N201 Midterm Review

The nurse is planning the care of a client diagnosed with asthma and has written a problem of "anxiety." Which nursing intervention should be implemented?

• Remain with the client.

• Apply oxygen at 8 L/min via nasal cannula

• Notify the health-care provider.

• Administer an anxiolytic medication.

A client with asthma is being taught how to use a peak flow meter to monitor how well the asthma is being controlled. What should the nurse instruct the client to do?

• Perform the procedure once in the morning and once at night.

• Move the trunk to an upright position and then exhale while bending over.

• Inhale completely and then blow out as hard and as fast as possible through the mouthpiece.

• Place the mouthpiece between the lips and in front of the teeth before starting the procedure.

Which long term goal would the nurse identify for a client diagnosed with COPD?

• Reducing activity level to conserve functional lung tissue.

• Increasing frequency of postural drainage to every 2 hours.

• Increasing pulmonary residual volume.

• Improving pulmonary ventilation and gas exchange.

The nurse is completing the admission assessment on a 23-year-old client diagnosed with an acute exacerbation of asthma. Which signs and symptoms would the nurse expect to find?

• Fever and wheezing

• Tachypnea and crackles

• Dyspnea and cough

• Stridor and cough

A client is admitted to the ED with an acute exacerbation of COPD. Which interventions would the nurse implement while caring for this client? (Select all that apply).

• Administering 10 liters per minute of oxygen via nasal cannula 

• Notifying the respiratory therapist

• Placing the client in a high fowlers position

• Obtaining a stat pulse ox reading

• Encouraging the client to breathe in and out of mouth

The nurse observes the UAP removing the nasal cannula from the client diagnosed with COPD while ambulating the client to the bathroom. Which action should the nurse implement?

• Praise the UAP since this prevents the client from tripping on the oxygen tubing. 

• Place the oxygen back on the client while sitting in the bathroom and say nothing.

• Explain to the UAP in front of the client oxygen must be left in place at all times. 

• Discuss the UAP's action with the charge nurse so appropriate action can be taken.

In assisting a client diagnosed with MS, which topic would be important to include in client teaching?

• Effect of stress and fatigue on symptoms

• Need for small, frequent meals

• Need for strenuous exercise

• Positive effect of a high-protein diet

A home health nurse is making a home visit to a client with multiple sclerosis. Which question should the nurse ask to determine their effectiveness of the client's medication, Baclofen?

• How has your appetite been?

• Are you having any difficulty with having regular bowel movements?

• Are you having trouble with spasms?

• Does your urine look clear and not infected?

Which of the following instructions would the nurse give to a client with multiple sclerosis who has urinary retention?

• Run water whenever you experience difficulty initiating urination.

• Decrease the amount of fluid you drink to prevent urge incontinence.

• Drink a caffeinated beverage to promote the ability to form urine.

• Catheterize your bladder according to the schedule we discussed earlier.

The nurse is teaching the client with myasthenia gravis about the prevention of myasthenic crises. The nurse tells the client that this is most effectively done by:

• Eating large well-balanced meals.

• Doing muscle strengthening exercises.

• Doing all chores early in the day while less fatigue.

• Taking medications on time to maintain therapeutic blood levels.