MED SURGE. QUIZ #7 Review for Exam III

The OR nurse is setting up a water-seal chest drainage system for a client who has just had a thoracotomy. The nurse knows that the amount of suction in the system is determined by the water level. At what suction level should the nurse set the system?

20 cm H2O

The nurse is performing a respiratory assessment of a client who has been experiencing episodes of hypoxia. The nurse is aware that this is ultimately attributable to impaired gas exchange. On what factor does adequate gas exchange primarily depend?

An adequate ventilation-perfusion ratio

A client's plan of care specifies postural drainage. What action should the nurse perform when providing this noninvasive therapy?

Assist the client into a position that will allow gravity to move secretions.

The nurse is assessing the respiratory status of a client who is experiencing an exacerbation of her emphysema symptoms. When preparing to auscultate, what breath sounds should the nurse anticipate?

Faint breath sounds with prolonged expiration

A client is having pulmonary function studies performed. The client performs a spirometry test, revealing an FEV /FVC ratio of 60%. How should the nurse interpret this assessment finding?

Obstructive lung disease

The nurse has admitted a client who is scheduled for a thoracic resection. The nurse is providing preoperative teaching and is discussing several diagnostic studies that will be required prior to surgery. Which study will be performed to determine whether the planned resection will leave sufficient functioning lung tissue?

Pulmonary Function Studies

A nurse is developing a teaching plan for a client with COPD. What should the nurse include as the most important area of teaching?

Setting and accepting realistic short- and long-term goals

An x-ray of a trauma client reveals rib fractures and the client is diagnosed with a small flail chest injury. Which intervention should the nurse include in the client's plan of care?

Suction the client's airway secretions.

A nursing student is discussing a client with viral pharyngitis with the preceptor at the walk-in clinic. What should the preceptor tell the student about nursing care for clients with viral pharyngitis?

Symptom management is the main focus of medical and nursing care

A nurse is admitting a new client who has been admitted with a diagnosis of COPD exacerbation. How can the nurse best help the client achieve the goal of maintaining effective oxygenation?

Teach the client strategies for promoting diaphragmatic breathing