Exhibits
Which of the following does the nurse anticipate the healthcare provider to prescribe during morning rounds? Select 4 findings.
Chest xray
Albuterol treatments by nebulizer every 4 to 6 hours
Computerized tomography (CT) scan of the chest
Arterial blood gas (ABG)
Increase oral fluids
Correct Answer : A,B,D,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Using another inhaler between doses may not align with the prescribed schedule for tiotropium, which is typically taken daily.
B. While reduced thickness of sputum is a desired outcome, it does not specifically indicate correct understanding of tiotropium use.
C. This statement indicates understanding, as tiotropium is a long-acting anticholinergic medication that should be used daily for maintenance therapy in COPD.
D. Tiotropium is not a rescue inhaler and should not be used for sudden shortness of breath; a short-acting bronchodilator is recommended for that situation.
Correct Answer is D
Explanation
A. Obtaining arterial blood gases is important for assessing respiratory status but is not the immediate priority.
B. Administering an antipyretic can help reduce fever but does not address the immediate respiratory distress the client is experiencing.
C. Offering an analgesic can improve comfort but is not the priority intervention in this scenario.
D. Suctioning to clear secretions from the airway is the most critical intervention to improve the client’s respiratory status, especially given the weak cough effort and use of accessory muscles, indicating possible airway obstruction or ineffective clearance of secretions.
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