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Question 89
The nurse is assessing a client with asthma who has recorded daily peak flows that are 85% of their baseline. Which of the following actions should the nurse take?
Question 89 options:
Administer a bronchodilator and recheck the peak flow
Instruct the client to continue to use their current medications
Evaluate whether the peak flow meter is being used correctly
Teach the client how to use oral corticosteroids
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- Question 86 The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective? Question 86 options: No wheezes are audible Oxygen saturation is >92% Accessory muscle use has decreased Respiratory rate is 16 breaths / minuteQuestion 76 Which assessment is of highest priority for the nurse to complete before administration of morphine? Question 76 options: Pain rating Blood pressure Respiratory rate Level of consciousnessQuestion 88 Which of the following actions by a client who has asthma indicates a good understanding of the nurse’s teaching about the asthma action plan? Question 88 options: The client adjusts their medications appropriately when they are in the ‘yellow zone’ The client calls the health care provider when Peak Flow readings are less than 90% The client calls the health care provider to confirm and document any potential triggers The client calls the health care provider when they are in the ‘green zone’
- Question 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minuteA relative standing in the waiting room suddenly falls on the floor. List the order for the actions that the duty nurse must perform. 1. Call for help and activate the code team. 2. Start compressions 3. Give breaths 4. Establish unresponsiveness.Discussion 4 After completing the assigned readings and activities, please choose to answer question A or B. You do not have to answer both, unless you choose to do so. In this discussion area, please respond to at least 1 peer that posted the option A or B that is opposite to the one you chose for your initial post. Question A: 1. Suggest an improvement project for your practice or healthcare organization that would improve patient safety or quality. What information would you like to have about your practice area that could be extracted using data mining strategies? 2. Briefly explain how you would design an improvement project that would utilize the data mined to improve a process or a patient outcome. 3. Before implementing the intervention(s) you've described in your improvement project, explain the importance of consulting with clinical experts. 4. Do you feel that it is ethical to mine data for improvement projects? Explain why or why not.
- Question 9 The nurse is caring for a 16 year old male client who attempted suicide, upon entering the room the nurse notices the client is tearful and silent. What is the nurse's best initial response? Question 9 options: Sit quietly beside the client and wait for the client to start speaking. Say, “I see you are tearful. Tell me about what is going on in your life, and we see how we can help you." Say, “You are crying. That means you feel badly about attempting suicide, so many people are worried about you" Observe the behavior, record it, and notify the health care provider.Question 15 An older adult client has been taking new antidepressants and going to therapy for a week. The client is getting frustrated as he does not feel better. What is the nurse's best response to his concern? Question 15 options: Suggest he talk to the physician about an alternative medication Tell the client not to worry as others are seeing improvements Explain that is can take a few weeks for therapy to be take effect Clarify the client's expectations about the improvements he is hoping to seeQuestion 6 A nurse walks into a room and notices a client in acute respiratory distress. You would expect the nurse to do all of the following EXCEPT: Question 6 options: Check the client's vital signs Leave the client to ask for help Coach the client through deep breathing techniques Place the client on oxygen to maintain an SP02 > 89%
- Question 2 Oxygenation - Patient 2 Patient Data History and Physical Nurses' Notes Imaging Studies ↑ 0800 The 77-year-old male client has a productive cough with thick, green secretions. Heart sounds are muffled. Breath sounds are diminished bilaterally with inspiratory and expiratory wheezes noted. The client denies pain, rating his pain a 0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest is barrel shaped. The client ate only 25% of his breakfast today. Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular, respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation 90% at rest on 2 L of oxygen via nasal cannula. The nurse reviews assessment data and health history from the medical record. Which finding indicates this client is experiencing impaired oxygenation? Select all that apply. Productive cough Muffled heart sounds Diminished breath sounds Wheezing Dyspnea Barrel-shaped chest Oxygen saturation of 90%…A Moving to another question will save this response. Question 54 The clinical sign that the Nurse would observe for detecting post-operative pulmonary embolism in Ms. S is. decrease in heart rate pain at the incision site elevated temperature shortness of breath to another question will save this response. OOOWhat action does the nurse perform to follow safe techniquewhen using a portable oxygen cylinder?a. Checking the amount of oxygen in the cylinder beforeusing itb. Using a cylinder for a patient transfer that indicatesavailable oxygen is 500 psic. Placing the oxygen cylinder on the stretcher next to thepatientd. Discontinuing oxygen flow by turning cylinder keycounterclockwise until tight