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Questions 158

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Question 1 of 5

An 18-month-old is admitted to the hospital with acute laryngotracheobronchitis. When assessing the respiratory status, the nurse should expect to find:

Correct Answer: A

Rationale: Acute laryngotracheobronchitis (croup) typically presents with inspiratory stridor and a harsh, barking cough due to subglottic airway inflammation.

Question 2 of 5

Place in correct sequence the steps from 1-7 used when performing tracheostomy suctioning.

Order the Items

Source Container

Suction the oral cavity.
Auscultate breath sounds for effectiveness.
Set suction control at 80-120 mm Hg.
Ambu or oxygenate at 100% O2
Apply suction while withdrawing the suction catheter.
Turn the head toward the side to be suctioned.
Auscultate breath sounds prior to suctioning.

Correct Answer: G, C, D, F, E, B, A

Rationale: Sequence: Auscultate breath sounds (G), set suction pressure (
C), oxygenate (
D), turn head (F), apply suction (E), auscultate post-suction (
B), suction oral cavity (
A) to clean.

Question 3 of 5

A client with a history of heart failure is receiving Spironolactone (Aldactone). The nurse should teach the client to:

Correct Answer: A

Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia, so potassium-rich foods should be avoided. Sodium restriction, daytime dosing, and fluid management are secondary.

Question 4 of 5

A nurse is preparing to mix and administer chemotherapy. What equipment would be unnecessary to obtain?

Correct Answer: C

Rationale: Surgical gloves, Luer lok tubing, and long-sleeve gowns are essential for safe chemotherapy administration to prevent exposure. A surgical hat cover (
C) is not typically required unless in a sterile procedure.

Question 5 of 5

Before administering intravenous chemotherapy to the patient being treated, the nurse should:

Correct Answer: C

Rationale: Chemotherapy often causes nausea and vomiting, so administering an antiemetic prophylactically is standard to improve patient comfort. Fluid boluses, pain medication, or eating are not routine pre-chemotherapy steps unless specified.

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