Nursing Chapter 50 Competencies Context And Environment Practice Conduct

Question 24

Type: MCSA

A client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious

to frothy. In preparing to suction this client, the nurse should take which action?

1. Hyperventilate the client using the settings on the mechanical ventilator.

2. Hyperventilate the client using a manual resuscitator.

3. Avoid hyperventilation, but instill normal saline into the endotracheal tube.

4. Avoid hyperventilation and increase the oxygen to 100% for several breaths.

Question 25

Type: MCSA

A client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler. What

information is essential to teach this client in regard to these medications?

1. The medications cannot be used on the same day.

2. The steroid inhaler should be used when immediate effects are necessary.

3. The bronchodilator should be used only when absolutely necessary and only after the steroid inhaler.

4. Both medications have the possible side effect of increased heart rate.

Question 26

Type: MCMA

A client complains of difficulty breathing. What will the nurse most likely assess in this client?

Standard Text: Select all that apply.

1. Use of accessory muscles

2. Increased respiratory depth

3. Increased respiratory rate

4. Decreased respiratory depth

5. Decreased respiratory rate

Question 27

Type: MCSA

A client who was a victim of a house fire is coughing. The nurse realizes that the purpose of the cough is to

1. improve oxygenation.

2. remove irritants from the nasal passages.

3. remove irritants from the trachea or bronchi.

4. close the glottis.

Question 28

Type: MCSA

A client is experiencing atelectasis. The nurse anticipates that this client will have an alteration in

1. Ventilation.

2. Alveolar gas exchange.

3. Transportation of oxygen and carbon dioxide.

4. Systemic diffusion.

Question 29

Type: MCSA

A client is demonstrating signs of hypoxia. What laboratory value will help the nurse determine the client’s

degree of effective gas exchange?

1. Blood glucose

2. Serum potassium

3. Serum sodium

4. Arterial blood gas

Question 30

Type: MCMA

The nurse is determining a client’s ability to transport oxygen from the lungs to body tissues. What factors will

influence this ability?

Standard Text: Select all that apply.

1. Cardiac output

2. Exercise

3. Diet

4. Erythrocyte count

5. Hematocrit

Question 31

Type: MCSA

A client’s blood gas analysis results show an increase in carbon dioxide level. What will the nurse most likely

assess in this client?

1. Decreased respiration rate

2. Increased respiration rate

3. Increased blood pressure

4. Decreased bowel sounds

Question 32

Type: MCSA

A client’s blood gas results reveal a low oxygen level. The nurse realizes that which area of the body will respond

to this level and influence respirations?

1. Alveoli

2. Trachea

3. Bronchioles

4. Carotid bodies

Question 33

Type: MCSA

An older client is prescribed diazepam (Valium). What should the nurse monitor in this client?

1. Respirations

2. Urine output

3. Muscle tone

4. Appetite

Question 34

Type: MCMA

The nurse is assessing an older client. What effects of aging should the nurse keep in mind during this

assessment?

Standard Text: Select all that apply.

1. Decreased cough reflex

2. Stiffening of blood vessels

3. Alteration in protein synthesis

4. Dry mucous membranes

5. Increased risk of aspiration

Question 35

Type: MCSA

A client is diagnosed with congestive heart failure. The nurse should assess the client for which conditions that

can alter this client’s respiratory function?

1. Conditions that affect the airway.

2. Conditions that affect transport.

3. Conditions that affect the movement of air.

4. Conditions that affect diffusion.