Nokea
A nurse is teaching a client about possible complications and hazards of home oxygen therapy. About which complications doesn't the nurse plan to teach the client?
- A. Absorptive atelectasis
- B. Combustion
- C. Dried mucous membranes
- D. Alveolar recruitment
Correct Answer: D
Rationale: The correct answer is D - Alveolar recruitment. This is because alveolar recruitment is actually a benefit of home oxygen therapy, not a complication. It helps improve oxygenation by opening up collapsed alveoli.
A - Absorptive atelectasis is a potential complication where nitrogen is absorbed from the alveoli leading to collapse. B - Combustion is a hazard due to oxygen's flammability. C - Dried mucous membranes is a common complication of oxygen therapy due to the drying effect of oxygen.
You may also like to solve these questions
A charge nurse is rounding on several older clients on ventilators in the Intensive Care Unit whom the nurse identifies as being at high risk for ventilator-associated pneumonia. To reduce this risk what activity would the nurse delegate to the assistive personnel (AP)?
- A. Encourage between-meal snacks.
- B. Monitor temperature every 4 hours.
- C. Provide oral care every 4 hours.
- D. Report any new onset of cough.
Correct Answer: C
Rationale: The correct answer is C: Provide oral care every 4 hours. Oral care helps prevent ventilator-associated pneumonia by reducing the risk of oral bacteria being aspirated into the lungs. The AP can assist with oral care under the nurse's supervision.
A: Encouraging between-meal snacks does not directly address pneumonia risk.
B: Monitoring temperature is important but not specific to ventilator-associated pneumonia prevention.
D: Reporting new cough onset is important but does not directly reduce the risk of ventilator-associated pneumonia.
What is the best action for the nurse to do?
- A. a. Leave the patient alone to rest in a quiet, calm environment.
- B. b. Stay with the patient and encourage slow, pursed lip breathing.
- C. c. Reassure the patient that the attack can be controlled with treatment.
- D. Let the patient know that frequent monitoring is being done using measurement of vital signs and SpO. 2
Correct Answer: B
Rationale: The best action for the nurse to do is to stay with the patient and encourage slow, pursed lip breathing. This helps the patient focus on their breathing and can help alleviate the asthma attack symptoms.
A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client's chest wall, the nurse expects to elicit:
- A. Resonant sounds.
- B. Hyperresonant sounds.
- C. Dull sounds.
- D. Flat sounds.
Correct Answer: A
Rationale: The correct answer is A: Resonant sounds. Percussing the chest of a healthy individual typically elicits resonant sounds due to the presence of air-filled lung tissue. In this case, the client has a history of asthma, which indicates airway inflammation and possible mucus accumulation, making resonant sounds more likely. Hyperresonant sounds (B) are typically heard in conditions like emphysema with increased lung volume. Dull sounds (C) are indicative of fluid or solid tissue present in the lungs, which is not expected in this client. Flat sounds (D) are heard over areas of solid tissue or muscle, not in the chest of a client with respiratory conditions.
Chronic Obstructive Pulmonary Disease (COPD) includes
- A. Emphysema
- B. Bronchitis
- C. Asthma
- D. All these
Correct Answer: D
Rationale: The correct answer is D because Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term that encompasses both emphysema and bronchitis. Emphysema is characterized by damage to the air sacs in the lungs, while bronchitis involves inflammation of the bronchial tubes. Asthma, on the other hand, is a separate condition characterized by reversible airway obstruction. Therefore, choices A, B, and C are incorrect, as only emphysema and bronchitis fall under the category of COPD.
A 19-year-old client comes to the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears in acute respiratory distress. Which of the following actions should be taken first?
- A. Take a full medical history.
- B. Give a bronchodilator by nebulizer.
- C. Apply a cardiac monitor to the client.
- D. Provide emotional support to the client.
Correct Answer: B
Rationale: The correct answer is B: Give a bronchodilator by nebulizer. In acute asthma, the priority is to relieve respiratory distress by opening up the airways. Bronchodilators help to quickly alleviate bronchospasm and improve airflow. This action should be taken first to improve the client's breathing. Taking a full medical history (A) can be important but is not the priority in this acute situation. Applying a cardiac monitor (C) is not the immediate concern in acute asthma. Providing emotional support (D) is also important but should come after ensuring the client's respiratory distress is managed.