacerbation?

Correct Answer is D

Explanation

The nurse is gathering data on a client with a diagnosis of tuberculosis. The nurse should review the results of which diagnostic test to confirm this diagnosis?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?

A nurse is caring for a client in the emergency department (ED) who has high anxiety and shallow respirations at a rate of 30/min. Which of the following acid-base disturbances is the client most likely experiencing?

Exhibits Which of the following is the most appropriate initial management for this patient?

A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about the care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?

Which of the following are the most common manifestations of COPD? (Select all that apply.)

A nurse is caring for several clients on a medical-surgical unit. Which of the following clients have an elevated risk for hypocalcemia?

Which of the following is the most common risk factor for emphysema?

A nurse is collecting data for a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?