AC test 2 powerpoint questions

The nurse at an employee wellness clinic is meeting with a client who reports voice hoarseness for more than 4 weeks. To determine if the client may have symptoms of early laryngeal cancer, the next question the nurse should ask is, "Do you have

A persistent cough or sore throat"

A client with a pulmonary embolus has the following arterial blood gas (ABG) values: pH, 7.49; partial pressure of arterial oxygen (PaO2), 60 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 30 mm Hg; bicarbonate (HCO3-) 25 mEq/L. What should the nurse do first?

Administer oxygen by nasal cannula as ordered.

A client is being treated in the ED for respiratory distress coupled with pneumonia. The client has no medical history. However, the client works in a coal mine and smokes 10 cigarettes a day. The nurse anticipates which order based on the client's immediate needs?

Administration of antibiotics

The primary oxygen administration method for a patient with COPD is a nasal cannula.

False

The nurse is assigned to care for a patient with COPD with hypoxemia and hypercapnia. When planning care for this patient, what does the nurse understand is the main goal of treatment?

Providing sufficient oxygen to improve oxygenation

A client who underwent thoracic surgery to remove a lung tumor had a chest tube placed anteriorly. The surgical team places this catheter to:

Remove air from the pleural space.

Although many signs and symptoms lead to a diagnosis of emphysema, one symptom stands as the primary presenting symptom. Which of the following is the primary presenting symptom?

Dyspnea

The nurse is caring for a client status post Tonsillectomy and adenoidectomy. The nurse finds the client in severe respiratory distress when entering the room. What does the nurse suspect?

Edema of the upper airway

Which of the following is a common irritant that acts as a trigger of asthma?

Esophageal reflux

The nurse has instructed the client to use a peak flow meter. The nurse evaluates client learning as satisfactory when the client

Exhales hard and fast with a single blow

24 hours after a patient had a tracheostomy, the tube is accidentally dislodged during a coughing episode. which of the following actions should the nurse take first?

Grasp the retention sutures to spread the tracheostomy opening.

A positive mantoux test indicates that a client:

Has produced an immune response

The nurse has instructed a client on how to perform pursed-lip breathing. The nurse recognizes the purpose of this type of breathing is to accomplish which result?

Improve oxygen transport; induce a slow, deep breathing pattern; and assist the client to control breathing

The nurse is admitting a client who just had a bronchoscopy. Which assessment should be the nurse's priority?

Swallow reflex

A client is recovering from thoracic surgery needed to perform a right lower lobectomy. Which of the following is the most likely postoperative nursing intervention?

The client is encouraged to cough frequently to mobilize secretions.

Acute pharyngitis of a bacterial nature is most commonly caused by group A beta-hemolytic streptococci

True

An early sign of cancer of the larynx includes changes in speech, the voice may sounds harsh, raspy, and lower in pitch

True

The nurse is mentoring a new graduate nurse. Today, the two of you are caring for a client with a new tracheostomy. The new graduate nurse asks what the complications of tracheostomy are. What would the nurse respond? Select all that apply A.Absence of secretions B. Aspiration C. Obstruction D. Pulmonary Embolus E. Laryngeal Cancer

Aspiration Obstruction

A nurse is performing a respiratory assessment on a client with pneumonia. She asks the client to say "ninety-nine" several times. Through her stethoscope, she hears the words clearly over his left lower lobe. What term should the nurse use to document this finding?

Bronchophony

A nurse is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?

It helps prevent early airway collapse.

The nurse is working on a busy respiratory unit. In caring for a variety of clients, the nurse must be knowledgeable of diagnostic studies. With which diagnostic studies would the nurse screen the client for an allergy to iodine? Select all that apply. A.Lung scan B.Chest x-ray C.Pulmonary angiography D.Cat Scan of the Abdomen and Pelvis with iv contrast E.Bronchoscopy F.Pulmonary functions test

Lung scan Ct with IV contrast, pulmonary angiography

Most cases of acute pharyngitis are caused by which of the following?

Viral infection

The nurse at an employee wellness clinic is meeting with a client who reports voice hoarseness for more than 2 weeks. To determine if the client may have symptoms of early laryngeal cancer, the next question the nurse should ask is, "Do you have

a persistent cough or sore throat"

A client is receiving moderate sedation while undergoing bronchoscopy. Which assessment finding should the nurse attend to immediately?

oxygen saturation of 90%

A client who has just had a central venous catheter placed in his right subclavian vein complains of chest pain and shortness of breath. His blood pressure is decreased from baseline and, on auscultation of his chest, the nurse notes unequal breath sounds. A chest X-ray is immediately ordered by the physician. What diagnosis should the nurse suspect?

pneumothorax

A client with COPD has been receiving oxygen therapy for an extended period. What symptoms would be indicators that the client is experiencing oxygen toxicity? Select all that apply A.Substernal pain B. Dyspnea C. Fatigue D. Mood swings E. Bradycardia

substernal pain dyspnea fatigue

A nurse is giving a speech addressing "Communicable Diseases of Winter" to a large group of volunteer women, most of whom are older than 60 years. What preventive measures should the nurse recommend to these women, who are at the risk of pneumococcal and influenza infections? Select all that apply. A.Vaccinations B.hand antisepsis C.incentive spirometry D.prescribed opioids

vaccinations hand antisepsis

A patient with COPD requires oxygen administration. What method of delivery does the nurse know would be best for this patient?

venturi mask