The ABG analysis results reveal that the client's partial pressure of

NCLEX Questions Respiratory

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Question 1 of 5.

The ABG analysis results reveal that the client's partial pressure of arterial carbon dioxide (PaCO2) is 65 mm Hg. The nurse recognizes that this is abnormal because normal PaCO2 levels fall between which values?

A. 7.35 and 7.45

B. 80 and 100 mm Hg

C. 35 and 45 mm Hg

D. 22 and 26 mm Hg

Explanation: Normal PaCO2 levels are 35 to 45 mm Hg; a value of 65 mm Hg indicates hypercapnia, common in COPD.

Question 2 of 5.

Which information should the nurse teach the client diagnosed with acute sinusitis?

A. Instruct the client to complete all the ordered antibiotics.

B. Teach the client how to irrigate the nasal passages.

C. Have the client demonstrate how to blow the nose.

D. Give the client samples of a narcotic analgesic for the headache.

Explanation: Completing antibiotics (A) ensures treatment of bacterial sinusitis, preventing resistance. Irrigation (B) is supportive, nose-blowing (C) is routine, and narcotics (D) are excessive for sinus headaches.

Question 3 of 5.

The client diagnosed with chronic sinusitis who has undergone a Caldwell-Luc procedure is complaining of pain. Which intervention should the nurse implement first?

A. Administer the narcotic analgesic intravenous push (IVP).

B. Perform gentle oral hygiene.

C. Place the client in semi-Fowler's position.

D. Assess the client's pain.

Explanation: Pain assessment (D) is the first step to determine severity and guide treatment. Narcotics (A), oral hygiene (B), and positioning (C) follow based on assessment.

Question 4 of 5.

Which task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?

A. Feed a client who is postoperative tonsillectomy the first meal of clear liquids.

B. Encourage the client diagnosed with a cold to drink a glass of orange juice.

C. Obtain a throat culture on a client diagnosed with bacterial pharyngitis.

D. Escort the client diagnosed with laryngitis outside to smoke a cigarette.

Explanation: Encouraging juice intake (B) is within UAP scope and safe. Feeding post-tonsillectomy (A) risks bleeding, throat cultures (C) require training, and smoking (D) is contraindicated.

Question 5 of 5.

The nurse in a long-term care facility is planning the care for a client with a percutaneous endoscopic gastrostomy (PEG) feeding tube used for bolus feedings. Which intervention should the nurse include in the plan of care?

A. Inspect the insertion line at the naris prior to instilling formula.

B. Elevate the head of the bed (HOB) after feeding the client.

C. Place the client in the Sims position following each feeding.

D. Change the dressing on the feeding tube every three (3) days.

Explanation: Elevating HOB post-feeding (B) prevents aspiration in PEG clients. Naris inspection (A) applies to NG tubes, Sims position (C) is not standard, and dressings (D) are changed PRN.

Related Questions

Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply:

A 72 year-old male patient who is diagnosed with bilateral lower lobe pneumonia is admitted to your unit. The patient has a history of systolic heart failure and arthritis. On assessment, you note the patient has a respiratory rate of 21 , oxygen saturation $93 \%$ on $2 \mathrm{~L}$ nasal cannula, is alert & oriented, and has a productive cough with green/yellowish sputum. Which of the following nursing interventions will you provide to this patient based on your assessment findings and the patient's diagnosis? Select-all-that-apply:

Select all the medications used to treat pneumonia that are narrowspectrum?

A patient is presenting with chronic obstructive pulmonary disease. The patient has a chronic productive cough with dyspnea on excretion. Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. On assessment, the patient has cyanosis in the lips and edema in the abdomen and legs. Based on your nursing knowledge and the patient's symptoms, you suspect the patient suffers from what type of COPD?

An alarm beeps notifying you that one of your patient's oxygen saturation is reading $89 \%$. You arrive to the patient's room, and see the patient comfortably resting in bed watching television. The patient is already on $2 \mathrm{~L}$ of oxygen via nasal cannula. The patient is admitted for COPD exacerbation. Your next nursing action would be: