ATI critical alterations in gas exchange

a nurse is collecting data on a client who has pulmonary embolism. which of the following must common clinical manifestation should the nurse expect? SATA

Chest pain cough dyspnea

a nurse is reinforcing teaching with a client who has a pulmonary embolism about modifiable risk factors to prevent future embolism. which of the following aquired risk factors should the nurse include?

Cigarette smoking

a nurse is collecting data for a client who has respiratory failure due to a pulmonary condition. which of the following comorbidities should the nurse expect?

Cystic fibrosis

The nurse is assisting in caring for an older adult client. the nurse should identify which of the following age related changes places the client at increased risk for respiratory associated infections

Decreased chest wall compliance

a nurse is reinforcing education to a client who has had a pleural effusion about ways to prevent a reoccurrence. which of the following statements indicates a need for further teaching?

I should avoid exercise for a few weeks

A nurse is reinforcing discharge teaching to a client who experienced a tension pneumothorax. Which of the following recommendations should the nurse make? SATA

Join a smoking cessation program Do not scuba dive until pneumothorax completely resolves Avoid air travel until pneumothorax completely resolves

a nurse is collecting data for a client who has tension pneumothorax. the nurse should identify that which of the following ABG findings is indicative of uncompensated respiratory acidosis?

Low pH, high PaCO2, normal bicarbonate

A nurse is assisting in planning care for a client who has flail chest. The nurse should identify which condition is associated with flail chest and may contribute to mortality?

Pneumothorax Hemothorax Pulmonary contusion

a nurse is assisting in coordinating care for a client who has acute respiratory distress syndrome. which of the following healthcare team members may be included in the clients care? SATA

Respiratory therapist Case manager Dietitian Nephrologist Pharmacist

a nurse is collecting data from a client who has a tension pneumothorax. which of the following findings is a sign of distress that may compress the heart?

Tracheal deviation away from the affected lung

a nurse is reinforcing education with a client who was treated for acute respiratory distress syndrome (ARDS) and is preparing for discharge. Which of the following information should the nurse provide? SATA

Tracheostomy care Gastric tube care Techniques for managing exercise intolerance Techniques for managing exertional dyspnea

a nurse is reinforcing teaching to an older adult client about how to maintain optimal respiratory function. Which of the following recommendations should the nurse make? SATA

Use an incentive spirometer daily Exercise every day Perform oral hygiene routinely

a nurse is reinforcing teaching to a client admitted who has a flail chest. which of the following will the nurse include in the teaching to prevent respiratory complications? SATA

Use of incentive spirometer Requesting pain medications Cough and deep breathing exercises Ambulation

For each assessment finding, click to specify if the assessment finding is consistent with tension pneumothorax, pulmonary thromboembolism, or pleural effusion. Each finding may support more than 1 disease process

When analyzing cues, the nurse should recognize that manifestations of a tension pneumothorax include tachypnea and sharp pleuritic pain. Manifestations of pulmonary embolism include tachypnea and chest pain. Manifestations of a pleural effusion include the need for thoracentesis, tachypnea, blunted costophrenic angle on chest x-ray, pain, dullness to percussion and pleural friction rub.

For each potential nursing action, click to specify if the potential action is urgent, non-urgent, or contraindicated for the client.

When generating solutions for a client who is exhibiting the manifestations of an acute pulmonary embolism (PTE), the urgent actions include administering oxygen and preparing the client for a pulmonary angiogram to assess for the presence of a PTE. Non-urgent actions include educating the client on the importance of smoking cessation. Preparing to administer an anti-thrombolytic may treat the PTE but would be contraindicated due to the client's recent surgery. Intravenous fluid resuscitation should be limited, as further distention of an already dilated right ventricle can worsen hemodynamics.

a nurse is assisting in the care of a client who has clinical manifestations of a pleural effusion. the nurse should identify that which of the following evaluation methods will likely be implemented first to diagnose pleural effusion

a chest x ray

a nurse is collecting data on a client who has tension pneumothorax and received a tube thoracostomy placed to water seal. which of the following findings should the nurse identify as an abnormality that should be reported

absence of bubbling

Complete the following sentence by using the lists of options.

chest tube air leak water seal chamber character

a nurse is collecting data for a client who has a transudative effusion. which of the following conditions should the nurse expect the clients to have?

cirrhosis

a nurse is reinforcing teaching to a client who has respiratory failure about how to maintain optimal health. which of the following recommendations should the nurse make? SATA

continue oxygen therapy at home use pursed lip breathing wash hands frequently join a smoking cessation program

a nurse is collecting data for a client who has copd. which of the following finding should the nurse expect?

decreased lung recoil

a nurse is assisting in caring for a client for has flail chest. the nurse should identify that ineffective ventilation occurs because of which of the following pathologic changes?

increased dead space

a nurse is assisting in caring for a client who has a pulmonary embolism. which of the following pathologic alterations should the nurse expect? SATA

increased right vent afterload right vent dilation systemic hypotension

a nurse is assisting in caring for a client who has a low ventilation perfusion ratio (V/Q). the nurse should identify that this pathologic change may be the result of which of the following?

interstitial lung disease

a nurse is assisting in caring for a client who has a pleural effusion. the nurse should identify which of the following pathologic alterations may be responsible for this condition?

lympathic obstruction

a nurse is assisting in caring for a client who has a chronic condition. the nurse should identify which of the following factors as placing the client at a higher risk of developing a pleural effusion?

receiving peritoneal dialysis TB malignancy

a nurse is collecting data for a client who has an intermediate-risk pulmonary embolism. which of the following findings should the nurse expect?

right vent dysfunction

a nurse is assisting in planning care for an unstable client who has a possible tension pneumothorax. the nurse should expect that which of the following imaging studies will be used to confirm the diagnosis?

ultrasound