Which action should the nurse take first in caring for a client during an acute asthma attack?
A) Obtain arterial blood gases.
B) Send for STAT chest x-ray.
C) Administer bronchodilator as ordered.
D) Initiate oxygen therapy and reassess pulse oximetry in 10 minutes.
C
Feedback:
Administering bronchodilator will dilate the airway and allow oxygen to reach the lungs. Although ABGs and chest x-ray are valid diagnostic tests for lung disorders, immediate action to restore gas exchange is a priority in an acute attack. The administration of oxygen is indicated, but without open bronchioles, the action will not be effective in an acute attack.
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A client is admitted with possible sepsis. Which action should the nurse perform first?
a. Administer antibiotics. b. Give an antipyretic. c. Place the client in isolation. d. Obtain specified cultures.
The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system?
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All of the following about the plan-do-study-act (PDSA) model as a method of quality improvement are true EXCEPT
A. Changes can be made on a small scale. B. PDSA should be used primarily by nurse managers. C. PDSA was made popular by W. Edward Demings. D. Impact of change can be determined quickly.
Which factors might potentially affect communication clarity? Select all that apply
1. A 63-year-old nurse discussing work with a 25-year-old 2. Two female staff nurses talking after work 3. An Asian student attending nursing school in the United States 4. A staff nurse discussing changing policies with the manager 5. A nursing supervisor talking with a another supervisor