The client diagnosed with pneumonia asks the nurse, “Why did my physician order chest physiotherapy (CPT) for me?” Which response by the nurse is most accurate? Chest physiotherapy will:

Improve the ciliary movement in the lungs.

Increase your ability to take deep breaths.

Loosen secretions in congested areas of the lungs.

Increase the oxygen supply to your tissues.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Improving the ciliary movement in the lungs is not the primary purpose of chest physiotherapy. While ciliary movement is important for clearing mucus, CPT specifically aims to mobilize and remove secretions through techniques such as percussion, vibration, and postural drainage.

Choice B reason:

Increasing the ability to take deep breaths is not the main goal of chest physiotherapy. Although CPT can indirectly help improve lung function by clearing secretions, its primary purpose is to facilitate the removal of mucus from the lungs.

Choice C reason:

Loosening secretions in congested areas of the lungs is the most accurate reason for ordering chest physiotherapy. CPT helps to mobilize and clear mucus, which can improve ventilation and gas exchange, reduce the risk of infection, and aid in the recovery process.

Choice D reason:

Increasing the oxygen supply to your tissues is not the direct aim of chest physiotherapy. While clearing secretions can improve overall lung function and oxygenation, the primary goal of CPT is to remove mucus from the airways.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

The tuberculin skin test (TST), also known as the Mantoux test, is used to determine if a person has been infected with the tuberculosis (TB) bacteria. The test involves injecting a small amount of purified protein derivative (PPD) into the skin of the forearm. The injection site is then examined 48 to 72 hours later for a reaction, which is measured in millimeters of induration (swelling).

Choice A reason:

Sunday morning is the correct time to read the test results. Since the test was administered on Thursday at 1200, the 48 to 72-hour window for reading the results would fall between Saturday at 1200 and Monday at 1200. Reading the results on Sunday morning falls within this time frame, making it the appropriate choice.

Choice B reason:

Saturday morning is not the correct time to read the test results. Reading the test results on Saturday morning would be less than 48 hours after the test was administered, which is too early to accurately assess the reaction. The test needs to be read between 48 and 72 hours after administration to ensure accurate results.

Choice C reason:

Friday morning is also not the correct time to read the test results. Reading the test results on Friday morning would be only 24 hours after the test was administered, which is far too early. The immune response to the PPD injection takes time to develop, and reading the test too early can result in a false-negative result.

Choice D reason:

Monday morning is within the acceptable time frame to read the test results, but it is at the very end of the 72-hour window. While it is still technically correct, it is generally recommended to read the test closer to the 48-hour mark to ensure the most accurate results. Therefore, Sunday morning is a better choice.

A. pH 7.37, PaO2 90 mmHg, PaCO2 44 mmHg, HCO3 22 mEq/L B. pH 7.36, PaO2 60 mmHg, PaCO2 45 mmHg, HCO3 22 mEq/L C. pH 7.48, PaO2 80 mmHg, PaCO2 32 mmHg, HCO3 18 mEq/L D. pH 7.27, PaO2 70 mmHg, PaCO2 38 mmHg, HCO3 14 mEq/L

Correct Answer is A

Explanation

Choice A reason:

A pH of 7.37, PaO2 of 90 mmHg, PaCO2 of 44 mmHg, and HCO3 of 22 mEq/L indicate a near-normal acid-base balance and adequate oxygenation. The pH is within the normal range (7.35-7.45), suggesting that the client’s acid-base status has improved. The PaO2 is also within the normal range (80-100 mmHg), indicating good oxygenation.

Choice B reason:

A pH of 7.36, PaO2 of 60 mmHg, PaCO2 of 45 mmHg, and HCO3 of 22 mEq/L indicate a slightly acidic pH and hypoxemia (low PaO2). While the pH is close to normal, the low PaO2 suggests that the client is still experiencing significant respiratory distress.

Choice C reason:

A pH of 7.48, PaO2 of 80 mmHg, PaCO2 of 32 mmHg, and HCO3 of 18 mEq/L indicate alkalosis (high pH) and a low PaCO2, which may suggest hyperventilation. This is not an improved acid-base status as it indicates an imbalance.

Choice D reason:

A pH of 7.27, PaO2 of 70 mmHg, PaCO2 of 38 mmHg, and HCO3 of 14 mEq/L indicate acidosis (low pH) and hypoxemia. This result suggests that the client is still in significant respiratory distress and has not achieved an improved acid-base status.

View Question and Answer

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

The client diagnosed with pneumonia asks the nurse, “Why did my physician order chest physiotherapy (CPT) for me?” Which response by the nurse is most accurate? Chest physiotherapy will:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a tuberculin (PPD) skin test on Thursday at 1200. The nurse documents on the medication record that the results need to be read:

Correct Answer is A

Explanation

The nurse is evaluating the arterial blood gas (ABG) of a client who was admitted in status asthmaticus. Which ABG result would indicate the client has an improved acid-base status?

Correct Answer is A

Explanation

In the operating room, an 82-year-old client tells the circulating nurse that cataract surgery is to be performed on the left eye. The nurse notes that the consent form indicates the right eye. What is the nurse’s best action?

The nurse is performing a physical assessment on the respiratory system. Although the client is currently confined to bed, they have the strength and ability to move and reposition themselves. The nurse instructs the client to assume which position for the assessment?

The nurse receives an order to administer drug R 300 mg IVPB over one hour. Drug R is available as 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. At what rate should the nurse regulate the IV flow?

The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

A nurse is caring for a client prescribed drug N 235 mcg PO daily. Available is drug N PO 0.5 mg per 1 scored tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse is discharging a client newly diagnosed with tuberculosis. Which medications should be included in the discharge planning? (SELECT ALL THAT APPLY)

A client newly diagnosed with asthma is being given discharge instructions. The nurse works collaboratively with the client, instructing the client to use a metered dose inhaler (MDI). What is the first priority and last priority step in the procedure?

The nurse is aware that a common adverse effect of anesthetic agents experienced by the client is: