The nurse assesses an adult client with a partial rebreather mask and noticed that the oxygen reservoir bag does not deplete deflate completely during inspiration and the clients respiratory rate is 14 breaths per minute which action should the nurse implement
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The nurse assesses an adult client with a partial rebreather mask and noticed that the oxygen reservoir bag does not deplete deflate completely during inspiration and the clients respiratory rate is 14 breaths per minute which action should the nurse implement
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- Which of the following would the nurse expect to see in client experiencing hypoventilation? increased oxygenation in the alveoli increased carbon dioxide in the bloodstream decreased hemoglobin in the bloodstream decreased carbon dioxide in the alveoliA nurse is monitoring an older adult client immediately following a bronchoscopy. The nurse's priority is to monitor the client for which of the following? Observing for confusion Auscultating breath sounds Confirming the gag reflex Measuring blood pressure O ...To evaluate the effectiveness of mechanical ventilation for a patient with respiratory failure, which diagnostic will be most useful to the nurse? 1. A chest x-ray 2. Oxygen saturation 3. Arterial blood gas analysis 4. Central venous pressure
- A nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min, and a pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, PaO2: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? A) Administer bronchodilators B) Administer sodium bicarbonate Administer methylprednisolone (D) Perform a chest x-rayThe nurse is providing care to a client admitted for acute shortness of breath. Which assessment findings indicate the need for an immediate intervention by the nurse? Is it retractions and fatigue, or shallow respirations at a rate of 24? Which one is more detrimental.The nurse is assessing a newly intubated patient and detects normal breath sounds on the right side of the patient's chest and diminished, distant breath sounds on the left side of the chest. What likely cause for these clinical signs should the nurse suspect?A. inadequate mechanical ventilationB. Intubation in the right mainstream bronchusC. Left hemothoraxD. Right hemothorax
- The nurse is assessing the respirations ola client with chronic obstructivepulmonary disease (COPD). What is therationale for the nurse to assess therespiratory rate without the client beingaware of it? It is more efficient for the nurse todo so because it takes less time Client awareness might alter therespiratory rate or pattern The client might suppressKussmaul's respirations if awarethe respirations are being counted It allows for observation forrespiratory distress, tachypnea, ororthopneaA post-op client is receiving morphine sulfate (Duramorph®) for pain. Upon assessment, the nurse notes that the client's respiratory rate is very slow and that there is a slight bluish discoloration around the lips. The nurse immediately prepares to administer which of the following? O Flumazenil (Romazicon) naloxone (Narcan) Activated Charcoal acetylcysteineWhat action does the nurse perform to follow safe techniquewhen using a portable oxygen cylinder?a. Checking the amount of oxygen in the cylinder beforeusing itb. Using a cylinder for a patient transfer that indicatesavailable oxygen is 500 psic. Placing the oxygen cylinder on the stretcher next to thepatientd. Discontinuing oxygen flow by turning cylinder keycounterclockwise until tight
- A client is prescribed and receiving hydromorphone. Upon assessment the client's respiratory rate is 11 breaths per minutes. What is the most appropriate next action by the nurse? A. Administer the hydromorphone as scheduled B. Apply oxygen before hydromorphone administration C. Hold the hydromorphone and contact the prescriber D. Discontinue the hydromorphoneWhich intervention should the RN implement when providing care for a client with a newly placed cracheostomy tube? Keep the client's wrists restrained at all times. Administer warmed and humidified oxygen. Maintain the tracheostomy cuff pressure at 30 mmHg. Suction the tracheostomy using clean techniaue.A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Exhibit 1 Vital Signs Temperature 37.7° C(99.8°F) . Heart rate 82/min . Respiratory rate 16/min . Blood pressure 127/80 mm Hg . Oxygen saturation 99% on room air Exhibit 2 Assessment Height 157.5 cm (62 in) Weight 90 kg(198 lb) Bilateral lower extremities warm to touch, pedal pulses 2+ bilaterally. Spider veins noted on bilateral lower extremities. Distended veins noted on right lower extremity. Exhibit 3 Nurses' Notes Client reports pain at abdominal incision site as 4 on a 0 to 10 scale. Client also reports right lower extremity pain as 5 on a 0 to 10 scale, and itching. Reports that right lower extremity pain has been intermittent for about the last 2 months. Denies current left lower extremity pain.