mid term

A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax and expect the doctor to order?

• Inspiratory stridor, Chest tube

• Expiratory wheeze, Chest tube

• Absence of breath sounds, chest tube

• Coarse crackles, Chest tube

A nurse is caring for a client whose arterial blood gas results show the following results:pH: 7.2PaCO2: 50 mm HgHCO3: 24 mEq/LThe nurse should identify the client is experiencing which of the following acid-base conditions?

• Metabolic acidosis

• Metabolic alkalosis

• Respiratory acidosis

• Respiratory alkalosis

A nurse is collecting data from a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?

• Fatigue and night sweats.

• High fever in the early morning and unproductive cough.

• Edema and weight gain

• Increased appetite and energy.

Which of the following ABG abnormalities should the nurse anticipate in a client with advanced COPD?

• Increased PaO2

• Increased pH

• Increased oxygen saturation

• Increased PaCO2c

A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?

• Slow

• Not palpable

• Irregular

• Bounding

A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?

• Nasal cannula

• Face tent

• Non rebreather mask

• Simple mask

An HIV-positive patient who has been started on antiretroviral therapy (ART) is seen in the clinic for follow-up. Which test will be most helpful in determining the response to therapy?

• Lymphocyte count

• ELISA testing

• Western blot analysis

• Viral load testing

A 67-year-old client who is receiving chemotherapy for lung cancer is admitted to the hospital with thrombocytopenia. While you are taking the admission history, the client makes these statements. Which statement is of most concern?

• Ive noticed that I bruise more easily since the chemotherapy started.

• My bowel movements are soft and dark brown in color.

• I take one aspirin every morning because of my history of angina.

• My appetite has decreased since the chemotherapy strated.

How will you do on this exam?

• Great

• Fantabulous

• Meh

• Extraordinary

Laboratory studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia?

• Elevated hemoglobin level

• Decreased reticulocyte count

• Elevated red blood cell count

• Red blood cells that are microcytic and hypochromic