Posted: January 10th, 2017

A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest.” The nurse interprets that this client has which of the following forms of chronic airflow limitation

A female client is scheduled to have a chest radiograph. Which of the following questions is of most importance to the nurse assessing this client?

  1. “Is there any possibility that you could be pregnant?”
  2. “Are you wearing any metal chains or jewelry?”
  3. “Can you hold your breath easily?”
  4. “Are you able to hold your arms above your head?”

 

55.  A client has just returned to a nursing unit following bronchoscopy. A nurse would implement which of the following nursing interventions for this client?

  1. Encouraging additional fluids for the next 24 hours
  2. Ensuring the return of the gag reflex before offering foods or fluids
  3. Administering atropine intravenously
  4. Administering small doses of midazolam (Versed).

 

56.  A client has an order to have radial ABG drawn. Before drawing the sample, a nurse occludes the:

  1. Brachial and radial arteries, and then releases them and observes the circulation of the hand.
  2. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the other artery.
  3. Radial artery and observes for color changes in the affected hand.
  4. Ulnar artery and observes for color changes in the affected hand.

 

57.  A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest.” The nurse interprets that this client has which of the following forms of chronic airflow limitation?

  1. Chronic obstructive bronchitis
  2. Emphysema
  3. Bronchial asthma
  4. Bronchial asthma and bronchitis

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