Passpoint Respiratory | A client with asthma has been taking theophylline as ordered. Now, the client's blood theophylline level is 4.8 mcg/ml. Which dosage change will the physician order?  Maintain the dose

Passpoint Respiratory A client with asthma has been taking theophylline as ordered. Now, the client's blood theophylline level

is 4.8 mcg/ml. Which dosage change will the physician order?

You Selected:

 Maintain the dose.

Correct response:

 Increase the dose.

Explanation:

Remediation:

Question 2 See full question

A nurse notices that a client admitted for exacerbation of chronic obstructive pulmonary disease is short

of breath. The client has signed an advance directive indicating that he doesn't want to be resuscitated.

The nurse should:

You Selected:

 not provide any care.

Correct response:

 check the client's oxygen saturation.

Explanation:

Remediation:

Question 3 See full question

The nurse is teaching a client who will be undergoing a lung resection. The client is told that two chest

tubes will be placed during surgery. The nurse explains that the purpose of the lower chest tube is to:

You Selected:

 remove air.

Correct response:

 remove fluid.

Explanation:

Remediation:

Question 4 See full question

The nurse is planning to teach the client how to properly use a metered-dose inhaler to treat asthma.

The nurse should tell the client to:

You Selected:

 cough and deep-breathe before inhaling the medication.

Correct response:

 rinse the mouth after each use of a steroid inhaler.

Explanation:

Question 5 See full question

The nurse has administered aminophylline to a client with emphysema. The medication is effective when

there is:

You Selected:

 efficient pulmonary circulation.

Correct response:

 relaxation of smooth muscles in the bronchioles.

Explanation:

Question 6 See full question

An adolescent with cystic fibrosis has been hospitalized several times. On the latest admission, the client

has labored respirations, fatigue, malnutrition, and failure to thrive. Which initial nursing actions are

most important?

You Selected:

 applying an oximeter and initiating respiratory therapy

Correct response:

 applying an oximeter and initiating respiratory therapy

Explanation:

Remediation:

Question 7 See full question

After a total laryngectomy, the client has a feeding tube. The feeding tube is effective if the tube

feedings:

You Selected:

 prevent fistula formation.

Correct response:

 meet the fluid and nutritional needs of the client.

Explanation:

Remediation:

Question 8 See full question

A client with bacterial pneumonia is to be started on IV antibiotics. Which diagnostic tests must be

completed before antibiotic therapy begins?

You Selected:

 red blood cell count

Correct response:

 sputum culture

Explanation:

Remediation:

Question 9 See full question

The nurse assesses the respiratory status of a client who is experiencing an exacerbation of chronic

obstructive pulmonary disease (COPD) secondary to an upper respiratory tract infection. Which findings

is expected?

You Selected:

 coarse crackles and rhonchi

Correct response:

 coarse crackles and rhonchi

Explanation:

Remediation:

Question 10 See full question

A client is prescribed metaproterenol via a metered-dose inhaler, two puffs every 4 hours. The nurse

instructs the client to report which adverse effect?

You Selected:

 decreased pulse rate

Correct response:

 irregular heartbeat

Explanation:

Question 11 See full question

A client who underwent a lobectomy and has a water-seal chest drainage system is breathing with a little

more effort and at a faster rate than 1 hour ago. The client's pulse rate is also increased. The nurse

should:

You Selected:

 check the tubing to ensure that the client is not lying on it or kinking it.

Correct response:

 check the tubing to ensure that the client is not lying on it or kinking it.

Explanation:

Remediation:

Question 12 See full question

Which action should the nurse anticipate in a client who has been diagnosed with acute respiratory

distress syndrome (ARDS)?

You Selected:

 use of a nasal cannula

Correct response:

 mechanical ventilation

Explanation:

Remediation:

Question 13 See full question

When performing the Heimlich maneuver on a conscious adult victim, the rescuer delivers inward and

upward thrusts specifically:

You Selected:

 above the umbilicus.

Correct response:

 below the xiphoid process and above the umbilicus.

Explanation:

Remediation:

Question 14 See full question

While reviewing the arterial blood gas values of a client with emphysema, the nurse should identify

which PaCO2 values as indicating the need for immediate intervention?

You Selected:

 80 mm Hg

Correct response:

 80 mm Hg

Explanation:

Remediation:

Question 15 See full question

An expected outcome of theophylline ethylenediamine when administered to a client with chronic

obstructive pulmonary disease is:

You Selected:

 strengthen myocardial contractions.

Correct response:

 relax bronchial smooth muscle.

Explanation:

Question 16 See full question

After suctioning a client’s tracheostomy tube, the nurse waits a few minutes before suctioning again. The

nurse should use intermittent suction primarily to help prevent:

You Selected:

 depriving the client of sufficient oxygen supply.

Correct response:

 depriving the client of sufficient oxygen supply.

Explanation:

Remediation:

Question 17 See full question

Which assessment finding puts a client at increased risk for epistaxis?

You Selected:

 History of nasal surgery

Correct response:

 Cocaine use

Explanation:

Remediation:

Question 18 See full question

A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on continuous

mechanical ventilation. Which equipment is most important for the nurse to keep at this client's

bedside?

You Selected:

 Oxygen analyzer

Correct response:

 Manual resuscitation bag

Explanation:

Remediation:

Question 19 See full question

A client is receiving supplemental oxygen. When determining the effectiveness of oxygen therapy, which

arterial blood gas value is most important?

You Selected:

 Bicarbonate (HCO3–)

Correct response:

 Partial pressure of arterial oxygen (PaO2)

Explanation:

Remediation:

Question 20 See full question

A client with influenza is admitted to an acute care facility. The nurse monitors the client closely for

complications. What is the most common complication of influenza?

You Selected:

 Pulmonary edema

Correct response:

 Pneumonia

Explanation:

Remediation:

Question 21 See full question