NU 216 Adult Health 1- FINAL EXAM. Herzing University
. The nurse is caring for a client who is 1 day postoperative for an open thoracotomy. This client
has a benign neoplasm of the left lung. The client is receiving o
...
NU 216 Adult Health 1- FINAL EXAM. Herzing University
. The nurse is caring for a client who is 1 day postoperative for an open thoracotomy. This client
has a benign neoplasm of the left lung. The client is receiving oxygen mist at 40%. The O2
saturation measured by pulse oximeter was 83. ABG results are: pH 7.32, PO2 93 mmHg, PCO2
50 mmHg, HCO3 25 mEq/L. Which of the following nursing actions would be a priority for this
client?
a. Switch to O2 with a rebreathing bag
b. Increase O2 to 70%
c. Position the client in high-Fowler’s, and encourage the use of incentive spirometer and
coughing
d. Place the client in the prone position and have the respiratory therapists do postural
drainage
2. A nurse is caring for a client who has Addison’s disease and is at risk for Addisonian crisis.
Nursing care for this client should include which of the following nursing actions?
a. Taking daily weights
b. Providing a low-carbohydrate diet
c. Instituting fluid restrictions
d. Administering oral corticosteroids
3. A patient is admitted to the emergency department with a severe exacerbation of asthma.
Which finding is of most concern to the nurse?
a. Peak expiratory flow rate of 60% of personal best
b. Unable to speak and sweating profusely
c. PaO2 of 80 mmHg and PaCO2 of 50 mmHg
d. Presence of inspiratory and expiratory wheezing
4. A nurse is preparing teaching for a female client who smokes, is obese, and has hypertension. In
establishing health promotion goals for the client, the nurse should recognize that which of the
following is an inappropriate recommendation for the client?
a. Start a weight reduction diet
b. Use nicotine patches to stop smoking
c. Exercise moderately three times a week
d. Eliminate sodium from the diet
5. While admitting a client for a cardiac catheterization, the nurse asks the client about allergies.
The client states, “I always get a rash when I eat shellfish.” Which of the following is the priority
nursing intervention?
a. Notify the provider of the client’s allergy
b. Attach a wrist band indicating the client’s allergy
c. Notify the dietary department of the client’s allergy
d. Ask the client if any other foods cause such a reaction
6. A patient with acute pharyngitis is seen in the clinic with fever and severe throat pain that
affects swallowing. On inspection, the throat is reddened and edematous with patchy yellow
exudates. The nurse anticipates that collaborative management will include
a. Treatment with antibiotics
b. Treatment with antifungal agents
c. A throat culture or rapid strep antigen test
d. Treatment with medication only if the pharyngitis does not resolve in 3-4 days
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