Practice Question
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?
Answer Choices:
Correct Answer:
Assess pulse and respirations.
Rationale:
🔶 Baseline vital signs provide a reference to evaluate the client’s tolerance to the procedure.
🔶 Assessing respiratory rate and pulse helps monitor for distress during therapy.
🔶 It ensures safety especially in children with conditions like pneumonia.
🔶 Changes in these parameters can signal early complications or poor therapy response.
🔶 Priority nursing actions involve gathering baseline data before any intervention.
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This question is from Custom Adult Health 2EX1 which contains 61 questions.
More Questions from This Exam
A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first
Answer Choices:
A. Nucleic acid amplification test (NAAT)
B. CT scan
C. Sputum culture for acid-fast bacillus (AFB)
D. Chest x-ray
A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include?
Answer Choices:
A. "Drink at least 8 ounces of water when you take the pyrazinamide tablet."
B. "Expect your sputum cultures to be negative after 6 months of therapy."
C. "Provide a sputum specimen every 2 weeks to the clinic for testing."
D. Take isoniazid with an antacid."
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?
Answer Choices:
A. Provide the client with a low-protein diet.
B. Restrict the client's fluid intake to less than 2 L/day.
C. Instruct the client to use pursed-lip breathing
D. Have the client use the early-moming hours for exercise and activity.
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Answer Choices:
A. Remove the dressing to inspect the wound.
B. Administer oxygen via nasal cannula.
C. Raise the foot of the bed to a 90° angle.
D. Prepare to insert a central line. Q6
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Answer Choices:
A. Fluctuation of the fluid level within the water seal chamber
B. Equal amounts of fluid drainage in each collection chamber
C. Absence of fluid in the drainage tubing
D. Continuous bubbling within the water seal chamber
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Adult Health
- Answer Choices: 4
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