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?
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
metabolic acidosis.
B. metabolic alkalosis.
respiratory acidosis.
D. respiratory alkalosis.
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?
flushing, dizziness, headache, and pedal edema
B. headache, hypotension, dizziness, and flushing
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