1. A client diagnosed with pneumonia states difficulty in producing a productive cough.

The nurse should instruct the client to complete which of the following to maintain

airway

clearance?

A. decrease fluid intake

B. pursed-lip breathing

technique splint the chest

when coughing

D. deliver oxygen via nasal cannula

2. A client requiring prolonged mechanical ventilation has the following arterial blood

gas (ABG) results: pH: 7.49; PaO2: 85 mm Hg; PaCO2: 30 mm Hg; HCO3: 25 mEq/L. The

nurse interprets these results as

A. metabolic acidosis.

B. metabolic alkalosis.

respiratory

acidosis.

D. respiratory alkalosis.

3. A client is diagnosed with angina pectoris. The nurse has instructed the client on the

proper use of a nitroglycerin sublingual. The nurse also informs the client that which

of the following adverse effects may be caused by this medication?

A. flushing, dizziness, headache, and pedal edema

B. headache, hypotension, dizziness, and flushing

nausea, vomiting, depression, fatigue, and

impotence

D. sedation, nausea, vomiting, and constipation