Nokea
The patient has advanced emphysema and reports experiencing dyspnea and fatigue. Which nursing intervention would be appropriate for the patient who is having difficulty with activity tolerance?
- A. Direct patient in vigorous independent ROM.
- B. Allow to exercise until respirations are over 20 breaths/min over baseline.
- C. Plan care to provide optimum rest.
- D. Provide frequent cool showers.
Correct Answer: C
Rationale: Nursing interventions will be directed at attempting to decrease the patient's anxiety and promote optimal air exchange. The nurse should allow sufficient rest periods and should assist the patient in activities of daily living.
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In which way do leukotriene modifiers reduce the symptoms of asthma?
- A. By drying up mucus
- B. By causing bronchodilation and anti-inflammation effects
- C. By suppressing cough
- D. By liquefying mucus
Correct Answer: B
Rationale: Leukotriene modifiers reduce the symptoms of asthma by causing bronchodilation and anti-inflammatory processes.
In which part of the pharynx is the superior portion of the pharynx located?
- A. Nasopharynx
- B. Posteriopharynx
- C. Oropharynx
- D. Laryngopharynx
Correct Answer: A
Rationale: The superior portion of the distal end of the pharynx is the nasopharynx.
The nurse explains that the opening between the vocal cords is the ___.
Correct Answer: glottis
Rationale: The glottis is the opening between the vocal cords.
An 83-year-old patient is admitted with a temperature of 102°F (38.8°C), chest pain, and fatigue. Which term describes the infected fluid that the health care provider removes from the pleural cavity?
- A. Emboli
- B. Emphysema
- C. Sputum
- D. Empyema
Correct Answer: D
Rationale: If the fluid between the lung and the membrane lining the pleural cavity becomes infected, it is called empyema.
How will the kidneys respond in respiratory acidosis?
- A. Retain bicarbonate to increase the pH.
- B. Excrete more urine to reduce potassium.
- C. Concentrate the urine to conserve circulating fluid in the bloodstream.
- D. Lower the pH by excretion of bicarbonate.
Correct Answer: A
Rationale: In respiratory acidosis, the pH is low. The kidneys will retain bicarbonate to increase the pH.