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.

Oxygen saturation greater than 94%

PaCO2 55 mm Hg per arterial blood gas

Symmetric chest expansion

Rhonchi in the right lung

Client ambulates without shortness of breath

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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Correct Answer is ["A","B","D","E"]

Explanation

A. Chest x-ray: Follow-up imaging is typically needed to assess the progression or resolution of pneumonia after initiating antibiotic therapy.
B. Albuterol treatments by nebulizer every 4 to 6 hours: This can help relieve bronchospasm and improve air exchange, especially if the client is experiencing wheezing or increased work of breathing due to pneumonia.
C. Arterial blood gas (ABG): An ABG can help evaluate the client's respiratory status and the effectiveness of oxygenation and ventilation, especially given the diminished breath sounds and crackles.
D. C. Computerized tomography (CT) scan of the chest: While a CT scan can provide detailed images of the lungs, it is not typically the immediate follow-up after initial pneumonia treatment unless there are complications or concerns not resolved with a standard chest x-ray.
E. Increase oral fluids: Encouraging fluid intake can help thin secretions, promote hydration, and support overall recovery from pneumonia.

A. Aspirin. B. Loperamide. C. Ipratropium. D. Fargtidine.

Correct Answer is A

Explanation

A. Bismuth subsalicylate contains salicylate, which is related to aspirin; thus, reviewing the medication history for aspirin is essential to avoid potential toxicity or adverse effects, especially since both medications can increase the risk of bleeding.
B. Loperamide is an antidiarrheal medication and is not directly relevant to the treatment of H. pylori or contraindicated with the prescribed medications.
C. Ipratropium is a bronchodilator used for respiratory issues and is unrelated to H. pylori treatment.
D. Fargtidine, if intended to refer to a medication for gastrointestinal conditions, does not have direct relevance to the specific interactions that may arise with the prescribed regimen.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Which of the following does the nurse anticipate the healthcare provider to prescribe during morning rounds? Select 4 findings.

Correct Answer is ["A","B","D","E"]

Explanation

The healthcare provider prescribes bismuth subsalicylate, metronidazole, tetracycline, and pantoprazole for a client with a Helicobacter pylori (H. pylori) infection. Prior to administering the H. pylori treatment regimen, the nurse should review the electronic medical record for which medication?

Correct Answer is A

Explanation

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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.

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.