The client should bend forward slightly and, using pursed-lip breathing, exhale. 4. Consequently, the nurse must observe for objective signs. Increased PaO2 ~ Andrew Carnegie. Emphysema Answer: 3. Lie flat on back, splint the thorax, take two deep breaths and cough. Her VS are: 140/80, P 110, R 40. A client with COPD is at high risk for development of respiratory infections. 3. Which of the following is a priority goal for the client with COPD? Which of the following outcomes would be appropriate for a client with COPD who has been discharged to home? Corticosteroids do not have a bronchodilator effect, act as expectorants, or prevent respiratory infections. The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. Format Questions; 90 Days Availability; Cost $200.00 Chronic Obstructive Pulmonary Disease(COPD) 4. If a client continues to hypoventilate, the nurse will continually assess for a complication of: A client is admitted to the hospital with acute bronchitis. 3. Maintain current status Coarse crackles and rhonchi would be auscultated as air moves through airways obstructed with secretions. Coarse crackles and rhonchi. 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. It should go away in a couple of weeks.” Over 200 free NCLEX-RN exam practice test questions with thorough rationales for explanation of answers to help give you a leg up for the special day. Irregular heart rates should be reported promptly to the care provider. 3. practice.. To help you get the NCLEX questions practice you need to pass we have created a ton of resources including our 3,500 Question Bank (Nursing Practice Questions), to an NCLEX Question Podcast, to courses and so much more.. Preventing infection would be a goal of care for the client with COPD. Therefore, the PaCO2 level increase, the PaO2 level decreases, and the pH decreases, indicating acidosis. Cyanosis is a late sign of hypoxia. 2. The patient has a chronic productive cough with dyspnea on excretion. The position that will most likely be ordered postoperatively for his is the: Assessing a client who has developed atelectasis postoperatively, the nurse will most likely find: A fifty-year-old client has a tracheostomy and requires tracheal suctioning. Inspect the client’s ankles and sacrum for the presence of edema. A nurse has delegated care of a client with chronic obstructive pulmonary disease (COPD) to a nursing assistant. Right-sided heart failure is a complication of COPD that occurs because of pulmonary hypertension. NCLEX RN Questions NUR 108: Module 3 Evaluate Question 5: Multiple Choice Which patient situation requires the highest priority for RN intervention? Guaifenesin 300 mg four times daily has been ordered as an expectorant. Corticosteroids have an anti-inflammatory effect 4. 2. Increased PaCO2 Repeat auscultation after asking the client to deep breathe and cough. ANSWER C. Complications of Hodgkin’s are pancytopenia, nausea, and infection. Which of the following are potential side effects of metaproterenol? 4. Nutrition nclex practice quiz 10 items this or that paeral nutrition nclex practice quiz 20 items nutrition nclex practice quiz 10 items nurseslabs nclex practice questions nutrition and copd respiratory basic. 1. Activity intolerance is a likely diagnosis but is not related to the client’s nutritional problems. 14. Answer: 4. 4. 2. Congratulations - you have completed NCLEX Practice Exam for Respiratory System 2 (PM)*. Apply oral or nasal suction. a. 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? Use sedatives to ensure uninterrupted sleep at night. Ulnar artery and observes for color changes in the affected hand. 49. ANSWER A. 3. Best NCLEX Review - Hurst www.hurstreview.com Updated to 2013 Test Plan Pass the first try - Guaranteed! 2. Suppress the cough Encourage slow, regular breathing to decrease the amount of CO2 she is losing. 1. The high PaCO2 level causes flushing due to vasodilation. Trapped in the alveoli that cannot be exhaled NCLEX Practice Exam for Respiratory System 2 - RNpedia. Before drawing an ABG, the nurse assesses the collateral circulation to the hand with Allen’s test. 11. a. This can help you identify what precipitates your attacks.”. practice, practice, practice . The most common CNS effects include restlessness, dizziness, tension, anxiety, insomnia, and weakness. 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. 4. 3. Head is tilted down while inhaling the medication, Mouth is rinsed with water following administration, Client lies supine for 15 minutes following administration. 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? To promote oxygen intake Use of oral inhalant corticosteroids, such as flunisolide, can lead to the development of oral thrush, a fungal infection. 1. Which of the following instructions would be appropriate for the nurse to give the client? 1. Answer: 4. Respiratory acidosis Auscultation of a client’s lungs reveals crackles in the left posterior base. Deflate the tracheal cuff. NCLEX-RN Practice Exam - Part 1 | 50 Q\u0026A with rationales | QUESTIONS ARE READ TWICE5 tips for Studying for NCLEX and 5 Tips for Studying in Nursing School Comprehensive Review Video 1 NCLEX-RN Exam questions with answers 2020 || NCLEX RN review videos with rationale 2020 Part 67 Respiratory System Review Questions HOW TO PASS THE NCLEX IN 2020 // The Ultimate NCLEX Guide NCLEX … This leads to carbon dioxide retention and hypoxemia. 2. answers and rationale for nclex questions about airway. 4. Begin mechanical ventilation Bland, soft diet Encourage slow, regular breathing to decrease the amount of CO2 she is losing. Altered nutrition: Less than body requirements related to fatigue. Metaproterenol does not cause constipation, petal edema, or bradycardia. 3. After exhaling but before inhaling. Hypotension and hypothermia. Administering small doses of midazolam (Versed). Pediatric Nursing NCLEX 100 Practice Questions with Rationales. Decongestants and bronchodilators are not typically prescribed for the flu. 3. The patient has a history of severe COPD and PVD. 3. 3. Answer: 2. ANSWER A. Chronic obstructive bronchitis 24. Diplopia nclex questions and answers respiratory system. An elderly client has been ill with the flu, experiencing headache, fever, and chills. Pain is not a common symptom of COPD. A nurse would implement which of the following nursing interventions for this client? The carbon dioxide concentration in the blood is increased to an abnormal level in clients with COPD; it would not be a goal to increase the level further. The nurse knows that these are discrete, non continuous sounds that are: Produced by airflow across passages narrowed by secretions. 41. . The temperature should be below 100*F (37.8*C) with no chills or diaphoresis. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. While inhaling through an open mouth. 4. Which of the following client actions indicates that he is using the MDI correctly? 1. Risk for infection related to suppressed immune response. 4. Answer: 3. To strengthen the intercostal muscles 42. Try this amazing Chronic Obstructive Pulmonary Disease Multiple Choice quiz which has been attempted 5152 times by avid quiz takers. Take a deep abdominal breath, bend forward, and cough 3 to 4 times on exhalation. Which of the following is a possible side effect of this drug? All questions are shown, but the results will only be given after you’ve finished the quiz. Dressing change (1) and humidity (2) do not relate to suctioning. A client has been taking flunisolide (Aerobid), two inhalations a day, for treatment of asthma. Here is another 50-item NCLEX style exam that covers the diseases affecting the Respiratory System. Diabetic ketoacidosis DKA Nursing Care Plans Diagnosis and Interventions. Ineffective breathing pattern related to alveolar hypoventilation. 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? Relax smooth muscles of the bronchial airway 1. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Eliminate stressors in the work and home environment 2. This results in decreased pH and decreased oxygen saturation. . These questions will challenge your knowledge about the concepts behind Bronchial Asthma, COPD, Pneumonia and many more. 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