Practice Question
A nurse assesses a client with a history of asthma. Which finding indicates the client is in distress requiring the ruse to take Elim?
Answer Choices:
Correct Answer:
use of accessory muscles in breathing
Rationale:
🟡 Accessory muscle use indicates increased work of breathing and impending respiratory failure.
🟡 Peak flow 240 L/min may be below personal best, but accessory muscle use signals acute distress.
🟡 Respiratory rate of 26 is mild tachypnea, whereas accessory muscle use shows significant respiratory compromise.
🟡 SpO₂ 91% indicates mild hypoxemia, but observation of physical signs takes priority.
🟡 Early recognition allows timely administration of bronchodilators or oxygen, preventing progression to respiratory arrest.
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This question is from RN 324 Quiz 2 Medical surgical which contains 10 questions.
More Questions from This Exam
A nurse is caring for a client with COPD that may be experiencing bronchospasm. Which assessment finding would indicate bronchospasm?
Answer Choices:
A. Slow, deliberate respirations
B. Wheezes or diminished breath sounds on auscultation
C. Reduced respiratory rate or lethargy
D. Fine or coarse crackles on auscultation
A nurse is assessing a client for hypoxia secondary to their emphysema (COPD). Which clinical manifestation should nurse to observe in the client with hypoxia?
Answer Choices:
A. Lethargy.
B. Restlessness anxiety.
C. Bradycardia
D. Nausea vomiting
Which findings are expected during an asthma exacerbation? Select all that apply.
Answer Choices:
A. Wheezing
B. Tight feeling in chest
C. Rapid, labored breathing
D. High fever
E. Tachycardia
A client is diagnosed with bacterial pneumonia. Which clinical manifestation should the nurse expect?
Answer Choices:
A. Erythrocytopenia.
B. Leukocytosis.
C. Eosinophils.
D. Thrombocytopenia.
A nurse is caring for a client that just had a flexible bronchoscopy Which of the following nursing actions is appropriate?
Answer Choices:
A. Suction the clients oropharynx frequently.
B. Irrigate me djent's throat every 4 hr.
C. Have the client retrain from talking for 24 hr.
D. Withhold food and liquids until the client's gag reflex returns.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4
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