Exhibits
Which of the following does the nurse anticipate the healthcare provider to prescribe during morning rounds? Select 4 findings.
Chest xray
Albuterol treatments by nebulizer every 4 to 6 hours
Computerized tomography (CT) scan of the chest
Arterial blood gas (ABG)
Increase oral fluids
Correct Answer : A,B,D,E
A. Chest x-ray: Follow-up imaging is typically needed to assess the progression or resolution of pneumonia after initiating antibiotic therapy.
B. Albuterol treatments by nebulizer every 4 to 6 hours: This can help relieve bronchospasm and improve air exchange, especially if the client is experiencing wheezing or increased work of breathing due to pneumonia.
C. Arterial blood gas (ABG): An ABG can help evaluate the client's respiratory status and the effectiveness of oxygenation and ventilation, especially given the diminished breath sounds and crackles.
D. C. Computerized tomography (CT) scan of the chest: While a CT scan can provide detailed images of the lungs, it is not typically the immediate follow-up after initial pneumonia treatment unless there are complications or concerns not resolved with a standard chest x-ray.
E. Increase oral fluids: Encouraging fluid intake can help thin secretions, promote hydration, and support overall recovery from pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Performing postural drainage immediately after meals can lead to discomfort or aspiration; it is usually advised to wait at least one hour after eating.
B. This statement is correct, as postural drainage involves positioning the client in various positions to help mobilize secretions from different lung segments, typically five positions are used.
C. Shallow and fast breathing is not recommended during postural drainage; deep breathing is encouraged to facilitate effective clearance of secretions.
D. Obtaining an arterial blood gas (ABG) is not routinely necessary before postural drainage; the focus is on mobilizing secretions.
Correct Answer is A
Explanation
A. Increasing the intake of oral fluids is crucial as it helps to liquefy secretions, making it easier for the client to cough up thick mucus and improve breathing.
B. While anxiety reduction methods can be helpful, addressing the physical symptoms of respiratory distress is more immediate.
C. Monitoring for medication side effects is important, but it is secondary to ensuring effective airway clearance and improving respiratory function.
D. Avoiding crowded areas is a preventive measure but does not address the current issue of managing mucus production and shortness of breath.
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