CBRC Fundamentals of Nursing

24問 • 3年前

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Nurse Angelica is caring for a client after a bronchoscopy and biopsy. Which of the following signs if noted in the client should be reported immediately to the physician?

Bronchospasm

A physician orders for a bone marrow biopsy to rule out the disease via the posterior superior iliac crest. The nurse will assist the client to assume which of the following positions?

Prone

Nurse Kamillah is preparing to obtain a sputum specimen from a client. Which of the following nursing actions will facilitate obtaining the specimen?

Having the client take three deep breaths

Which of the following should not be included in the nurse's plan of care for a patient who will undergo a fecal occult blood test?

None of the above

The patient was rushed in the ER due to vehicle or accident, he was already seen and assessed by the physician, as a nurse, you're about to carry out his order for cranial CT scan with contrast, what would be your priority?

Sensitivity

Mr. Alex is worried that he might not be receiving enough nutrients from the food he eats. He weighs 60 kg and stand 165 cm tall. Basing on his BMI, his body build is considered

Mesomorph

The nurse is evaluating the nutritional status of a client. Which of the following parameters should be observed by dinners?

Stable weight

When assessing for the engine replacement, which three methods are often recommended? 1. Measurement of the exposed to blend 2. Visual assessment of aspirate 3. Auscultation method after air injection 4. PH measurement of aspirate

2 3 and 4

Nurse Vanessa is inserting an easy gastric tube in an adult client. During the procedure, the client begins to cough and has difficulty of breathing. Which of the following is the most appropriate nursing action?

Pull back on the tube and wait until the respiratory distress subsides

TPN is delivered at a rate of 50 to 60 ml/ hour during the first 12 hours. Why is this so?

To let the body adjust to the solution

Nurse Gapit is to perform tracheostomy care for your patient who is in comatose state. This includes suctioning of the tube. Which of the following procedures should the nurse follow instruction a tracheostomy tube?

Use sterile technique when suctioning the client

Nurse Castle is changing the tapes on a tracheostomy tube. The client coughs and the tube is dislodged. The initial nursing action is to:

Grasp the retention sutures to spread the opening

Nurse was assigned to care for a patient who was diagnosed with asthma. She plans to teach the client how to properly use a metered dose inhaler. You know that the following was not to be talk to the client, except?

Rinse your mouth every after use

In a client in the healthcare clinic, arterial blood has analysis gives the following results: pH= 7.48; PaCo2= 32 mmHg; PO2 = 94 mmHg; HCO3= 24 mEq/L. The nurse interprets that the client has which acid-base disturbance

Respiratory alkalosis

Nurse Sarah is caring for a client with renal failure. Blood gas results indicate a pH of 7.30, PC02 Of 32 mmHg, and the bicarbonate concentration of 22 mEq/L. Which of the following laboratory values would nurse Sarah expect a note?

Potassium level of 5.2 mEq/L

An oxygen delivery system is prescribed for a client with chronic obstructive pulmonary disease COPD to deliver a precise oxygen concentration. Which of the following types of oxygen delivery system would nurse Sarah anticipate to be prescribed?

Venturi mask

Nurse castle is conducting a preoperative teaching with a client about the use of an incentive spirometer in the post operative period. Nurse castle would include which piece of information in discussion with the client?

The best results are achieved when the head of the bed is elevated 45 to 90°

The client is unable to use the incentive spirometer device. In counseling the client the, first advice of nurse around would be to:

Start slowly and gradually increase volume over several sessions

Nurse Sarah instruct a client to use pursed lip method of breathing and the client asked about the purpose of this type of breathing. Nurse's response, knowing that the primary purpose of her pursed lip breathing is to:

Promote carbon dioxide elimination

One student nurse in your area asked you questions on chest physiotherapy. You include in your response that all of the following are not good candidates for CPT, except?You include in your response that all of the following are not good candidates for city, except?

A patient who has good exercise tolerance

You are to assist your patient to perform postural drainage, as per doctor's instructions. Among the following factors, which will promote the movement of secretions from the lower to the upper respiratory segments?

Force of gravity

Nurse Carlo has assisted a physician with the insertion of a chest tube. Nurse Carlo monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which of the following actions would be most appropriate?

Continue to monitor, for this is an expected finding

Well check in the chest tube drainage system of a patient, nurse Rena notices that there is constant bubbling in the water seal chamber. This could mean that:

There is an airleak in the system

On the way to an x ray examination, Sally with chest tube becomes confused and pulls the chest tube out. The nurse's immediate action should be to:

Cover the opening with the cleanest material available

Pathognomonic sign

Castle Aranza · 60問 · 3年前

Pathognomonic sign