All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
A 60-year old patient on a ventilator for whom a sterile sputum specimen must be sent to the lab
A 55-year old with COPD and a pulse oximetry reading from the previous shift of 90% saturation
A 70-year old with pneumonia who needs to be started on intravenous (IV) antibiotics
A 50-year old with asthma who complains of shortness of breath after using a bronchodilator
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Assisting the patient to sit up on the side of the bed
Instructing the patient to cough effectively
Teaching the patient to use incentive spirometry
Auscultation of breath sounds every 4 hours
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Perform postural drainage and chest physiotherapy every 4 hours
Allow the patient to decide whether she needs aerosolized medications
Place the patient in a private room to decrease the risk of further infection
Plan activities to allow at least 8 hours of uninterrupted sleep
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Reassure the patient that the ventilator will do the work of breathing for him
Manually ventilate the patient while assessing possible reasons for the high-pressure alarm
Increase the fraction of inspired oxygen on the ventilator to 100% in preparation for endotracheal suctioning
Insert an oral airway to prevent the patient from biting on the endotracheal tube
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Heart rate of 98 beats/min
Respiratory rate of 24 breaths/min
Blood pressure of 168/90 mm Hg
Tympanic temperature of 101.4 F (38.6 C)
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Perform endotracheal intubation and initiate mechanical ventilation
Immediately begin continuous positive airway pressure (CPAP) via the patient’s nose and mouth
Administer furosemide (Lasix) 100 mg IV push stat
Call a code for respiratory arrest
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A 58-year old on airborne precautions for tuberculosis (TB)
A 68-year old just returned from bronchoscopy and biopsy
A 72-year old who needs teaching about the use of incentive spirometry
A 69-year old with COPD who is ventilator dependent
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Auscultate breath sounds
Administer medications via metered-dose inhaler (MDI)
Complete in-depth admission assessment
Initiate the nursing care plan
Evaluate the patient’s technique for using MDI’s
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Use a lift sheet when moving and positioning the patient in bed
Use an electric razor when shaving the patient each day
Use a soft-bristled toothbrush or tooth sponge for oral care
Use a rectal thermometer to obtain a more accurate body temperature
Be sure the patient’s footwear has a firm sole when the patient ambulates
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