Kaplan Exam
which route of administration should the nurse use when giving a Mantoux test? Correct Answer: intradermal injection
the nurse observes a student nurse suction the right bronchus of a patient via the
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Kaplan Exam
which route of administration should the nurse use when giving a Mantoux test? Correct Answer: intradermal injection
the nurse observes a student nurse suction the right bronchus of a patient via the tracheostomy. the nurse determines care is appropriate is the student nurse places the patients head in which position? Correct Answer: the patient's head turned to the left
the nurse teaches pursed-lip breathing to a patient diagnosed with chronic obstructive pulmonary disease (COPD). the nurse understands which of the following BEST describes the underlying purpose of this type of breathing? Correct Answer: prevent air trapping
to facilitate communication with a patient who has a tracheostomy, which of these nursing approaches is BEST? Correct Answer: tell the patient to nod his head to indicate "yes," and shake his head to indicate "no."
the nurse should lubricate catheter used to suction a patient's tracheostomy with which of the following Correct Answer: sterile water
the nurse cares for patients on the medical/surgical unit. the nurse expects postural drainage to be ordered for which of the following patients? Correct Answer: a patient diagnosed with cystic fibrosis
a patient is admitted to the hospital after sustaining severe electrical burn. a tracheostomy is performed, and the patient is unable to use either hand. it is MOST important for the nurse to take which of the following actions? Correct Answer: obtain a blow-touch call bell
the nurse cares for a patient immediately after laryngoscopy. it is MOST important for the nurse to intervene if which of the following is observed? Correct Answer: the patient is drinking from a straw
a patient requires an emergency tracheostomy. when caring for the tracheostomy, the nurse should take which of the following actions? Correct Answer: clean the site every 4 hours
the clinic nurse instructs a client in the use of a metered dose inhaler (MDI). which statement by the client indicates the need for further teaching? Correct Answer: "I will be careful not to shake the canister before I use it"
the nurse in the community health center identifies which of the following types of food is MOST likely to present problems for a client with respiratory difficulties? Correct Answer: dairy
a client undergoes nasal surgery. the nurse instructs the client to not blow the nose. what is the reason for this instruction? Correct Answer: blowing encourages bruising and edema
the nurse performs nutritional counseling for a patient who is diagnosed with chronic obstructive pulmonary disease (COPD) it is most important for the nurse to advise the patient to *avoid consuming* which nutrient in high amounts? Correct Answer: carbohydrates
the nurse performs nutritional counseling for a patient who is diagnosed with chronic obstructive pulmonary disease (COPD) it is most important for the nurse to advise the patient to avoid consuming which nutrient in high amounts? Correct Answer: carbohydrates
the nurse cares for a patient receiving oxygen per nasal cannula. which of the following observations requires an IMMEDIATE intervention by the nurse? Correct Answer: a visitor is putting clear nail polish on the fingernails of the patient
which of the following actions is essential for the nurse to take after arterial blood gasses are drawn? Correct Answer: apply pressure to puncture site
the nurse understands which of the following is the cause of respiratory alkalosis? Correct Answer: hyperventilation
the pediatric nurse cares for a 3 year old child diagnosed with acute laryngotracheobronchitis in a croupette. the nurse is MOST concerned if which of the following is observed? Correct Answer: the grandmother gives the child a teddy bear
a patient diagnosed with chronic obstructive pulmonary disease (COPD) is drowsy and unable to expectorate secretions. the nurse should take which of the following actions? Correct Answer: perform nasotracheal suction
the nurse knows that is it essential to have which of the following pieces of equipment at the bedside of the patient receiving mechanical ventilation? Correct Answer: resuscitation bag
the nurse reviews staff charting for a patient diagnosed with pleural effusion. the nurse expects to find which notations in the patient's chart? Correct Answer: "decreased breath sounds noted in the left lower lobe."
an adult is eating lunch and suddenly starts to choke, gasp for breath , and grab the throat. which of the following actions should the nurse take FIRST? Correct Answer: ask the patient to speak
the nurse cares for a patient receiving aminophylline via continuous IV drip. the nurse understands that aminophylline is Correct Answer: a bronchodilator
the nurse performs teaching for a client diagnosed with asthma. the nurse determines further teaching is necessary if the client makes which statement? Correct Answer: "i'm going to have to establish a regular bedtime routine."
a patient is scheduled for rhinoplasty. postoperatively, it is MOST important for the nurse to place the patient in which of the following positions? Correct Answer: semi-fowlers
immediately following thoracentesis, the nurse notices a progressive swelling on the right side of the patient's chest and neck. the nurse knows which of the following conditions is the MOST likely cause of the swelling? Correct Answer: subcutaneous emphysema
the nurse obtains a history from a man admitted to the hospital with chronic obstructive pulmonary disease (COPD). the nurse identifies which of the following factors is related to the patient developing COPD? Correct Answer: the patient smoked for more than 30 years
a patient is started on rifampin and isoniazid. which of the following explanations concerning these medications is MOST appropriate for the nurse to give? Correct Answer: "you will have to take this medicine about a year."
the nurse prepares to suction the endotracheal tube of a patient on a mechanical ventilator. which of the following ventilator settings should be adjusted by the nurse before and after this procedure ? Correct Answer: fraction of inspired oxygen (FIO2)
the nurse expects which of the following modes of mechanical ventilation to be ordered for a patient with severe Guillian-Barre syndrome? Correct Answer: controlled ventilation (CV)
Pleuritic pain 3 days after a CABG Surgery. Dx? Correct Answer: Dressler Syndrome
(Postcardiotomy Pericarditis)
Causes of Dressler Sx? Correct Answer: MI, Cardiac Surgery, Trauma.
Major cause of AV regurgitation in developing world? Correct Answer: Rheumatic Fever
Major cause of AV regurgitation in developed world? Correct Answer: Congenital Bicuspid AV
Aortic Root Dilation
Which antihypertensive agent do also prevent perioperative cardiac events for a non-card
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