The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client.
Which should the nurse do? Select all that apply.

Set up supplemental oxygen delivery

Suggest a different ventilator mode to the provider

Place a nasogastric tube

Increase the fraction of inspired oxygen

Set the ventilator to give mandatory breaths

Gather supplies for extubation

Answer and Explanation

Correct Answer : A,F

A. After successful weaning, the client will need supplemental oxygen via nasal cannula or face mask to ensure continued oxygenation post-extubation.

B. The current weaning process is progressing as expected with pressure support decreasing steadily. There is no indication that a different ventilator mode is necessary at this time.

C. There is no indication in the scenario that the client requires a nasogastric tube for ventilation weaning or extubation.

D. The fraction of inspired oxygen (FiO₂) is currently at 35%, which is appropriate during the weaning process. Increasing FiO₂ without indication could disrupt the weaning progression.

E. The weaning process is designed to gradually reduce support. Adding mandatory breaths would counteract the progress made in reducing ventilatory support.

F. The client has been weaned to minimal ventilatory support, which suggests the healthcare provider may plan for extubation. Having supplies ready will facilitate a smooth extubation process.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Introduce calorically dense snacks after exercise: Ineffective. This action would increase caloric intake, which is counterproductive for weight loss.

Add healthy foods to increase caloric intake: Ineffective. Increasing caloric intake is not aligned with the client's goal of weight loss.

Get up and walk at least once an hour at work: Effective. This promotes physical activity, which helps burn calories and supports weight loss.

Avoid food with high carbohydrate levels: Ineffective. While managing carbohydrate intake can be part of a balanced diet, avoiding them altogether may not be necessary and could lead to nutritional deficiencies.

Increase exercise intensity: Effective. This can enhance caloric expenditure, supporting weight loss goals.

Select foods that are lower in caloric density: Effective. Lower-calorie foods can help the client feel full while reducing overall caloric intake, aiding in weight loss.

A. Discuss aggressive respiratory treatment options B. Obtain a sputum culture C. Monitor the oxygen saturation D. Allow the client to take a position of comfort E. Wean the supplemental oxygen F. Prepare for deep tracheal suctioning G. Consider positive pressure ventilation H. Discuss with the client potential asthma triggers

Correct Answer is ["B","C","D","E","H"]

Explanation

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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The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client. Which should the nurse do? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse discusses the need to balance energy intake and output to maintain weight. Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

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.

Correct Answer is ["B","C","D","E","H"]

Explanation

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The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client.
Which should the nurse do? Select all that apply.