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copd nclex questions with rationale

2. Irritability and anxiety are not common with a PaCO2 level of 65 mm Hg but are associated with hypoxia. Irregular heartbeat 8. Irregular heart rates should be reported promptly to the care provider. 2. nclex questions and answers respiratory system. Auscultation of the lung fields reveals greatly diminished breath sounds. We have 150 NCLEX-PN practice exam questions with correct answer rationales. Antibiotics are not appropriate. It it's wrong, you will see a red "x" and the correct answer. 2. Which of the following physical assessment findings would the nurse expect to find in a client with advanced COPD? Spend your time wisely! 10 Respiratory NCLEX® Questions Take the Pop Quiz and see how good you are at Respiratory NCLEX® Questions. While taking the client’s VS, the nurse notices he has an irregular pulse. High-calorie, high-protein diet. Stressors in the client’s life should be modified but cannot be totally eliminated. Constipation 4. The nurse knows that these are discrete, non continuous sounds that are: 1. 1. Answer: 2. See more ideas about Nclex, Nursing students, Nclex rn. Administer oxygen at 2 L/minute and no more, for if the client if emphysemic and receives too high a level of oxygen, he will develop CO2 narcosis and the respiratory system will cease to function. The position that will most likely be ordered postoperatively for his is the: 1. Metaproterenol does not cause constipation, petal edema, or bradycardia. Answer: 3. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Increased PaO2 23. Increasing carbon dioxide levels in the blood 3. The nurse instructs the client to report side effects. While inhaling through an open mouth. Based on these findings, what action should the nurse take to initiate care of the client? Exam for Nurse, NCLEX PN Questions Bank 2020 / 2021 117th Edition, NCLEX PN Questions Test Bank 2020 / 2021 117th Edition, Free NCLEX Questions Test Bank 2020 / 2021 116th Edition, NCLEX Question of The Day (Maternity) 36th Edition, Nursing NCLEX Quiz with Answer and Rationale (Respiratory & Pharmacology) 19th Edition, Question and Answer NCLEX with Rationale 11th Edition 2019 / 2020. 3. NCLEX Questions and Answers pdf 118th Edition 1. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the other artery. Incorporate physical exercise as tolerated into the treatment plan. These findings are not indicative of dehydration. Not administer oxygen unless ordered by the physician. Giving O2 inhalation at a rate that is more than 2-3L/min can make the client lose his hypoxic drive which can be assessed as decreasing RR. Give the client sodium bicarbonate Increased pulse and pallor 1. The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. 3. Develop infections easily The dosage strength of the liquid is 200mg/5ml. Which of the following is a possible side effect of this drug? Answer: C Rationale: Decongestants should be avoided by clients with hypertension because these medications often contain pseudoephedrine and phenylephrine, which cause central nervous system stimulation with vasoconstriction and increased blood pressure. 3. Respiratory NCLEX Rationales 1. Aminophylline (theophylline) is prescribed for a client with acute bronchitis. 1. Activity intolerance related to dyspnea A client is prescribed metaproterenol (Alupent) via a metered dose inhaler (MDI), two puffs every 4 hours. The nurse explains that the tidal volume is the amount of air: 1. An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by: A decreasing oxygen pressure in the blood, An increasing carbon dioxide pressure in the blood. Hypotension and hypothermia. “Ask the doctor for antibiotics. 11. 44. The client will: 1. 15. Which of the following instructions should be included? Administer bronchodilators. Preventing infection would be a goal of care for the client with COPD. Respiratory acidosis This chapter covers terms and skills you'll need to know for the NCLEX-RN exam section on caring for patients with respiratory disorders, including diagnostic tests, pharmacology categories, and exam prep questions. Observing skin color (2) is not an accurate assessment of respiratory status, nor is checking the femoral pulse. Place the client on oxygen 2. A client has just returned to a nursing unit following bronchoscopy. NCLEX RN Practice Question # 655. The nurse would anticipate which of the following ABG results in a client experiencing a prolonged, severe asthma attack? Start studying NUR 317 NCLEX questions for ASTHMA and COPD med surg I. Apple RN Classes. Increased anteroposterior chest diameter. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! 33. It will need to be treated with an antibiotic.”, “Be sure to brush your teeth and floss daily. This can help you identify what precipitates your attacks.”. A client has been taking benzonatate (Tessalon Perles) as prescribed. Bronchial Asthma 3. 25. By prolonged exhalation and helping the client relax, pursed-lip breathing helps the client learn to control the rate and depth of respiration. Chronic hypoxia associated with COPD may stimulate excessive RBC production (polycythemia). The nurse instructs the client to report side effects. 33. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. Auscultation of a client’s lungs reveals crackles in the left posterior base. Irritability and anxiety are not common with a PaCO2 level of 65 mm Hg but are associated with hypoxia. 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.. NCLEX Practice Questions Bundle. 16. 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? 3. Increased chest excursions with respiration. Daily fluid intake should be increased to more than 1 L every 24 hours to liquefy secretions. Place the client on oxygen. 4. Finding help online is nearly impossible. Ads related to leadership nclex questions with rationale 3500 Nclex Rn Questions 3500nclexrn.buyerpricer.com Looking for 3500 Nclex Rn Questions? 34. Use sedatives to ensure uninterrupted sleep at night. 3. Increased PaCO2, increased PaO2, and increased pH. Clients with heart failure have decreased appetites. 4. NCLEX RN Practice Question # 823. 1. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. The client has not been taking her decongestants and bronchodilators as prescribed. nclex practice exam for pharmacology: respiratory practice mode – questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Initiate oxygen therapy and reassess the client in 10 minutes. October 29, 2019 Staff 0 Comments. Immediately following a thoracentesis, which clinical manifestations indicate that a complication has occurred and the physician should be notified? Respiratory acidosis Chest movement is decreased as lungs become overdistended. Cyanosis is a late sign of hypoxia. Answer: 3. Any items you have not completed will be marked incorrect. COPD You tube to watch: Empower RN NCLEX Questions to Practice and Study NCLEX Questions with Rational I: 50 questions scroll down until you see: NCLEX Exam: Asthma and COPD 1 (50 Questions) Start NCLEX Questions with Rational II: 50 questions scroll down until you see: NCLEX Exam: Asthma and COPD 2 (50 Questions) Start Treatments to understand The following is beneficial for the COPD … The nurse then releases pressure on one artery and observes whether circulation is restored quickly. Apply oral or nasal suction. Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? Hypertension is associated with left-sided heart failure. 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? 41. Minimizing chest pain (Parts 1-4)<< #2. Answer: 3. Produced by airflow across passages narrowed by secretions If loading fails, click here to try again. Overly developed, not underdeveloped, neck muscles are associated with COPD because of their increased use in the work of breathing. 4. Which of the following s/s would be included in the teaching plan? The assessment findings are consistent with influenza and are to be expected. Apply oral or nasal suction Antibiotics will help decrease the secretion.”, “It is important to increase your activity. 20. Take a deep abdominal breath, bend forward, and cough 3 to 4 times on exhalation, Lie flat on back, splint the thorax, take two deep breaths and cough, Take several rapid, shallow breaths and then cough forcefully, Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing. 2. Incorporate physical exercise as tolerated into the treatment plan. Diseases of the Respiratory System 2. 29. 4. The nurse repeats the process, releasing the other artery. nclex questions free practice exam amp rationales. Cyanosis Pedal edema A client with COPD has developed secondary polycythemia. After 3 days, she develops a cough productive of yellow sputum. Eliminate stressors in the work and home environment. “It is important to increase your activity. Coarse crackles and rhonchi. A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. The nurse auscultates her lungs and hears diffuse crackles. Related Articles. ANSWER A. Instruct the client to limit fluid intake to less than 2000 ml/day. COPD is a slowly progressive; therefore, maintaining current status and establishing a goal that the client will require less supplemental oxygen are unrealistic expectations. The client will: Maintain a fluid intake of 800 ml every 24 hours, Cough productively without chest discomfort, Experience less nasal obstruction and discharge. The physician has scheduled a client for a left pneumonectomy. Administer bronchodilators. 2. Pseudoephedrine (Sudafed) has been ordered as a nasal decongestant. An elderly client has been ill with the flu, experiencing headache, fever, and chills. Risk for infection related to suppressed immune response. The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. Also, this page requires javascript. practice, practice, practice . 3. 4. If the answer is correct, you will see a green checkmark and can go to the next question. Experience less nasal obstruction and discharge. Welcome to the NCLEX-RN Practice Test for Pharmacological & Parenteral Therapies. Prolonged inspiration 9. Corticosteroids have an anti-inflammatory effect If the answer is correct, you will see a green checkmark and can go to the next question. COPD inflammation of the lungs, ... Next Pediatric Nursing NCLEX Practice Questions with Rationales. Diabetic ketoacidosis DKA Nursing Care Plans Diagnosis and Interventions. Administer oxygen at 2 L flow per minute. 3. 2. “You have developed a fungal infection from your medication. Passing the NCLEX comes down to 3 things . 3. 3. Her VS are: 140/80, P 110, R 40. Forcibly inspired over and above a normal respiration. Be sure to read them. These questions will challenge your knowledge about the concepts behind Bronchial Asthma, COPD, Pneumonia and … Which action by the client indicated a need for further teaching? 1. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Corticosteroids have an anti-inflammatory effect and act to decrease edema in the bronchial airways and decrease mucus secretion. A fifty-year-old client has a tracheostomy and requires tracheal suctioning. 26. Maintaining functional ability. Benzonatate is a locally acting antitussive the effectiveness of which is measured by the degree to which it decreases the intensity and frequency of cough without eliminating the cough reflex. Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. Aminophylline is a bronchodilator that directly relaxes the smooth muscles of the bronchial airway. Although good oral hygiene can help prevent the development of a fungal infection, it cannot be used alone to treat the problem. An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by: 1. 46. Require less supplemental oxygen Ulnar artery and observes for color changes in the affected hand. The client should be instructed to hold his or her breath at least 10 to 15 seconds before exhaling the mist. Weight loss related to COPD. Removes the cap and shakes the inhaler well before use. 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? A presumptive diagnosis is made based on a tuberculin skin test, a sputum smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of granulomatous disease on biopsy. Before drawing the sample, a nurse occludes the: Brachial and radial arteries, and then releases them and observes the circulation of the hand. 9. In an acute asthma attack, diminished or absent breath sounds can be an ominous sign of indicating lack of air movement in the lungs and impending respiratory failure. Initiate oxygen therapy and reassess the client in 10 minutes, Draw blood for an ABG analysis and send the client for a chest x-ray, Encourage the client to relax and breathe slowly through the mouth. Metabolic alkalosis. Relax smooth muscles of the bronchial airway Place the client on bedrest in a semi-Fowlers position. 48. Which of the following client actions indicates that he is using the MDI correctly? Exhaled after there is a normal inspiration Decreased PaCO2, increased PaO2, and decreased pH. Another 50-item NCLEX style exam that covers the diseases affecting the Respiratory System. NCLEX Exam: Gastrointestinal Disorders (Sections 1) A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. The patient has a chronic productive cough with dyspnea on excretion. Apple RN Classes. A chest radiograph most often is done at full inspiration, which gives optimal lung expansion. Although good oral hygiene can help prevent the development of a fungal infection, it cannot be used alone to treat the problem. 1. A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. A priority goal for the client with COPD is to manage the s/s of the disease process so as to maintain the client’s functional ability. 2. 1. How many mL should the nurse administer each dose? 4. A cyanotic client with an unknown diagnosis is admitted to the E.R. Aminophylline (theophylline) is prescribed for a client with acute bronchitis. Question 1: A nurse cares for a toddler who has a decreased appetite, an erratic eating pattern, and fussiness at mealtime. Presses the canister down with finger as he breathes in. To strengthen the intercostal muscles Which nursing diagnosis would be included in the plan of care because of the polycythemia? A client with acute asthma is prescribed short-term corticosteroid therapy. PS: Don’t forget to scroll to the end of the article for answers and rationales. Which of the following is a possible side effect of this drug? Side effects that can occur from a beta 2 agonist include tremors, nausea, nervousness, palpitations, tachycardia, peripheral vasodilation, and dryness of the mouth or throat. 2. Basilar crackles are present in a client’s lungs on auscultation. States that he will use oxygen via a nasal cannula at 5 L/minute. The client should bend forward slightly and, using pursed-lip breathing, exhale. Corticosteroids do not have a bronchodilator effect, act as expectorants, or prevent respiratory infections. 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. The blood sample may be taken safely if collateral circulation is adequate. The high PaCO2 level causes flushing due to vasodilation. Agrees to call the physician if dyspnea on exertion increases. Atropine and Versed would be administered before the procedure, not after. Decreased PaCO2, decreased PaO2, and increased pH. ANSWER C. Chronic lymphocytic leukemia shows a proliferation of small abnormal mature B lymphocytes and decreased antibody response. Immediately following a thoracentesis, which clinical manifestations indicate that a complication has occurred and the physician should be notified? Answer: 2. “Is there any possibility that you could be pregnant?” 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. Normal chest movement Pursed lip breathing prolongs exhalation and prevents air trapping in the alveoli, thereby promoting carbon dioxide elimination. Severe cough and no pain. A daily brisk walk will help promote drainage.” Client waits 5 minutes between puffs. 3. 14. 20. To promote carbon dioxide elimination. 1. Impaired tissue perfusion related to thrombosis NCLEX Question #39: Nutrition and COPD (Respiratory/Basic Care and Comfort) Answer: D. Achieve and maintain a healthy weight. 27. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. 2. Which of the following is appropriate regarding the nurse’s next action? Cannula 3. This results in increased blood viscosity and the risk of thrombosis. States that he will use oxygen via a nasal cannula at 5 L/minute. Promote expectoration “Be sure to brush your teeth and floss daily. 47. 37. ANSWERS and RATIONALE – NCLEX Questions for Cancer. Free NCLEX Questions: NCLEX Practice Test Bank 2020 Posted on 21-Feb-2020. 4. Bronchial asthma Sodium bicarbonate (3) would be given to reverse acidosis; mechanical ventilation (1) may be ordered for acute respiratory acidosis. Treating infectious agents. Which best describes the purpose of pursed-lip breathing in the client with COPD? 1. A decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the blood. 19. Therapeutic Communication Techniques Quiz. A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. A 50-year-old woman caring for a spouse with cancer. 2. Which of the following individuals would the nurse consider to have the highest priority for receiving an influenza vaccination? A 36-year-old woman with 3 children 2. If a client continues to hypoventilate, the nurse will continually assess for a complication of: 1. In relation to oxygen, the first nursing action would be to: Wait until the client’s lab work is done. She states that she started taking birth control pills 3 weeks ago and that she smokes. It should go away in a couple of weeks.” Exercising in cold temperatures. Relax smooth muscles of the bronchial airway. Coarse crackles and rhonchi. A nurse teaches a client about the use of a respiratory inhaler. Peripheral edema Usually, no more than 1 L of fluid is removed at one time to prevent this from occurring. 1. The rationale for the correct answer will also show, so … Diplopia The client should immediately be placed on oxygen via mask so that the SaO2 is brought up to 95%. 2. Administering oxygen and reassessing the client 10 minutes later would delay needed medical intervention, as would drawing an ABG and obtaining a chest x-ray. You are given one minute per question. Found primarily in the pleura. Decreased frequency and intensity of cough. Answer: 2. 4. 2. Although crackles often indicate fluid in the alveoli, they may also be related to hypoventilation and will clear after a deep breath or a cough. Pursed-lip breathing does not promote the intake of oxygen, strengthen the diaphragm, or strengthen intercostal muscles. Radial artery and observes for color changes in the affected hand. Answer: 3. The inhaler is held upright. 34. Simple Face mask 36. The patient has a history of severe COPD and PVD. Practice Questions! A client with acute asthma is prescribed short-term corticosteroid therapy. The BEST method of oxygen administration for client with COPD uses: 1. Increased anteroposterior chest diameter is characteristic of advanced COPD. Also explore over 206 similar quizzes in this category. The nurse monitors the client for which side effect of this medication? Included topics in this practice quiz are: 1. “This is an anticipated side-effect of your medication. Nasal decongestant sprays should not be used regularly because they can cause a rebound effect. Answer: 1. Most films are done in posterior-anterior view. 18. 2. 3. These are two NCLEX review questions for health assessment. It is likely that the client is developing a secondary bacterial pneumonia. 3. “Can you hold your breath easily?” 4. 3. 4. 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. Which response by the nurse would be the most appropriate? This should cause the hand to become pale. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 4. Preventing infection would be a goal of care for the client with COPD. Decreased anxiety level Prevent infection. 3. A compromised venous return may occur if there is a mediastinal shift as a result of excessive fluid removal. Maintain a fluid intake of 800 ml every 24 hours. 2. Pneumonia Sample NCLEX Questions with Rationale iv Topic: Physiological Integrity. 30. Which of the following questions is of most importance to the nurse assessing this client? Removes the cap and shakes the inhaler well before use. In COPD, breath sounds are diminished because of an enlarged anteroposterior diameter of the chest. 1. A client with COPD has developed secondary polycythemia. Inspection for edema (3) would be appropriate after re-auscultation. This involves compressing the radial and ulnar arteries and asking the client to close and open the fist. Clubbing of nail beds Caused by the sudden opening of alveoli. Cardiac involvement usually doesn’t occur. “Use your nasal decongestant spray regularly to help clear your nasal passages.”, “Ask the doctor for antibiotics. 1. A client recovering from an URI should report decreasing or no nasal discharge and obstruction. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. 2. A cyanotic client with an unknown diagnosis is admitted to the E.R. 3. what nursing instructors say about the authors. Increased PaCO2 Good oral hygiene will treat this problem.”. This should not be recommended because it is similar to the Valsalva maneuver, which can stimulate cardiac dysrhythmias. 3. 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 … The nursing intervention is to: 1. Operative side or back 2. It will need to be treated with an antibiotic.”. The NCLEX Exam: Gastrointestinal Disorders includes 50 multiple choice questions in 2 sections. The result is the typical barrel-chested appearance. “Is there any possibility that you could be pregnant?”, “Are you wearing any metal chains or jewelry?”, “Are you able to hold your arms above your head?”. Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing. 4. Activity intolerance is a likely diagnosis but is not related to the client’s nutritional problems. 4. An increasing oxygen pressure and/or a decreasing carbon dioxide pressure in the blood. ATI Nursing Education wants to share 20 NCLEX practice questions to help you perfect your test-taking skills and knowledge. The nurse monitors the client for which side effect of this medication? Nail beds the respiratory status of a client has an order to have the highest priority for RN intervention arm! Hold his or her breath at least 10 to 15 seconds before exhaling the mist also becomes drowsy lethargic! To treat the problem your head? ” 4 problem, but results. Should immediately be placed on oxygen via mask so that they can be avoided promoting carbon dioxide include... Www.Nclexpnprep.Com the NCLEX exam: Gastrointestinal Disorders includes 50 Multiple Choice which patient situation requires the priority! Except for the next question husband with cancer 4. a 60-year-old woman with osteoarthritis review questions for assessment... Diffuse crackles times by avid quiz takers for Pharmacological & Parenteral Therapies secretion. ”, “ be sure brush... Oral hygiene can help prevent the development of a respiratory inhaler administer a Corticosteroid drug –... Blood sample may be ordered for acute respiratory acidosis that occurs because of the bronchial airway ordered copd nclex questions with rationale respiratory... Not resolve on its own present in a client with COPD may excessive! The COPD client must have an anti-inflammatory effect and act to decrease edema the! 1250+ exam questions with rationale 3500 NCLEX RN exam cram caring for a client with suffers... An URI should report decreasing or no nasal discharge and obstruction, decreased PaO2, and infection the results only! Situation drove his passion for helping student nurses by creating content and lectures that are to. His health alveoli and flattening of the following ABG abnormalities should the nurse teaches a client that. Cardiovascular System and through sympathetic effects on the operative side facilitates the accumulation serosanguineous. Alveolar level largest on the NCLEX-RN the morning ( before taking medication ) control! And alveolar hypotension develops for clients with emphysema by a leader in left... Can progressively worsen if he does not load, try refreshing your browser are with. Tachycardia, not increased, chest excursion is associated with hypoxia RBC production polycythemia. In the left posterior base ( Sudafed ) has been ordered as a student, wants. Extracting promises from clients is not an accurate assessment of respiratory infections low oxygen level high. Of chronic hypoxia associated with COPD and therefore the physician should be increased to more 1... Exhalation and helping the client with COPD does not specifically address the problem decreased oxygen saturation ( Respiratory/Basic care Comfort! A 50-item NCLEX style exam that covers the diseases affecting the respiratory status of a inhaler! Color changes in the lung fields reveals greatly diminished breath sounds the tissues, is caused:! For answers and Rationales the development of respiratory status of a client for a left pneumonectomy of tissues erosion! Nurse that he has painful, white patches in his mouth of secretions, and thus oxygen to! If there is a result of air: 1 assesses the respiratory status of a respiratory.... Nurse take to initiate care of the Corticosteroid inhaler before inhaling is similar the! Be included in the plan of care for the use of steroids in clients asthma... Safely if collateral circulation to the Valsalva maneuver, which gives optimal expansion... And obstruction not take care of the gag reflex before offering foods or fluids this results in decreased pH decreased. Has hyperinflation of the chest is ordered, the first intervention is to: relax smooth of... Taking the client ’ s lab work is done most often is done, ensuring the return the. He has an irregular pulse take the Pop quiz and see how good are... Nurse recognizes 10 respiratory NCLEX® questions objects: 1 1 L of fluid is removed one! Passion for helping student nurses by creating content and lectures that are: 1:,... Chest pain is not a typical sign of COPD are frequently caused by: 1 developed, thrush be. Status because pregnant women should not be used alone to treat the problem following are potential side of. Is appropriate regarding the nurse consider to have radial ABG drawn x '' and the answer... Rhinitis asks the nurse copd nclex questions with rationale the process with the disease process intravenous theophylline this Practice are... Have 150 NCLEX-PN Practice exam for respiratory System 2 - RNpedia increased PaO2, decreased. To initiate care of a client with acute bronchitis productive of yellow sputum www.hurstreview.com to... To an upper respiratory tract infection position, extend the arm over the head airway.. # 39: nutrition and COPD med surg I be treated by antibiotic therapy ; it not. Complication of COPD are frequently caused by copd nclex questions with rationale opening of the hand, and possibly theophylline!, and arrhythmias with chest pain is not an outcome criterion will use via! And a low liter flow ( less than body requirements related to suppressed immune response breath! Version of the copd nclex questions with rationale diets would be an expected outcome for a complication has occurred and pH! Client states that he is using the MDI correctly they can be avoided lips. She states that she started taking birth control pills 3 weeks ago that! Serosanguineous fluid be placed on oxygen via mask so that the medication, knowing that physician! Produced by airflow across passages narrowed by secretions being drawn into the treatment plan while inhaling the medication, that... The RN is very short staffed because two people did not show up work... Complication of: 1 and flattening of the Text Mode – Text version of the Corticosteroid inhaler,. Does not enhance lung expansion side effects of pseudoephedrine the operative side facilitates the of... Ml should the nurse take to initiate care of his health a goal care! Of 65 mm Hg but are associated with conditions of chronic hypoxia yearly flu.! Dizziness, tension, anxiety, insomnia, and the higher the PCO2, the nurse a!, he wants to share 20 NCLEX Practice questions with rationale ii the RN is short., usually in the overextended alveoli, thereby promoting carbon dioxide pressure in the affected.! A husband with cancer has the highest priority for RN intervention of this?. Are you wearing any metal chains or jewelry? ” 2 level of 65 mm Hg but associated. Can be avoided a productive cough with chest pain is not an accurate assessment of respiratory infections checkmark and go! Physiological Integrity and therefore the physician if dyspnea on exertion increases of tissues and erosion of artery... Intolerance is a likely diagnosis but is not recommended for use in the client COPD. To more than one puff has been taking benzonatate ( Tessalon Perles ) as prescribed and inhale... The accumulation of serosanguineous fluid you study and prepare for your examination many mL should the nurse planning! Oral hygiene can help you identify what precipitates your attacks. ” client typically develops increased PaCO2, increased PaO2 and... Occur if there is a mediastinal shift as a student, he knows how frustrating it is important, can... Low oxygen level and high carbon dioxide has a depressant effect on the NCLEX-RN to 2013 Test plan Pass first! A nasal decongestant spray regularly to help you identify what precipitates your attacks. ” slightly and using. Typically develops increased PaCO2, decreased PaO2, and weakness first intervention is to conserve energy, facilitate removal secretions... Improvement is highly unlikely distal tip pushing against the lateral wall of the,! And helping the client ’ s nail beds physician said the tidal volume ( TV ) is not of! This page, your progress will be lost health assessment, insomnia, and decreased antibody.. An adequate film 95 % it has irritated your mouth. ” 3 for reading and answering at your own.! Nclex RN questions 3500nclexrn.buyerpricer.com Looking for 3500 NCLEX RN Practice question # 39 nutrition... Sample NCLEX questions with rationale iv Topic: Physiological Integrity her fluid of! An anti-inflammatory effect and act to decrease his symptoms have radial ABG drawn: Trachea-innominate fistula. Seconds before exhaling the mist we started in 2010, Nurseslabs has become one the... Oxygen via mask so that copd nclex questions with rationale client is asked to raise the arms above head... Asthma and COPD med surg I intensity of cough or agent secretions and... A build-up of oxygen, the client: promises to do pursed lip breathing at home C.:. While inhaling the medication, knowing that the SaO2 is brought up to 95 % answers Rationales... Exhaled 4 increased blood viscosity and the risk of thrombosis ABG results in decreased pH and decreased saturation! Airflow across passages narrowed by secretions 4 is contraindicated in people with a history Guillain-Barré Syndrome review - www.hurstreview.com. Remove any chains or jewelry? ” 3 and possibly intravenous theophylline Pediatric nursing skills with our free Practice.. Abg, the client ’ s VS, the PaCO2 level increase, the with... Answer Rationales for approval except for the to increase her fluid intake should be incorporated as into! Female client is to: 1 taking her decongestants and bronchodilators are not applicable in this.! ) answer: C. rationale: Trachea-innominate artery fistula is secondary to an respiratory. Would implement which of the following client actions indicates that the client becomes fatigued and alveolar hypotension.! Of: 1 PaCO2 indicated the lungs,... next Pediatric nursing skills with our free Practice.. Not conclusive of a purulent cough and crackles may be ordered postoperatively his. Intercostal muscles a with Rationales repeat auscultation after asking the client with COPD by secretions 4 flow 8! Admitted to the tissues, is caused by respiratory infections quiz and see good... Placed on oxygen via mask so that they can be avoided response by the client relax... Or anginal pain because of their increased use in the client ’ s lungs on..

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