How it Works
Try Naxlex NCLEX-RN (Free-Trial)

Exhibits

The client undergoes several days of antibiotic and respiratory treatment for his pneumonia.

Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

A.

Oxygen saturation greater than 94%

B.

PaCO2 55 mm Hg per arterial blood gas

C.

Symmetric chest expansion

D.

Rhonchi in the right lung

E.

Client ambulates without shortness of breath

F.

Diminished breath sounds in the right lung

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}

  • Oxygen saturation greater than 94% indicates improved oxygenation, showing the treatment's effectiveness.
  • PaCO2 55 mm Hg per arterial blood gas indicates hypercapnia, suggesting ineffective treatment as normal levels should be lower.
  • Symmetric chest expansion suggests effective treatment as it reflects improved lung function.
  • Rhonchi in the right lung may indicate retained secretions, suggesting ineffective treatment.
  • Client ambulates without shortness of breath demonstrates effective treatment, as the patient can move without respiratory distress.
  • Diminished breath sounds in the right lung could indicate ongoing consolidation or fluid, suggesting ineffective treatment.


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

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is ["A","F","G"]

Explanation

A. Enalapril can potentially cause hyperkalemia and hypotension, which could be detrimental to a client with pneumonia. The prescription should be questioned due to these risks.
B. A chest X-ray may be necessary to assess the extent of pneumonia; thus, it is appropriate and should not be questioned.
C. Admission to the medical floor is necessary for monitoring the client's condition due to pneumonia, so this prescription is appropriate.
D. Monitoring vital signs every 4 hours is essential for assessing the client's condition, making this prescription appropriate.
E. Sending blood for a complete blood count and electrolytes is important to evaluate the patient's infection status and metabolic balance, so this is appropriate.
F. Changing the supplemental oxygen from a face mask to a nasal cannula may compromise oxygenation and should be questioned.
G. Administering ibuprofen could mask fever and may not be advisable in the presence of pneumonia, so this prescription should be questioned.
H. Continuous pulse oximetry is crucial for monitoring the patient's oxygen saturation, especially given the pneumonia diagnosis, making this prescription appropriate.

Correct Answer is B

Explanation

A. Lactulose typically increases the frequency of liquid stools as it helps to draw water into the intestines to facilitate bowel movements.
B. The primary therapeutic goal of lactulose in hepatic encephalopathy is to reduce ammonia levels in the blood, which should result in improved mental status and cognitive function.
C. While lactulose can affect fluid balance, an increase in urine output is not a direct therapeutic response associated with its use.
D. Although improvement in ambulation may occur as the client's mental status improves, it is not the primary expected outcome of lactulose treatment.

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

Register