Question 39 A 3-month-old child/infant has been admitted to the emergency department with Respiratory Syncytial Virus (RSV). On assessment, you notice they have nasal congestion, mild intercostal retractions and crackles throughout both lungs. Their respiratory rate is 68 breaths per minute and oxygen saturation is 91% on 2L oxygen via nasal prongs. What intervention would be most appropriate? Question 39 options: Initiate cool mist therapy Continue with regular clinical assessment and supportive care Administer a PRN order for an inhaled bronchodilator Administer a PRN order for a nebulized epinephrine

Question 39 A 3-month-old child/infant has been admitted to the emergency department with Respiratory Syncytial Virus (RSV). On assessment, you notice they have nasal congestion, mild intercostal retractions and crackles throughout both lungs. Their respiratory rate is 68 breaths per minute and oxygen saturation is 91% on 2L oxygen via nasal prongs. What intervention would be most appropriate? Question 39 options: Initiate cool mist therapy Continue with regular clinical assessment and supportive care Administer a PRN order for an inhaled bronchodilator Administer a PRN order for a nebulized epinephrine

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter24: Medications That Affect The Respiratory System

Section: Chapter Questions

Problem 12RQ

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Question 54 A 5-month-old infant was admitted to the pediatric unit with bronchiolitis. They are currently being monitored and receiving supportive care, including supplemental oxygen. Which of the following should be included in the nurse's assessment and documentation? Select all that apply. Question 54 options: Hydration status Oxygen saturation Respiratory rate and work of breathing Findings on auscultation Feeding status
Question 30 While conducting a physical assessment on a patient with COPD, the nurse notes a hyper-resonant sound with percussion of the thoracic cage. What is responsible for this abnormal physical assessment finding? Question 30 options: Air trapping within the lungs Accumulation of fluid within the alveoli Atrophy of the intercostal muscles Narrowing of distal airways
Question 84 Joe is a 5 year old recently diagnosed with asthma. Upon assessing the child, the nurse finds the following in the chart data. Which of the following indicate severe asthma requiring immediate care? Question 84 options: Being unaware of the day of the week Respiratory rate >36/ minute Oxygen saturation of 94% on room air Speaking 4-5 word sentences
Question 17  Karen (65 years old) comes to the emergency department as she is experiencing an acute asthma attack. After obtaining her baseline oximetry value, what should the nurse do next? Select the correct action from the list below: Question 17 options: Complete a thorough health history Ask about inhaled corticosteroid use Obtain her Forced Expiratory (FEV1) flow rate Start an intravenous (IV) of Ringers Lactate
Question 86  The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective? Question 86 options: No wheezes are audible Oxygen saturation is >92% Accessory muscle use has decreased Respiratory rate is 16 breaths / minute
Question 24  A 16 year-old client has had asthma for ten years. The client regularly uses their peak flow meter to determine their current peak flow zone. Today, the client notes that they are in the red zone. What does this mean? Question 24 options: the client needs to take a short acting bronchodilator and seek medical assistance the client needs to replace their peak flow meter as it is malfunctioning the client continues to maintain good control of their asthma symptoms the client should take a short acting bronchodilator and repeat peak flow readin
Question 14 Which of the following medications do you expect the doctor to prescribe to a client with a history of COPD who presents with acute respiratory distress? Question 14 options: Bronchodilators, corticosteroids, and antihypertensives Bronchodilators, corticosteroids, and psychotropics Bronchodilators, diuretics, and antihypertensives Corticosteroids, oxygen, and diruetics
Question 6 A nurse walks into a room and notices a client in acute respiratory distress. You would expect the nurse to do all of the following EXCEPT: Question 6 options: Check the client's vital signs Leave the client to ask for help Coach the client through deep breathing techniques Place the client on oxygen to maintain an SP02 > 89%
Question 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minute
Question 42 A 93-year-old patient living in a long-term care home is experiencing elevated temperature, respiratory rate of 24 breaths per minute, BP 98/60 and HR 106. What is the most important thing to consider, before sending the patient to hospital? Question 42 options: Are any sepsis criteria met? What are the patient's advanced directives and preferences for treatment? Can the patient be adequately cared for at the long-term care home? Does the patient's family want them sent to hospital?
Case A comatose patient had formerly expressed a desire to have her respirator turned off if she ever required one. Her parents do not want to turn it off, but her husband does. The parents present their arguments to the administrator, chief of the medical staff, and director of nursing. Answer the following questions in a 2-3 page response: What are the legal facts of the case? What is the ethical dilemma? What standard of care is required? What are the risks to the healthcare organization if turning off the respirator? If not turning off the respirator? What options does the healthcare organization have to resolve this dilemma? What precautions should healthcare organizations take to prevent this type of ethical dilemma in the future?
Question 48 A nurse is assessing a 4-month-old infant with respiratory distress. Which of the following techniques should the nurse use to conduct their respiratory assessment? Question 48 options: Place the diaphragm of the stethoscope in the upper half of the right axilla Count respirations by observation for 30 seconds Ensure the baby is awake Conduct the respiratory assessment after taking other vital signs

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	Initiate cool mist therapy
	Continue with regular clinical assessment and supportive care
	Administer a PRN order for an inhaled bronchodilator
	Administer a PRN order for a nebulized epinephrine