Ch 10: Nursing Management: Patients with Chest and Lower Respiratory Tract Disorders PREPU

A nurse is preparing dietary recommendations for a client with a lung abscess. Which statement would be included in the plan of care?

"You must consume a diet rich in protein, such as chicken, fish, and beans."

The nurse is educating a patient who will be started on an antituberculosis medication regimen. The patient asks the nurse, "How long will I have to be on these medications?" What should the nurse tell the patient?

6-12 months Pulmonary tuberculosis (TB) is treated primarily with anti-TB agents for 6 to 12 months. A prolonged treatment duration is necessary to ensure eradication of the organisms and to prevent relapse.

The nurse assigned to a patient with possible pulmonary edema assesses the patient's lungs. Using auscultation, she identifies a characteristic breath sound diagnostic of pulmonary edema. Which of the following describes that breath sound?

Crackles Auscultation reveals crackles in the lung bases (especially in the dependent lung areas) that rapidly progress toward the apices of the lungs. These crackles are caused by the movement of air through the alveolar fluid.

You are caring for a client who has been diagnosed with viral pneumonia. You are making a plan of care for this client. What nursing interventions would you put into the plan of care for a client with pneumonia?

Encourage increased fluid intake helps to loosen secretions and replace fluids lost through fever and increased respiratory rate

A patient presented to a clinic with a cough suggestive of pneumonia. Which of the following describes the expected characteristic of the cough?

Hacking with sputum production

A client is admitted to the facility with a productive cough, night sweats, and a fever. Which action is most important in the initial care plan?

Placing the client in respiratory isolation Because the client's signs and symptoms suggest a respiratory infection (possibly tuberculosis), respiratory isolation is indicated.

After 48 hours, a Mantoux test is evaluated. At the site, there is a 10 mm induration. This finding would be considered:

Significant An induration of 10 mm or greater is usually considered significant and reactive in people who have normal or mildly impaired immunity.

chronic respiratory failure

the loss of lung function is progressive, usually irreversible, and associated with chronic lung disease or other disease