Patient Data

Exhibits

After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen.

Which action(s) should the nurse take next? Select all that apply.

Administer additional nebulizer treatment as ordered.

Take and monitor vital signs.

Apply a nonrebreather oxygen mask.

Increase oxygen flow.

Raise the head of the bed.

Provide client incentive spirometer and instruct on use.

Answer and Explanation

Correct Answer : A,B,D,E

Inhaled short acting beta agonists can should be administered up to 3 times until there the obstruction in managed. In the event that the nebulization fails to relieve the respiratory distress, other treatment options such as magnesium sulphate can be used.

Oxygen flow should also be titrated appropriately to achieve the targeted SPO2 levels. However, changing the modality of oxygen delivery is not necessary at this part.

Continuous vital signs monitoring allows for timely interventions at all times to prevent respiratory failure. Although not a primary measure, raising the head of the bed can increase comfort reducing the work of breathing.

While incentive spirometry may have a role in the management of asthma in certain situations, such as during the recovery phase after an acute exacerbation or in individuals with chronic asthma who have reduced lung function, it is not typically used as a primary intervention during the acute phase of an asthma attack.

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Correct Answer is A

Explanation

A. Raynaud's syndrome is characterized by vasospasm of the small arteries, often triggered by exposure to cold temperatures or stress. Keeping the workspace warm can help prevent vasospasm and reduce the risk of Raynaud's attacks while the client is working. Using a space heater or adjusting the office temperature can help maintain a comfortable environment for the client.
B. While vitamin D supplementation may have various health benefits, it is not specifically indicated for managing Raynaud's syndrome.
C. Elevating the hands during work breaks may help reduce swelling or discomfort associated with certain conditions, but it is not a specific recommendation for managing Raynaud's syndrome. Elevating the hands may not address the underlying issue of reduced blood flow to the fingers that occurs during Raynaud's attacks.
D. Limiting wrist flexion may help reduce strain on the wrists and hands but would not directly address the symptoms of Raynaud's syndrome related to blood flow. While ergonomic keyboards can be beneficial for preventing repetitive strain injuries and improving comfort during typing, they are not specifically indicated for managing Raynaud's syndrome.

A. Hydromorphone. B. Morphine. C. Oxycodone. D. Fentanyl.

Correct Answer is B

Explanation

B Morphine is commonly administered to individuals experiencing chest pain associated with a suspected heart attack. It helps relieve pain and reduces anxiety, thereby improving the comfort
of the patient. Additionally, morphine has vasodilatory effects, which can help reduce the workload on the heart and improve blood flow to the myocardium.
Hydromorphone is a potent opioid analgesic similar to morphine. While it may provide pain relief, it is not typically the first-line choice for managing chest pain associated with a myocardial infarction.
C Oxycodone is another opioid analgesic used for pain relief, but it is not commonly used in the acute management of myocardial infarction. It may be considered for other types of pain management but is not the preferred choice in this scenario.
D Fentanyl is a potent opioid analgesic often used for pain management, including in emergency situations. While it may provide pain relief, morphine is preferred in the acute setting of a myocardial infarction due to its vasodilatory effects and established efficacy in managing cardiac-related chest pain.

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Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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Patient Data

Exhibits

After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen.

Which action(s) should the nurse take next? Select all that apply.