Exhibits
Which prescriptions would the nurse question? Select all that apply.
Enalapril 10 mg every morning
Chest x-ray now
Admit to the medical floor
Vital signs every 4 hours
Send blood for a complete blood count, electrolytes
Supplemental oxygen 10 L/min via nasal cannula
Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater than 100.5° F (38.0° C)
Continuous pulse oximetry
Correct Answer : A,F,G
A. Enalapril can potentially cause hyperkalemia and hypotension, which could be detrimental to a client with pneumonia. The prescription should be questioned due to these risks.
B. A chest X-ray may be necessary to assess the extent of pneumonia; thus, it is appropriate and should not be questioned.
C. Admission to the medical floor is necessary for monitoring the client's condition due to pneumonia, so this prescription is appropriate.
D. Monitoring vital signs every 4 hours is essential for assessing the client's condition, making this prescription appropriate.
E. Sending blood for a complete blood count and electrolytes is important to evaluate the patient's infection status and metabolic balance, so this is appropriate.
F. Changing the supplemental oxygen from a face mask to a nasal cannula may compromise oxygenation and should be questioned.
G. Administering ibuprofen could mask fever and may not be advisable in the presence of pneumonia, so this prescription should be questioned.
H. Continuous pulse oximetry is crucial for monitoring the patient's oxygen saturation, especially given the pneumonia diagnosis, making this prescription appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hyperventilation leads to respiratory alkalosis, not acidosis, as it reduces carbon dioxide levels in the blood.
B. Respiratory acidosis is characterized by the accumulation of carbon dioxide in the blood, leading to a decrease in blood pH. This is the fundamental process underlying respiratory acidosis.
C. While the kidneys can help eliminate carbon dioxide through bicarbonate production, respiratory acidosis primarily results from respiratory failure rather than renal conversion.
D. Elevated blood oxygen levels do not stimulate the respiratory rate; rather, low oxygen levels typically prompt an increased respiratory effort.
Correct Answer is ["A","B","D","E"]
Explanation
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.
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