A nurse teaches a post-operative patient about preventing atelectasis. Which statement by the patient indicates an understanding?

“Hyperventilation will open up my alveoli, preventing atelectasis."

“It is important for me to do breathing exercises every hour to prevent atelectasis."

"Atelectasis affects only those with chronic conditions such as emphysema. I do not have emphysema therefore I will not get this condition."

“If develop atelectasis, I will need a chest tube to drain excess fluid."

Answer and Explanation

The Correct Answer is B

A.   Hyperventilation can lead to dizziness and lightheadedness, and it's not a recommended method for preventing atelectasis.
B.   This statement indicates understanding of the importance of deep breathing exercises in preventing atelectasis.
C.   This statement shows a misunderstanding of atelectasis. Anyone can develop atelectasis, especially after surgery.
D.   This statement is incorrect, but it focuses on treatment rather than prevention.

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Correct Answer is D

Explanation

A. This is caused by an increase in acid or a loss of bicarbonate. Vomiting does not typically lead to this.
B. This is caused by a buildup of carbon dioxide in the blood, usually due to inadequate breathing.
C. This is caused by hyperventilation and excessive loss of carbon dioxide.
D. This is caused by a loss of acid or an increase in bicarbonate. Vomiting can lead to a loss of stomach acid, resulting in metabolic alkalosis.

A. The nurse determines the prescription is above the recommended dosage range. B. The nurse determines the prescription is insufficient to achieve the desired effect. C. The nurse administers the prescribed dosage. D. The nurse contacts the pharmacist to adjust the prescribed dosage.

Correct Answer is B

Explanation

According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg).

Therefore, the prescribed dosage of 300 mg per day is below the recommended range.

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A nurse teaches a post-operative patient about preventing atelectasis. Which statement by the patient indicates an understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nausea and is vomiting. The nurse should identify the client is at risk for which of the following acid-base imbalances?

Correct Answer is D

Explanation

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

Correct Answer is B

Explanation

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