Posted: January 10th, 2017

A nurse is suctioning fluids from a client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning to a maximum of:

A nurse is preparing to obtain a sputum specimen from a client. Which of the following nursing actions will facilitate obtaining the specimen?

  1. Limiting fluids
  2. Having the client take 3 deep breaths.
  3. Asking the client to spit into the collection container.
  4. Asking the client to obtain the specimen after eating.

 

40.  A nurse is caring for a client after a bronchoscopy and biopsy. Which of the following signs if noted in the client should be reported immediately to the physician?

  1. Blood-streaked sputum
  2. Dry cough
  3. Hematuria
  4. Bronchospasm

 

41.  A nurse is suctioning fluids from a client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning to a maximum of:

  1. 5 seconds
  2. 10 seconds
  3. 30 seconds
  4. 1 minute

 

42.  A nurse is suctioning fluids from a client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate decreases. Which of the following is the most appropriate nursing intervention?

  1. Continue to suction
  2. Ensure that the suction is limited to 15 seconds
  3. Stop the procedure and reoxyenate the client
  4. Notify the physician immediately.

 

43.  An unconscious client is admitted to an emergency room. Arterial blood gas measurements reveal a pH of 7.30, a low bicarbonate level, a normal carbon dioxide level, and a normal oxygen level. An elevated potassium level is also present. These results indicate the presence of:

  1. Metabolic acidosis
  2. Respiratory acidosis
  3. Combined respiratory and metabolic acidosis
  4. overcompensated respiratory acidosis

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