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FakeUser FakeUser
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6 years ago
A patient with emphysema presents to the emergency room with severe dyspnea; O2 saturation is 74, pulse is 120, and respirations are 26 . The nurse positions the patient in high Fowler. What action should the nurse take next?
 
  a. Collect a sputum specimen.
  b. Coach the patient in pursed-lip breathing.
  c. Give oxygen at 5 L/min by nasal cannula.
  d. Ensure patent intravenous (IV) access.

Question 2

The nurse is caring for a 40-year-old patient. How often should the nurse recommend that this patient undergo testing for glaucoma?
 
  a. Yearly
  b. Every 2 to 3 years
  c. Every 5 years
  d. Every 10 years

Question 3

The patient complains to the nurse about a sharp pain in the lower quadrants every month at midcycle that lasts for several hours. This description is consistent with which underlying pa-thophysiological process?
 
  a. Round ligament stretching to support the uterus
  b. Mittelschmerz, a pain associated with ovulation
  c. Premenstrual uterine enlargement
  d. Endometrial changes

Question 4

What is the purpose of mucus?
 
  a. To warm the air entering the lungs.
  b. To trap particles and bacteria.
  c. To protect the cilia.
  d. To clean the sinus cavity.
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wrote...
6 years ago
The answer to question 1  B
Coaching in pursed-lip breathing will open the respiratory tree with negative pressure. Oxygen given at such a high concentration will cause an emphysemic patient to stop breathing. Collecting a sputum specimen and ensuring patent IV access are appropriate interventions that should be performed after the patient's dyspnea is addressed.

The answer to question 2  C
Glaucoma testing should be done every 2 to 3 years for people over age 40.

The answer to question 3  B
Mittelschmerz is a pain in either lower quadrant associated with ovulation. There is no stretching of the round ligaments during the midcycle period. Premenstrual uterine changes do not produce discomfort.

The answer to question 4  B
Mucus traps particles and bacteria that may be in the inspired air.
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