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Exhibits

The nurse assesses the client after the dose of albuterol and documents the findings in the chart. Which action(s) should the nurse plan for the rest of the shift? Select all that apply.

Discuss aggressive respiratory treatment options

Obtain a sputum culture

Monitor the oxygen saturation

Allow the client to take a position of comfort

Wean the supplemental oxygen

Prepare for deep tracheal suctioning

Consider positive pressure ventilation

Discuss with the client potential asthma triggers

Answer and Explanation

Correct Answer : B,C,D,E,H

A. While discussing treatment options is important, it may not be immediately necessary at this point unless the client shows signs of severe respiratory distress or failure.

B. Given the client's respiratory distress and recent cold symptoms, obtaining a sputum culture can help identify any underlying infection, which is important for appropriate treatment, particularly with the prescribed azithromycin.

C. Continuous monitoring of oxygen saturation is essential to ensure that the client's oxygen levels are adequate, especially since she is at risk for hypoxia. The goal is to maintain oxygen saturation greater than 94%.

D. Positioning the client in a way that enhances her comfort, such as sitting upright, can help improve her breathing and reduce respiratory distress. This is a fundamental nursing intervention in respiratory care.

E. If the client's oxygen saturation improves, the nurse can begin to wean the supplemental oxygen while monitoring for any signs of respiratory distress. This step should be approached cautiously to ensure the client maintains adequate oxygen levels.

F. There is no indication that the client requires deep tracheal suctioning at this moment. This action is reserved for patients with excessive secretions or compromised airway patency.

G. Positive pressure ventilation would typically be considered if the client were in severe respiratory distress or failure. The current assessment does not indicate an immediate need for this intervention.

H. Education on potential asthma triggers is crucial for the client's long-term management. This discussion can help the client avoid situations that could lead to future exacerbations, thus improving her overall asthma control.

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Free Nursing Study Resources

Correct Answer is ["3750"]

Explanation

To calculate the daily dosage of cefotaxime for a child who weighs 55 lb, first convert the weight to kilograms, knowing that 1 kilogram is equivalent to 2.2 pounds. The child's weight in kilograms is approximately (55/2.2) = 25 kg. Then, multiply the weight in kilograms by the prescribed dosage of 150 mg/kg/day. This results in a total daily dosage of 3750mg.

A. Lung biopsy. B. Sweat test. C. Antibody testing. D. Spirometry.

Correct Answer is D

Explanation

A. A lung biopsy is invasive and not necessary for evaluating shortness of breath; it is typically used to diagnose lung diseases rather than evaluate functional status.

B. A sweat test is used primarily for cystic fibrosis diagnosis and is not relevant to COPD.

C. Antibody testing is not related to the evaluation of respiratory symptoms in COPD.

D. Spirometry is the best test for assessing lung function and can help determine the severity of COPD and guide treatment.

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Exhibits The nurse assesses the client after the dose of albuterol and documents the findings in the chart. Which action(s) should the nurse plan for the rest of the shift? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child who weighs 55 lb receives a prescription for cefotaxime 150 mg/kg/day IV in divided doses every 6 hours. How many mg should the nurse administer each day? (Enter numerical value only.)

Correct Answer is ["3750"]

Explanation

A client with chronic obstructive pulmonary disease (COPD) reports increased shortness of breath with activity. Which lest should the nurse schedule the client for evaluation of the symptoms?

Correct Answer is D

Explanation

When developing a teaching plan for a client with newly diagnosed type 1 diabetes mellitus, the nurse should explain that an increased thirst is an early sign of diabetic ketoacidosis (DKA). Which action should the nurse instruct the client to implement if this sign of DKA occurs?

Exhibits The nurse is reviewing the chart. select the condition from the choices below to fill in each blank in the following sentence. Based on the client's history and physical, the nurse notes that this postpartum client is most at risk for developing and dropdown .

A client with septic shock develops disseminated intravascular coagulation (DIC). Which pathophysiologic process should the nurse recognize as the cause of the coagulation problem?

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?

The nurse is preparing a community outreach program on primary disease prevention. Which topic should the nurse plan to include in this event?

Exhibits

The nurse assesses the client after the dose of albuterol and documents the findings in the chart. Which action(s) should the nurse plan for the rest of the shift? Select all that apply.