The nurse in the emergency department receives arterial blood gas results for four recently admitted patients with obstructive pulmonary disease. Which patient will require the most rapid action by the nurse?
a. 22-year-old with ABG results: pH 7.28, PaCO2 60 mm Hg, and PaO2 58 mm Hg
b. 34-year-old with ABG results: pH 7.48, PaCO2 30 mm Hg, and PaO2 65 mm Hg
c. 45-year-old with ABG results: pH 7.34, PaCO2 33 mm Hg, and PaO2 80 mm Hg
d. 65-year-old with ABG results: pH 7.31, PaCO2 58 mm Hg, and PaO2 64 mm Hg
Question 2Which assessment finding in a patient who has received omalizumab (Xolair) is most important to report immediately to the health care provider?
a. Pain at injection site
b. Flushing and dizziness
c. Peak flow reading 75 of normal
d. Respiratory rate 22 breaths/minute
Question 3A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which assessment should the nurse complete first?
a. Listen to the patient's breath sounds.
b. Ask about inhaled corticosteroid use.
c. Determine when the dyspnea started.
d. Obtain the forced expiratory volume (FEV) flow rate.
Question 4A patient who is experiencing an asthma attack develops bradycardia and a decrease in wheezing. Which action should the nurse take first?
a. Notify the health care provider.
b. Document changes in respiratory status.
c. Encourage the patient to cough and deep breathe.
d. Administer IV methylprednisolone (Solu-Medrol).
Question 5The nurse assesses a patient with a history of asthma. Which assessment finding indicates that the nurse should take immediate action?
a. Pulse oximetry reading of 91
b. Respiratory rate of 26 breaths/minute
c. Use of accessory muscles in breathing
d. Peak expiratory flow rate of 240 L/minute
Question 6A patient with cystic fibrosis (CF) has blood glucose levels that are consistently between 180 to 250 mg/dL. Which nursing action will the nurse plan to implement?
a. Discuss the role of diet in blood glucose control.
b. Teach the patient about administration of insulin.
c. Give oral hypoglycemic medications before meals.
d. Evaluate the patient's home use of pancreatic enzymes.
Question 7A patient newly diagnosed with asthma is being discharged. The nurse anticipates including which topic in the discharge teaching?
a. Use of long-acting -adrenergic medications
b. Side effects of sustained-release theophylline
c. Self-administration of inhaled corticosteroids
d. Complications associated with oxygen therapy
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