Nokea
The nurse is caring for a client diagnosed with pneumonia who is having shortness of breath and difficulty breathing. Which intervention should the nurse implement first?
- A. Take the client's vital signs.
- B. Check the client's pulse oximeter reading.
- C. Administer oxygen via nasal cannula.
- D. Notify the respiratory therapist STAT.
Correct Answer: C
Rationale: Administering oxygen (C) is the first intervention for a pneumonia patient with shortness of breath to correct hypoxemia, per the ABCs (airway, breathing, circulation). Checking pulse oximetry (B) assesses oxygenation but delays treatment. Vital signs (A) and notifying the therapist (D) are secondary to immediate oxygen delivery.
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After administering morphine sulfate (Roxanol) to the client, which of the following is most important for the nurse to assess?
- A. The rhythm of the heart
- B. Skin color and temperature
- C. Presence of bowel sounds
- D. Rate and depth of respirations
Correct Answer: D
Rationale: Morphine can cause respiratory depression, so assessing the rate and depth of respirations is critical to ensure safety.
A patient is newly diagnosed with COPD due to chronic bronchitis. You're providing education to the patient about this disease process. Which statement by the patient indicates they understood your teaching about this condition?
- A. If I stop smoking, it will cure my condition.'
- B. Complications from this condition can lead to pulmonary hypertension and right-sided heart failure.'
- C. I'm at risk for low levels of red blood cells due to hypoxia and may require blood transfusions during acute illnesses.'
- D. My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than low oxygen levels.'
Correct Answer: B
Rationale: Chronic bronchitis can lead to pulmonary hypertension and right-sided heart failure due to chronic hypoxemia. Smoking cessation slows progression but doesn't cure, low RBCs are not typical, and CO2 drive applies to severe cases.
Which statement by the client indicates an accurate understanding of the purpose of aerosol therapy?
- A. Aerosol therapy relieves tissue irritation.
- B. Aerosol therapy delivers medication directly to the lungs.
- C. Aerosolization dries respiratory passages.
- D. Aerosol therapy helps to slow breathing.
Correct Answer: B
Rationale: Aerosol therapy delivers medication directly to the lungs, targeting the respiratory tract for effective treatment of bronchitis.
You assist your patient with using their inhaler. The inhaler contains the medication Budesonide. Before administering the inhaler, you will want to connect what device to the inhaler to help decrease the patient from developing?
- A. Peak flow meter; pneumonia
- B. Incentive spirometer; thrush
- C. Spacer; thrush
- D. Peak flow meter; mouth sores
Correct Answer: C
Rationale: A spacer helps deliver Budesonide, an inhaled corticosteroid, more effectively to the lungs, reducing the risk of oral thrush by minimizing medication deposition in the mouth.
The nurse is caring for a client who is admitted with histoplasmosis. What drug is most likely to be prescribed for this client?
- A. Penicillin
- B. Chloromycetin
- C. Streptomycin
- D. Amphotericin B
Correct Answer: D
Rationale: Amphotericin B is the primary antifungal drug used to treat histoplasmosis.