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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.


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Related Questions

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

Explanation

A. Positioning the client with the head of the bed elevated helps improve lung expansion and facilitates better ventilation and oxygenation, reducing the work of breathing.
B. Avoid treating fever with antipyretics is not appropriate, as managing fever can help reduce metabolic demand and improve overall comfort, which aids in ventilation.
C. Encouraging the client to take breaks from the oxygen mask is not advisable, as consistent oxygen delivery is critical for maintaining adequate oxygen saturation, especially in cases of pneumonia.
D. Providing suctioning so the client does not have to cough may not be necessary; coughing is a natural mechanism to clear secretions and improve airway patency.
E. Assisting the client in ambulating safely promotes lung expansion, enhances circulation, and aids in the mobilization of secretions, contributing positively to ventilation and oxygenation.
F. Asking the client to do quick, shallow breaths is counterproductive, as it can lead to inadequate ventilation and decreased oxygenation; deep breathing is preferred.
G. Teaching the client to cough at least once an hour is essential for clearing secretions and improving lung function, thereby enhancing ventilation and oxygenation.

Correct Answer is ["0.5"]

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

First, we need to calculate the concentration of the reconstituted solution:

Concentration (mg/mL) = Total amount of drug (mg) / Total volume (mL)

  • Total amount of drug = 0.3 mg
  • Total volume = 1.2 mL

Concentration (mg/mL) = 0.3 mg / 1.2 mL = 0.25 mg/mL

Now, we can calculate the volume to administer:

Volume (mL) = 0.125 mg / 0.25 mg/mL = 0.5 mL

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