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November 2004, Volume 34 Number 11 , p 70 - 71




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    1. A nurse is caring for a client experiencing an acute asthma attack. He stops wheezing, and breath sounds aren't audible. The reason for this change is that

    a. the attack is over.

    b. the airways are so swollen that no air can get through.

    c. the swelling has decreased.

    d. crackles have replaced wheezes.

    2. A client suffers acute respiratory distress syndrome (ARDS) as a consequence of shock. His condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?

    a. kinking of the ventilator tubing

    b. a disconnected ventilator tube

    c. an endotracheal cuff leak

    d. a change in the oxygen concentration without resetting the oxygen level alarm

    3. A few days after a colectomy, a client suddenly develops chest pain, shortness of breath, and air hunger. The nurse knows she must further assess the client's chest pain to determine whether the chest pain is cardiac or pleuritic in origin. She recalls that pleuritic chest pain typically

    a. is described as crushing and substernal.

    b. worsens with deep inspiration.

    c. is relieved with nitroglycerin.

    d. is relieved when the client leans forward.

    4. On the first postoperative day following a thoracotomy, a client has two chest tubes in place. When assessing him, the nurse notes the fluid in the water-seal chamber isn't fluctuating. Which of the following provides the most likely explanation?

    a. The chest tube system has an air leak.

    b. The tubing is obstructed by a kink.

    c. The water-seal chamber needs more sterile water.

    d. The suction needs to be increased.

    5. A client is admitted to the hospital with a ...

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