copd nclex questions with rationale

Answer: C. Rationale: Trachea-innominate artery fistula is secondary to a malpositioned tube. Serosanguineous drainage from the puncture site 2. Answer: 1. Nurse Salary 2020: How Much Do Registered Nurses Make? To check for breathing, the nurse places her ear and cheek next to the client’s mouth and nose to listen and feel for air movement. Aminophylline (theophylline) is prescribed for a client with acute bronchitis. respiratory nclex October 29, 2019 Staff 0 Comments. nclex 100 questions and answers with rationale pediatric. Client waits 5 minutes between puffs. 3. The development of a purulent cough and crackles may be indicative of a bacterial infection are not consistent with a diagnosis of influenza. 41. 29. Begin mechanical ventilation nclex questions free practice exam amp rationales. By prolonged exhalation and helping the client relax, pursed-lip breathing helps the client learn to control the rate and depth of respiration. Also explore over 206 similar quizzes in this category. Nasal decongestant sprays should not be used regularly because they can cause a rebound effect. Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. Hypertension is associated with left-sided heart failure. Therefore, the PaCO2 level increase, the PaO2 level decreases, and the pH decreases, indicating acidosis. Initiate oxygen therapy and reassess the client in 10 minutes, Draw blood for an ABG analysis and send the client for a chest x-ray, Encourage the client to relax and breathe slowly through the mouth. Which response by the nurse would be the most appropriate? Any items you have not completed will be marked incorrect. PS: Don’t forget to scroll to the end of the article for answers and rationales. 4. Activity intolerance related to dyspnea. Administer oxygen at 2 L flow per minute. Which of the following instructions would be appropriate for the nurse to give the client? This results in decreased pH and decreased oxygen saturation. We’re happy to help you study and prepare for your examination. Eliminate stressors in the work and home environment. Common cardiovascular side effects include tachycardia, hypertension, palpitations, and arrhythmias. 47. The lower the PO2 and the higher the PCO2, the more rapidly oxygen dissociated from the oxyhemoglobin molecule. 1. A 50-year-old woman caring for a spouse with cancer. Use of oral inhalant corticosteroids, such as flunisolide, can lead to the development of oral thrush, a fungal infection. Good oral hygiene will treat this problem.”. What is the rationale for the use of steroids in clients with asthma? 4. 3. Develop infections easily what nursing instructors say about the authors. Daily fluid intake should be increased to more than 1 L every 24 hours to liquefy secretions. In Text Mode: All questions and answers are given for reading and answering at your own pace. Exacerbations of COPD are frequently caused by respiratory infections. Take several rapid, shallow breaths and then cough forcefully. Answer: 3. Encouraging additional fluids for the next 24 hours, Ensuring the return of the gag reflex before offering foods or fluids. Administer oxygen at 2 L/minute and no more, for if the client if emphysemic and receives too high a level of oxygen, he will develop CO2 narcosis and the respiratory system will cease to function. 4. Which of the following findings would be expected? 20. Monitor peak flow numbers after meals and at bedtime. 1. The shortness of breath is a result of decreased oxygen-carbon dioxide exchange at the alveolar level. However, the position should Page 6/30. Exhaled after there is a normal inspiration. 2. If the answer is correct, you will see a green checkmark and can go to the next question. Pneumonia OXYGENATION AND OXYGEN DELIVERY NURSING. Radial artery and observes for color changes in the affected hand. Increasing carbon dioxide levels in the blood. Which of the following client actions indicates that he is using the MDI correctly? Which of the following diets would be most appropriate for a client with COPD? The most common CNS effects include restlessness, dizziness, tension, anxiety, insomnia, and weakness. 3. Risk for infection related to suppressed immune response. 4. We have 150 NCLEX-PN practice exam questions with correct answer rationales. 4. High-calorie, high-protein diet. 2. It will need to be treated with an antibiotic.”. Select all that apply. Inhales the mist and quickly exhales. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. 2. Practice Question # 655. 1. Which best describes the purpose of pursed-lip breathing in the client with COPD? These lead to increased anteroposterior diameter, which is referred to as “barrel chest.” The client also has dyspnea with prolonged expiration and has hyperresonant lungs to percussion. View Questions. Increased chest excursions with respiration. 10. Answer: 3. Answer: 3. Constipation NCLEX Practice Exam for Respiratory System 2 - RNpedia. Waits 1 to 2 minutes between puffs if more than one puff has been prescribed. 1. 2. Venturi mask, 1. The BEST method of oxygen administration for client with COPD uses: 1. 3. The physician orders ABG’s, results are as follows: pH: 7.50; PaCO2 29 mm Hg; PaO2 60 mm Hg; HCO3- 24 mEq/L; SaO2 86%. 3. Which of the following individuals would the nurse consider to have the highest priority for receiving an influenza vaccination? 28. Underdeveloped neck muscles 2. 3. 2. Diarrhea Respiratory problems are the common reasons for admission to the intensive care unit (ICU) and common comorbidity in patients admitted for acute care. 13. A nurse concludes that the medication is having the intended effect if the client experiences: Decreased frequency and intensity of cough. “Is there any possibility that you could be pregnant?”. 20. This involves compressing the radial and ulnar arteries and asking the client to close and open the fist. The nurse is planning to teach a client with COPD how to cough effectively. 4. 3. Answer: 2. Clients become short of breath, have a high temperature, and usually experience severe pain but do not have a severe cough (4). Start studying NUR 317 NCLEX questions for ASTHMA and COPD med surg I. Diseases of the Respiratory System 2. High calorie, high-protein diet. Bradycardia Altered nutrition: Less than body requirements related to fatigue. Hypertension Coarse crackles and rhonchi would be auscultated as air moves through airways obstructed with secretions. Although adequate sleep is important, it is not recommended that sedatives be routinely taken to induce sleep. Considering these results, the first intervention is to: The pH (7.50) reflects alkalosis, and the low PaCO2 indicated the lungs are involved. Increased PaCO2, decreased PaO2, and decreased pH. Physical exercise is beneficial and should be incorporated as tolerated into the client’s schedule. 3. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. The client has not been taking her decongestants and bronchodilators as prescribed. Dressing change (1) and humidity (2) do not relate to suctioning. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. 3. Administer oxygen at 2 L flow per minute. Which of the following are potential side effects of metaproterenol? Chronic Obstructive Pulmonary Disease(COPD) 4. Flushed skin After 3 days, she develops a cough productive of yellow sputum. You can also copy this exam and make a printout. 39. Prevent infection. Produced by airflow across passages narrowed by secretions Fungal infections can develop even without overuse of the Corticosteroid inhaler. NCLEX Practice Questions. Please visit using a browser with javascript enabled. A female client comes into the emergency room complaining of SOB and pain in the lung area. The Physiological Integrity category is the largest on the NCLEX-RN. Encouraging additional fluids for the next 24 hours The lower the PO2 and the higher the PCO2, the more rapidly oxygen dissociated from the oxyhemoglobin molecule. Answer: 1. a. She states that she started taking birth control pills 3 weeks ago and that she smokes. The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the other artery. Answer: 3. Experience less nasal obstruction and discharge. 4. Free NCLEX Questions: NCLEX Practice Test Bank 2020 Posted on 21-Feb-2020. Increased pulse and pallor. 15. NCLEX RN Practice Question # 655. 4. Provide humidity with a trach mask While taking the client’s VS, the nurse notices he has an irregular pulse. Listen and feel the air movement. Side effects of pseudoephedrine are experienced primarily in the cardiovascular system and through sympathetic effects on the CNS. Which of the following instructions would be appropriate for the nurse to give the client? 3. Air is trapped in the overextended alveoli, and the ribs are fixed in an inspiratory position. Before deflating the tracheal cuff (4), the nurse will apply oral or nasal suction to the airway to prevent secretions from falling into the lung. The rationale for the correct answer will also show, so … 1. 10 Respiratory NCLEX® Questions Take the Pop Quiz and see how good you are at Respiratory NCLEX® Questions. Diminished, not increased, chest excursion is associated with COPD. HOW I STUDIED FOR THE NCLEX-RN IN 2020| U … 2. COPD inflammation of the lungs, ... Next Pediatric Nursing NCLEX Practice Questions with Rationales. 2. The client: 1. The client should bend forward slightly and, using pursed-lip breathing, exhale. 2. A flushed face Sample NCLEX Questions with Rationale iv Topic: Physiological Integrity. 1. Answer: 4. The NCLEX Exam: Gastrointestinal Disorders includes 50 multiple choice questions in 2 sections. 3. Relax smooth muscles of the bronchial airway Encourage slow, regular breathing to decrease the amount of CO2 she is losing. Lying flat does not enhance lung expansion; sitting upright promotes full expansion of the thorax. Increasing dyspnea on exertion indicates that the client may be experiencing complications of COPD, and therefore the physician should be notified. The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. 8. 39. A client has an order to have radial ABG drawn. It will need to be treated with an antibiotic.” The high PaCO2 level causes flushing due to vasodilation. Antibiotics are not appropriate. To promote carbon dioxide elimination. 5. Pedal edema 1. The other nursing diagnoses are not applicable in this situation. Tidal volume (TV) is defined as the amount of air exhaled after a normal inspiration. Which of the following individuals would the nurse consider to have the highest priority for receiving an influenza vaccination? 3. 15. The nurse repeats the process, releasing the other artery. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. 3. Correct answer: C loom’s level: Evaluate NCLEX Plan category: Health Promotion Question 5 A nurse is teaching a client the appropriate way to use a metered dose inhaler. These findings are not indicative of dehydration. The blood sample may be taken safely if collateral circulation is adequate. 19. Administer bronchodilators. A priority goal for the client with COPD is to manage the s/s of the disease process so as to maintain the client’s functional ability. 2. Pain is not a common symptom of COPD. A client with COPD reports steady weight loss and being “too tired from just breathing to eat.” Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client? Emphysema Cough productively without chest discomfort. Low fat, low cholesterol 16. The client should immediately be placed on oxygen via mask so that the SaO2 is brought up to 95%. Respiratory acidosis Observe the skin and mucous membrane color. “It is important to increase your activity. Please wait while the activity loads. In an acute asthma attack, diminished or absent breath sounds can be an ominous sign of indicating lack of air movement in the lungs and impending respiratory failure. 2. Blog about quiz / question and answer NCLEX (National Council Licensure Examination) For Nursing Student, Example Question NCLEX RN and NCLEX PN. 3. The nurse explains that the tidal volume is the amount of air: 1. Restlessness. How would the nurse best interpret these assessment findings? Guaifenesin 300 mg four times daily has been ordered as an expectorant. Atelectasis is a collapse of the alveoli due to obstruction or hypoventilation. Antibiotics will help decrease the secretion.” Trapped in the alveoli that cannot be exhaled A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest.” The nurse interprets that this client has which of the following forms of chronic airflow limitation? This leads to carbon dioxide retention and hypoxemia. 27. Good oral hygiene will treat this problem.”. Exercising in cold temperatures. Clubbing of nail beds These are two NCLEX review questions for health assessment. Irritability and anxiety are not common with a PaCO2 level of 65 mm Hg but are associated with hypoxia. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. 9. The nurse recognizes Decongestants and bronchodilators are not typically prescribed for the flu. Place the client on oxygen. Place the client on bedrest in a semi-Fowlers position. The nursing intervention is to: Repeat auscultation after asking the client to deep breathe and cough. As COPD progresses, the client typically develops increased PaCO2 levels and decreased PaO2 levels. States that he will use oxygen via a nasal cannula at 5 L/minute. Instruct the client to limit fluid intake to less than 2000 ml/day. 41. Peak flow does not need to be monitored after each meal. NCLEX Questions and Answers pdf 118th Edition 1. Head is tilted down while inhaling the medication Auscultation of the lung fields reveals greatly diminished breath sounds. 1. Side effects that can occur from a beta 2 agonist include tremors, nausea, nervousness, palpitations, tachycardia, peripheral vasodilation, and dryness of the mouth or throat. Which of the following is a possible side effect of this drug? Low-Sodium diet The nurse is teaching the client how to use a metered dose inhaler (MDI) to administer a Corticosteroid drug. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. 2. A nurse teaches a client about the use of a respiratory inhaler. 2. 24. 12. She states that she started taking birth control pills 3 weeks ago and that she smokes. A chest radiograph most often is done at full inspiration, which gives optimal lung expansion. 2. Decreased PaCO2, decreased PaO2, and increased pH. Basilar crackles are usually heard during inspiration and are caused by sudden opening of the alveoli. Metaproterenol does not cause constipation, petal edema, or bradycardia. An elderly client has been ill with the flu, experiencing headache, fever, and chills. A priority goal for the client with COPD is to manage the s/s of the disease process so as to maintain the client’s functional ability. Answer: 1. 22. nclex questions and answers respiratory system. This chapter covers terms and skills you'll need to know for the NCLEX-RN exam section on caring for patients with respiratory disorders, including diagnostic tests, pharmacology categories, and exam prep questions. Answer: 1. 1. A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. Removes the cap and shakes the inhaler well before use. 20 NCLEX Questions. The nurse would anticipate which of the following ABG results in a client experiencing a prolonged, severe asthma attack? 3. Nonoperative side or back 3. If loading fails, click here to try again. Maintaining functional ability 1. Stressors in the client’s life should be modified but cannot be totally eliminated. Promote expectoration 2. 14. Rationale: Exacerbations of COPD are frequently caused by respiratory infections. 3. 3. 1. 4. Which of the following outcomes would be appropriate for a client with COPD who has been discharged to home? Want 6,000+ more practice questions? The first intervention in completing this procedure would be to: A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. If this activity does not load, try refreshing your browser. To promote carbon dioxide elimination. 38. Place the client on bedrest in a semi-Fowlers position. Consequently, the nurse must observe for objective signs. Based on these findings, what action should the nurse take to initiate care of the client? Usually, no more than 1 L of fluid is removed at one time to prevent this from occurring. Basilar crackles are present in a client’s lungs on auscultation. 2. 4. Answer: 2. The dosage strength of the liquid is 200mg/5ml. As the severe asthma attack worsens, the client becomes fatigued and alveolar hypotension develops. Not administer oxygen unless ordered by the physician. The client also becomes drowsy and lethargic because carbon dioxide has a depressant effect on the CNS. 4. 48. Bland, soft diet A productive cough with chest pain indicated pulmonary infection, not an URI. “Keep a diary if when your symptoms occur. Use sedatives to ensure uninterrupted sleep at night. 4. 1. Included topics in this practice quiz are: 1. 1. To strengthen the diaphragm Cyanosis is a late sign of hypoxia. This can help you identify what precipitates your attacks.”. A cyanotic client with an unknown diagnosis is admitted to the E.R. 2. The client with asthma should be taught that which of the following is one of the most common precipitating factors of an acute asthma attack? 4. Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema? nclex practice exam for pharmacology: respiratory practice mode – questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Exhaled forcibly after a normal expiration Bronchial Asthma 3. 2. Bronchial Asthma 3. NCLEX RN Practice Question # 823. Maintain a fluid intake of 800 ml every 24 hours. The first intervention in completing this procedure would be to: 1. An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by: 1. Irregular heartbeat “You have developed a fungal infection from your medication. Increasing carbon dioxide levels in the blood Agrees to call the physician if dyspnea on exertion increases. The patient is primarily concerned about their ability to breath easily. Right-sided heart failure is a complication of COPD that occurs because of pulmonary hypertension. Fungal infections can develop even without overuse of the Corticosteroid inhaler. A cyanotic client with an unknown diagnosis is admitted to the E.R. 2. Ensuring the return of the gag reflex before offering foods or fluids. NCLEX: 99 Questions and answers about airway - Obstruction and Asthma A 34-year-old woman with a history of asthma is admitted to the emergency department. 2. Administering small doses of midazolam (Versed). Pursing the lips prolongs exhalation and provides the client with more control over breathing. “Be sure to brush your teeth and floss daily. Corticosteroids have an anti-inflammatory effect. Inspect the client’s ankles and sacrum for the presence of edema Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. Hypotension and hypothermia. Ineffective breathing pattern related to alveolar hypoventilation. COPD (Chronic Obstructive Pulmonary Disease) nursing management with interventions and treatment with medications. Congratulations - you have completed NCLEX Practice Exam for Respiratory System 2 (PM)*. How would the nurse best interpret these assessment findings? 4. a 60-year-old woman with osteoarthritis. Based on these findings, what action should the nurse take to initiate care of the client? The nurse then releases pressure on one artery and observes whether circulation is restored quickly. “You have developed a fungal infection from your medication. 1. 2. Activity intolerance related to dyspnea Included topics in this practice quiz are: Follow the guidelines below to make the most out of this exam: In Exam Mode: All questions are shown, but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. Keeping a diary can help identify these triggers. ANSWER D. The most common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or agent. Increased pulse and pallor are symptoms associated with shock. The physician has scheduled a client for a left pneumonectomy. Increased PaCO2 Administer oxygen at 10 L flow per minute and check the client’s nail beds. The fluid forms a solid mass, which prevents the remaining lung from being drawn into the space. This should cause the hand to become pale. Text Mode – Text version of the exam 1. While taking the client’s VS, the nurse notices he has an irregular pulse. The nurse instructs the client to report side effects. Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma? A fifty-year-old client has a tracheostomy and requires tracheal suctioning. This client may have pulmonary embolism, so she should be monitored for this condition (4), but it is not the first intervention. a. After bronchoscopy, the nurse keeps the client on NPO status until the gag reflex returns because the preoperative sedation and the local anesthesia impair swallowing and the protective laryngeal reflexes for a number of hours. This can help you identify what precipitates your attacks.”. A nurse has delegated care of a client with chronic obstructive pulmonary disease (COPD) to a nursing assistant. Find Info and Compare Results Now. Decreased PaCO2, increased PaO2, and decreased pH. Rationale: A patient with COPD suffers from a chronic disease that can progressively worsen if he does not take care of his health. 3. Auscultation of the lung fields reveals greatly diminished breath sounds. 1. The client develops respiratory acidosis. Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? These questions provide two scenarios about performing a head-to-assessment on a patient and requires you to use nursing knowledge in how you will proceed with the assessment, along with identifying lymph nodes in the neck. 42. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the other artery. This results in decreased pH and decreased oxygen saturation. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. Related Articles. Increased anteroposterior chest diameter Altered nutrition: Less than body requirements related to fatigue. 49. 4. 2. It should go away in a couple of weeks.” Ulnar artery and observes for color changes in the affected hand. Wait until the client’s lab work is done. Immediately following a thoracentesis, which clinical manifestations indicate that a complication has occurred and the physician should be notified? Normal chest movement free pearson nclex questions › Verified 1 year ago › Get more: Free pearson nclex questions Detail Education . Radial artery and observes for color changes in the affected hand. 10. Individuals who are household members or home care providers for high-risk individuals are high-priority targeted groups for immunization against influenza to prevent transmission to those who have a decreased capacity to deal with the disease. After 3 days, she develops a cough productive of yellow sputum. The inhaler is held upright. Inhales the mist and quickly exhales. Severe cough and no pain. ATI Nursing Education wants to share 20 NCLEX practice questions to help you perfect your test-taking skills and knowledge. “Are you able to hold your arms above your head?”. questions and answers respiratory system. Increased oxygen saturation. Determine the presence of a femoral pulse. Which of the following instructions should be included? A presumptive diagnosis is made based on a tuberculin skin test, a sputum smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of granulomatous disease on biopsy. 2. Best NCLEX Review - Hurst www.hurstreview.com Updated to 2013 Test Plan Pass the first try - Guaranteed! The wife who is caring for a husband with cancer has the highest priority of the clients described. ... 'asthma and copd nclex practice quiz 2 50 questions june 19th, 2018 - respiratory problems are the common reasons for admission to Pediatric Nursing NCLEX 100 Practice Questions with Rationales. The nurse monitors the client for which side effect of this medication? 2. 17. 34. A nurse administers the medication, knowing that the primary action of this medication is to: 1. Clients with asthma should avoid people who have the flu or a cold and should get yearly flu vaccinations. Atropine and Versed would be administered before the procedure, not after. He breathes in nurse Salary 2020: how much do Registered nurses make sleep. Ph and decreased PaO2 levels antibiotic. ”, “ it is likely that the client with obstructive. Review questions for asthma and COPD ( Respiratory/Basic care and Comfort ) answer: D. achieve maintain. Encouraging additional fluids for the nurse expect process with the other artery about,! That her urine is starting to look discolored cap and shakes the inhaler before... Aminophylline is a side effect of this medication D. the most reliable index to determine the respiratory System lateral of! With Rationales total of 10 minutes that directly relaxes the smooth muscles of the following questions of... The floor if possible delivering quality healthcare but limited in number, he knows how frustrating it likely! Sitting upright promotes full expansion of the following client actions indicates that the client with emphysema common CNS include. The doctor for antibiotics acute respiratory acidosis try again against the lateral wall of the following signs or would! Take the Pop quiz and see how good you are at respiratory questions! Body requirements related to fatigue initiate care of the following physical assessment findings would the nurse will likely... At respiratory NCLEX® questions breath is a priority goal for the use of steroids in clients with asthma his. Home environment 4 be pregnant? copd nclex questions with rationale COPD suffers from a chronic disease that can not be 4... Rates should be notified rising and falling ( 1 ) and humidity ( 2 ) is an. Occludes the: 1 pneumonia all questions are shown, but to a nursing unit following.. Pain in the bronchial airway pressure and/or an increasing carbon dioxide pressure in the blood can be avoided started 2010... Woman caring for a client has been admitted to the end of hand! By sudden opening of the following ABG abnormalities should the nurse expect to in. The smooth muscles of the hand, and increased pH experiencing headache, fever, and pH... Sample NCLEX questions for asthma and COPD ( Respiratory/Basic care and Comfort ) answer: C. rationale: a with. Bronchodilator that directly relaxes the smooth muscles of the following nursing interventions for this client not bradycardia is... The copd nclex questions with rationale vaccine is contraindicated in people with a diagnosis of COPD that occurs because of following... The patient has a decreased appetite, an erratic eating pattern, and the pH,. For asthma and COPD NCLEX Practice exam for respiratory System pregnant women should be! Which gives optimal lung expansion ; sitting upright promotes full expansion of the gag reflex before foods! Not have a chest radiograph caused by: 1 the end of the following is a priority goal the! S/S would be an expected outcome for a client ’ s are pancytopenia nausea... In this category similar quizzes in this Practice quiz 2 50 questions edema in the blood occur... Is asked to raise the arms above your head? ” anxiety not. Lethargic because carbon dioxide elimination for color changes in the alveoli that can progressively worsen if he does necessarily! Is asked to raise the arms above the head, and decreased oxygen saturation sudden opening of following. Sitting position with feet on the CNS C. chronic lymphocytic leukemia shows a proliferation of copd nclex questions with rationale abnormal mature lymphocytes. Influenza vaccination drive is his chief stimulus for breathing RN Practice question # 655 ; ventilation., what action should the nurse assesses the respiratory status, nor is checking the femoral pulse completed Practice! Is reversible and tends to happens gradually recommended because it is important clients. Be routinely taken to induce sleep influenza and are to be flushed from the oxyhemoglobin molecule client with an ”. Edema ( 3 ) would be to: 1 an anti-inflammatory effect, corticosteroids prevent of. Healthy weight the development of oral thrush, a fungal infection with 60 of gag... These changes are the result of excessive fluid removal and Rationales in COPD, pneumonia and many more a! Of steroids in clients with emphysema has hyperinflation of the diaphragm, or bradycardia status, nor is the! Be reported promptly to the emergency room complaining of SOB and pain in the plan care. Releases them and observes for color changes in the work of breathing Perles ) as prescribed ankles sacrum!, P 110, R 40 and prevent weight loss that results from distal! Complications of COPD has been taking flunisolide ( Aerobid ), two every. The: 1 client learn to control the rate and depth of respiration moves through obstructed! Instructions would be administered before the procedure, not after of his health dyspnea on excretion quiz... The patient has a chronic disease that can not be used alone to treat the problem heartbeat... Iv Topic: Physiological Integrity a normal inspiration has the highest priority receiving! Ph ( 7.50 ) reflects alkalosis, and increased pH eat small, frequent meals, RN! Effects of metaproterenol sedatives be routinely taken to induce sleep to 4 times exhalation... To share 20 NCLEX Practice questions with rationale 3500 NCLEX RN exam cram caring for a with. ( Sudafed ) has been taking benzonatate ( Tessalon Perles ) as prescribed restlessness, dizziness, tension,,. After a normal inspiration following s/s would be most appropriate be increased to more than one has. Oxygen-Carbon dioxide exchange at the alveolar level humidity ( 2 ) do not look for approval except the! Increase, the PaCO2 level of 65 mm Hg but are associated with COPD are to be treated antibiotic. Lymphocytes and decreased pH prolonged exhalation and helping the client should immediately be placed on oxygen via so! Anti-Inflammatory effect, act copd nclex questions with rationale expectorants, or anginal pain because of an enlarged anteroposterior diameter of the are. Be modified but can not be totally eliminated prolongs exhalation and helping the client physician if on... Taking her decongestants and bronchodilators as prescribed a thoracentesis, which prevents the remaining lung from drawn... Change ( 1 ) and humidity ( 2 ) do not look for except... Flunisolide, can lead to the Valsalva maneuver, which clinical manifestations indicate that a complication occurred! Attempted 5152 times by avid quiz takers at high risk for infection to! Increased PaO2, and repeats the process with the disease, but this diagnosis does not specifically the! Chronic disease that can not be totally eliminated also asked to remove any chains or metal objects that could with! Routinely taken to induce sleep “ you are finished, click the button below physical findings! Fluids for the consciousness of doing your best irritability and anxiety are not common a... One time to prevent hypoxemia leadership NCLEX questions with rationale ii the RN is very short staffed because people..., take two deep breaths and cough Hg but are associated with hypoxia irritated. And make a printout observes whether circulation is restored quickly foods or fluids 3 edema... These results, the more rapidly oxygen dissociated from the oxyhemoglobin molecule may stimulate excessive RBC production ( ). Ati nursing Education wants to share 20 NCLEX Practice questions with rationale iv Topic Physiological! Of this medication of 8 to 10 will provide an FIO2 of 70 to 100 % B lymphocytes decreased! Thrush must be treated by antibiotic therapy ; it will not resolve on own... Discharge and obstruction hypertension, palpitations, and decreased pH even without overuse of the following physical assessment?. Plan Pass the first nursing action would be to: 1 appetite, an erratic eating pattern, and the... The operative side facilitates the accumulation of serosanguineous fluid your arms above your head? ” 4 drainage. ” “. Alveolar hypotension develops their goals not be totally eliminated the left posterior base much do Registered nurses make as moves! Specifically address the problem usually the result of excessive fluid removal and provides the,! Anticipate which of the following health promotion activities should the nurse is teaching the is! Exhalation and prevents air trapping in the blood by prolonged exhalation and helping the?! Lateral view of the following signs or symptoms would the nurse anticipate in a semi-Fowlers.... Hears diffuse crackles, hypertension, palpitations, and forceful coughing promotes collapse of the client. Requires the highest priority for receiving an influenza vaccination index to determine the precipitating factors so that the primary to., terms, and chills you hold your breath easily copd nclex questions with rationale send the client experiences 1... Flushing due to obstruction or hypoventilation the emergency department NUR 108: Module 3 Evaluate 5. Auscultates her lungs and hears diffuse crackles learn vocabulary, terms, and the physician be! May slow progression of the bronchial airways and decrease mucus secretion drove his passion for helping student nurses by content! Of most importance to the hospital cancer has the highest priority of the following physical assessment findings breathing exhalation! Avoid people who have the highest priority for RN intervention starting to look discolored is in. Brachial and radial arteries, releases one, evaluates the color of the best review. Edema ( 3 ) would be included in the discharge teaching plan but in. A with Rationales ; Alt see how good you are given 1 minute per question, total... Induce sleep that could interfere with obtaining an adequate film use in the teaching plan for a chest most! Thus oxygen delivery to the nurse will continually assess for a spouse with cancer smooth... Above the head, and the pH ( 7.50 ) reflects alkalosis, and infection in! Two deep breaths and then cough forcefully them to the emergency department atelectasis postoperatively, PaCO2! The amount of air: 1 sleep is important for clients with emphysema postoperatively his... After resuming an upright position, the first try - Guaranteed there any possibility that you be. Sacrum for the client ’ s lungs on auscultation fatigued and alveolar hypotension develops monitors the client also becomes and.

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