6. Constipation 29. Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing. It should go away in a couple of weeks.” The shortness of breath is a result of decreased oxygen-carbon dioxide exchange at the alveolar level. 2. To promote carbon dioxide elimination. 2. Based on these findings, what action should the nurse take to initiate care of the client? Although adequate sleep is important, it is not recommended that sedatives be routinely taken to induce sleep. Normal chest movement 3. It should go away in a couple of weeks.”, “You are using your inhaler too much and it has irritated your mouth.”, “You have developed a fungal infection from your medication. 18. Answer: 1. 2. 3. 4. It is likely that the client is developing a secondary bacterial pneumonia. 4. C. An Asian patient is likely to hide his pain. Inspect the client’s ankles and sacrum for the presence of edema 1. Administering small doses of midazolam (Versed). 4. Maintain a fluid intake of 800 ml every 24 hours. The position that will most likely be ordered postoperatively for his is the: 1. The client also becomes drowsy and lethargic because carbon dioxide has a depressant effect on the CNS. As the severe asthma attack worsens, the client becomes fatigued and alveolar hypotension develops. Fungal infections can develop even without overuse of the Corticosteroid inhaler. Answer: 1. These changes are the result of air trapping and hypoventilation. 3. Viral respiratory infections. Increased PaCO2, increased PaO2, and increased pH. 4. Eliminate stressors in the work and home environment. This results in decreased pH and decreased oxygen saturation. Altered nutrition: Less than body requirements related to fatigue. After exhaling but before inhaling. 29. A 34-year-old woman with a history of asthma is admitted to the emergency department. Based on these findings, what action should the nurse take to initiate care of the client? Which of the following ABG abnormalities should the nurse anticipate in a client with advanced COPD? Tachycardia, not bradycardia, is a side effect of pseudoephedrine. Corticosteroids promote bronchodilation Answer: 3. Promises to do pursed lip breathing at home. Free NCLEX Questions: NCLEX Practice Test Bank 2020 Posted on 21-Feb-2020. ANSWER D. The most common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or agent. Increased pH. A daily brisk walk will help promote drainage.”, “Keep a diary if when your symptoms occur. 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. Keeping a diary can help identify these triggers. You are given 1 minute per question, a total of 10 minutes in this quiz. The nurse is planning to teach a client with COPD how to cough effectively. Ineffective breathing pattern may be a problem, but this diagnosis does not specifically address the problem of weight loss described by the client. Removes the cap and shakes the inhaler well before use. Irregular heart rates should be reported promptly to the care provider. Pursed-lip breathing does not promote the intake of oxygen, strengthen the diaphragm, or strengthen intercostal muscles. Simple Face mask 10 Respiratory NCLEX® Questions Take the Pop Quiz and see how good you are at Respiratory NCLEX® Questions. “Be sure to brush your teeth and floss daily. ~ Andrew Carnegie. Which nursing diagnosis would be included in the plan of care because of the polycythemia? 1. Exhaled after there is a normal inspiration. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! Answer: 4. NCLEX Practice Questions. 3. The client should immediately be placed on oxygen via mask so that the SaO2 is brought up to 95%. Answer: C Rationale: Decongestants should be avoided by clients with hypertension because these medications often contain pseudoephedrine and phenylephrine, which cause central nervous system stimulation with vasoconstriction and increased blood pressure. Free NCLEX Questions: NCLEX Practice Test Bank 2020 Posted on 21-Feb-2020. Question 1: A nurse cares for a toddler who has a decreased appetite, an erratic eating pattern, and fussiness at mealtime. A nurse teaches a client about the use of a respiratory inhaler. 2. Chest pain is not a typical sign of COPD. Bradycardia Inhales the mist and quickly exhales. Spend your time wisely! The most reliable index to determine the respiratory status of a client is to: 1. 1. Once developed, thrush must be treated by antibiotic therapy; it will not resolve on its own. 3. A client has an order to have radial ABG drawn. Increased anteroposterior chest diameter. Cyanosis is a late sign of hypoxia. A client with COPD has developed secondary polycythemia. They also precipitate anxiety and insomnia. The client with COPD does not necessarily need to follow a sodium-restricted diet, unless otherwise medically indicated. Ads related to leadership nclex questions with rationale 3500 Nclex Rn Questions 3500nclexrn.buyerpricer.com Looking for 3500 Nclex Rn Questions? 46. A side-lying position does not allow for adequate chest expansion to promote deep breathing. NCLEX Exam: Gastrointestinal Disorders (Sections 1) A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Which best describes the purpose of pursed-lip breathing in the client with COPD? Practice Questions! Pain is not a common symptom of COPD. The most reliable index to determine the respiratory status of a client is to: Observe the skin and mucous membrane color, Determine the presence of a femoral pulse. 5. Chronic hypoxia associated with COPD may stimulate excessive RBC production (polycythemia). Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. 4. A chest radiograph most often is done at full inspiration, which gives optimal lung expansion. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Her VS are: 140/80, P 110, R 40. 2. 2. Clubbing of nail beds is associated with conditions of chronic hypoxia. Pneumonia Flushed skin The physician has scheduled a client for a left pneumonectomy. HOW I STUDIED FOR THE NCLEX-RN IN 2020| U … Administering small doses of midazolam (Versed). When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects: 1. Answer: 2. Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? Chest movement is decreased as lungs become overdistended. Increased pulse and pallor Which of the following s/s would be included in the teaching plan? Answer: 3. While exhaling through pursed lips Increased temperature and blood pressure The high PaCO2 level causes flushing due to vasodilation. Apply oral or nasal suction 3. Coarse crackles and rhonchi would be auscultated as air moves through airways obstructed with secretions. Answer: 1. 2. The client develops respiratory acidosis. 2. Answer: 4. Which of the following is a priority goal for the client with COPD? 38. These questions will challenge your knowledge about the concepts behind Bronchial Asthma, COPD, Pneumonia and … 1. Prolonged inspiration Constipation An elderly client has been ill with the flu, experiencing headache, fever, and chills. Continuous pressure from the distal tip pushing against the lateral wall of the tracheostomy causes death of tissues and erosion of innominate artery. The nurse is teaching the client how to use a metered dose inhaler (MDI) to administer a Corticosteroid drug. You are given 1 minute per question, a total of 10 minutes in this quiz. A nurse has delegated care of a client with chronic obstructive pulmonary disease (COPD) to a nursing assistant. Administering atropine intravenously This results in decreased pH and decreased oxygen saturation. Any items you have not completed will be marked incorrect. (Parts 1-4)<< #2. Which of the following signs or symptoms would the nurse expect? 1. The rationale for the correct answer will also show, so … Take several rapid, shallow breaths and then cough forcefully. The rationale for the correct answer will also show, so you can read it and find out more. Reduction of N/V Use of oral inhalant corticosteroids, such as flunisolide, can lead to the development of oral thrush, a fungal infection. This should not be recommended because it is similar to the Valsalva maneuver, which can stimulate cardiac dysrhythmias. Diarrhea Answer: 2. “You are using your inhaler too much and it has irritated your mouth.” Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma? Which nursing diagnosis would be included in the plan of care because of the polycythemia? Administer oxygen at 10 L flow per minute and check the client’s nail beds. Lie flat on back, splint the thorax, take two deep breaths and cough. Guaifenesin 300 mg four times daily has been ordered as an expectorant. A 50-item NCLEX style exam that covers the diseases affecting the Respiratory System. 2. Show permanent improvement. 42. 2. 4. View Questions. The client: Promises to do pursed lip breathing at home. Respiratory acidosis 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. 4. A 36-year-old woman with 3 children 4. October 29, 2019 Staff 0 Comments. 4. 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. These changes are the result of air trapping and hypoventilation. 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. 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