Patient Data
Place client on oxygen 2 10 4 liters and maintain oxygen saturation at or above, 959%.
Start the client on antibiotic therapy
STAT complete blood count (CBC), basic metabolic panel (BMP), and blood cultures
Stat ventilation/perfusion (V/Q) of chest
Send sputumn for culture & sensitivity
STAT 2 views chest x-ray
Correct Answer : B,C,E
B. Start the client on antibiotic therapy - Antibiotics are typically prescribed to treat bacterial pneumonia, which is a common cause of pneumonia.
C. STAT complete blood count (CBC), basic metabolic panel (BMP), and blood cultures - These tests help in assessing the severity of the infection, evaluating electrolyte balance, and identifying the causative organism respectively.
E. Send sputum for culture & sensitivity - This helps in identifying the specific organism causing the pneumonia and determining the most effective antibiotic for treatment.
A. At an oxygen saturation above 90%, the client does not necessarily require oxygen supplementation
D. A ventilation/ perfusion scan is needed in cases of suspected pulmonary embolism which is unlikely in this case.
F. Another chest X ray is not important as a recent one is present. No much changes is expected in the period of the few hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
The vial contains 0.3 mg of medication, which has been reconstituted with 2 mL of sterile water. Therefore, each milliliter of solution contains 0.15 mg of medication.
The prescribed dose is 0.125 mg, so the nurse should administer \( \frac{0.125\ mg}{0.15\ mg/mL} = 0.8333 \) mL of the solution.
After rounding to the nearest tenth, the nurse should administer 0.8 mL of the reconstituted solution to the client every other day.
Correct Answer is A
Explanation
A. According to the usage guidelines for ipratropium inhalers, priming the inhaler typically requires only two sprays into the air, away from the face, before the first use to ensure proper medication dosage.
B. Rinsing the mouth after each use is a recommended practice to prevent irritation and infection.
C. Storing the medication at room temperature is correct, as extreme temperatures can affect the medication's efficacy.
D. Attaching a spacer device to the inhaler is also a recommended practice to improve medication delivery and reduce the risk of side effects.
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