Question 1

The nurse knows that before drawing arterial blood gases, which interventions are the most important to be performed? (Select all that apply. One, some, or all options may be correct.)
Select all that apply

Perform Allen’s Test.

Use sterile techniq

Accepted Answer

Perform Allen’s Test.
This test checks for adequate collateral circulation to the hand, which is essential to prevent ischemic complications if the radial artery is damaged.
Use sterile technique.
Sterile technique is required to prevent introducing pa

Question 2

When monitoring the client's respiratory status, which symptom provides the nurse with the earliest indication of respiratory difficulty?

Hypoxia.

Dusky nail beds and lips.

Decreased pulse rate.

Cyanosis.

Accepted Answer

Hypoxia.
Hypoxia is an early sign of respiratory distress. The nurse assesses respiratory depth, rate, and effort and listens for abnormal breath sounds that suggest breathing difficulty.
p. 570

Question 3

The nurse prepares to contact the HCP with lab results, knowing that all lab information must be collected prior to reporting. Which lab results does the nurse need to report first to the HCP?

Arterial Blood Gases (ABGs), O2 saturation, White Blood Cel

Accepted Answer

Arterial Blood Gases (ABGs), O2 saturation, White Blood Cell Count (WBC)
As COPD worsens, oxygen in the blood decreases and carbon dioxide increases, resulting in chronic respiratory acidosis. Once baseline ABG values are obtained and communicated to th

Question 4

The nurse should interpret which finding as expected limits for the client with COPD?

87% O2 saturation.

96% O2 saturation.

100% O2 saturation.

75% O2 saturation.

Accepted Answer

87% O2 saturation.

Question 5

What are the nurse's responsibilities when preparing the client for the CT scan? (Select all that apply. One, some, or all options may be correct.)
Select all that apply

Verify the client’s identity with two types of identifiers.

Determine if the c

Accepted Answer

Verify the client’s identity with two types of identifiers.

Determine if the client has any known allergy to iodine or shellfish.

Ask the client when his last dose of metformin was taken.

Question 6

When preparing the client for the bronchoscopy, it is essential for the nurse to take which action first?

Instruct the client to be NPO for 4 to 8 hours before the procedure.

Premedicate the client with the prescribed benzodiazepine prior to the pro

Accepted Answer

Verify that the consent form is signed by the client and witness the signature.

Question 7

Which legal document ensures that the client's treatment preferences are followed in the event that he is unable to make decisions regarding his own care?

Advance Directives.
An advance directive is a document that allows clients to name someone they

Accepted Answer

living will

Question 8

After listening to the chaplain ask the client questions, which is the most important factor that positively influences the client's ability to cope with his illness?

Unconscious defense mechanisms.

Spirituality.

Minimizing the severity of the il

Accepted Answer

Spirituality

Question 9

The client doesn't understand the reason why he has to meet with a chaplain and a case manager. He states that he is fine and does not need any charity help. The client does not understand the role of a case manager. Which instruction by the nurse best de

Accepted Answer

A case manager provides a list of resources, services, or support to help the client.

Week 1

BSN 346: Concepts of Nurs III

Question	Answer
The nurse knows that before drawing arterial blood gases, which interventions are the most important to be performed? (Select all that apply. One, some, or all options may be correct.) Select all that apply Perform Allen’s Test. Use sterile techniq	Perform Allen’s Test. This test checks for adequate collateral circulation to the hand, which is essential to prevent ischemic complications if the radial artery is damaged. Use sterile technique. Sterile technique is required to prevent introducing pa
When monitoring the client's respiratory status, which symptom provides the nurse with the earliest indication of respiratory difficulty? Hypoxia. Dusky nail beds and lips. Decreased pulse rate. Cyanosis.	Hypoxia. Hypoxia is an early sign of respiratory distress. The nurse assesses respiratory depth, rate, and effort and listens for abnormal breath sounds that suggest breathing difficulty. p. 570
The nurse prepares to contact the HCP with lab results, knowing that all lab information must be collected prior to reporting. Which lab results does the nurse need to report first to the HCP? Arterial Blood Gases (ABGs), O2 saturation, White Blood Cel	Arterial Blood Gases (ABGs), O2 saturation, White Blood Cell Count (WBC) As COPD worsens, oxygen in the blood decreases and carbon dioxide increases, resulting in chronic respiratory acidosis. Once baseline ABG values are obtained and communicated to th
The nurse should interpret which finding as expected limits for the client with COPD? 87% O2 saturation. 96% O2 saturation. 100% O2 saturation. 75% O2 saturation.	87% O2 saturation.
What are the nurse's responsibilities when preparing the client for the CT scan? (Select all that apply. One, some, or all options may be correct.) Select all that apply Verify the client’s identity with two types of identifiers. Determine if the c	Verify the client’s identity with two types of identifiers. Determine if the client has any known allergy to iodine or shellfish. Ask the client when his last dose of metformin was taken.
When preparing the client for the bronchoscopy, it is essential for the nurse to take which action first? Instruct the client to be NPO for 4 to 8 hours before the procedure. Premedicate the client with the prescribed benzodiazepine prior to the pro	Verify that the consent form is signed by the client and witness the signature.
Which legal document ensures that the client's treatment preferences are followed in the event that he is unable to make decisions regarding his own care? Advance Directives. An advance directive is a document that allows clients to name someone they	living will
After listening to the chaplain ask the client questions, which is the most important factor that positively influences the client's ability to cope with his illness? Unconscious defense mechanisms. Spirituality. Minimizing the severity of the il	Spirituality
The client doesn't understand the reason why he has to meet with a chaplain and a case manager. He states that he is fine and does not need any charity help. The client does not understand the role of a case manager. Which instruction by the nurse best de	A case manager provides a list of resources, services, or support to help the client.

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