Albuterol is prescribed for a 79-year-old male patient with severe COPD and Asthma You notice that he is having difficulty timing inhalation to receive the maximum dose of Albuterol. You give him a device to atach to the end of the Albuterol Inhaler called an aero chamber. You then educate him to before pumping the medication into the chamber.

Exhale

Hold his breath.

Take several deep breaths.

Inhale

Answer and Explanation

The Correct Answer is A

Before pumping the medication into the chamber, you should educate the patient to exhale. This means that the patient should breathe out fully before using the inhaler. This helps to empty the lungs of air and create more space for the medication to be inhaled.

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Correct Answer is B

Explanation

Crackles, also known as rales, are discontinuous sounds that are typically heard during inspiration in patients with heart failure. These sounds are produced by the sudden opening of small airways and alveoli that are filled with ﬂuid or collapsed due to pulmonary congestion. The sound can be described as similar to the sound of rubbing hair between fingers or the sound of Velcro being pulled apart.

Rhonchi are continuous, low-pitched sounds that are typically heard during expiration and are caused by the movement of air through narrowed airways, such as in patients with chronic obstructive pulmonary disease (COPD). Stridor is a high-pitched, continuous sound that is typically heard during inspiration and indicates upper airway obstruction, which can be life-threatening. Neither rhonchi nor stridor are typically heard in patients with heart failure.

Therefore, based on the patient's history and symptoms, the most likely type of breathing sound to be heard on auscultation is crackles/rales.

A. Carbon Monoxide B. Oxyhemoglobin C. Carbon Dioxide D. Carboxyhemoglobin

Correct Answer is B

Explanation

Hemoglobin is a protein found in red blood cells that plays a crucial role in transporting oxygen from the lungs to the body's tissues and organs. When oxygen is breathed in, it binds to the hemoglobin in red blood cells, forming oxyhemoglobin. This oxyhemoglobin is then transported throughout the body via the circulatory system, delivering oxygen to the cells that need it

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Naxlex Comprehensive Predictor Exams

A patient presents to the Emergency Room with swollen legs and shortness of breath. He tells you that he has a history of heart failure which causes the ﬂuid to build up m his legs and lungs. When you listen to his lung sounds you are most likely to hear which type of breathing sounds?

Correct Answer is B

Explanation

A patient’s hemoglobin is severely low and she is complaining of being overly tired and fatigued. You are educating her on the role hemoglobin has with oxygenation and perfusion. You will know she understands the role of hemoglobin when she tells you hemoglobin transports:

Correct Answer is B

Explanation

A dialysis unit nurse caring for a client with renal failure will expect the client to exhibit which ﬂuid imbalance?

The nurse scaring for a patient who will be needing a blood transfusion. The nurse knows that the universal recipient of blood would be considered blood type:

During a Cardiac Stress test, a patient complains of chest pain while running The chest pain subsides when he stops running and is relaxed. The patient is diagnosed with Stable angina and is given education by the nurse. He understands the lack of muscles is causing stable angina during exercise.

A nurse is assessing the breath sounds of a newborn. Which sound is an expected finding for this developmental level?

A nurse is administering a blood transfusion to a client. After 15 minutes, the client reports difficulty breathing. What is the first action by the nurse?

You are setting up a room for your patient that has a new tracheostomy. Select all of the equipment you need bring with to ensure patient is safe should the tracheostomy become dislodged:

The nurse is caring for a client with a chest tube. Which is the following statements is appropriate regarding a chest tube?

A client with renal disease requires IV ﬂuids. It is important for the nurse to: