ATI Dynamic Quiz Med Surg Respiratory

Tachycardia

A nurse is assessing the respiratory status of a client who has COPD. Which of the following manifestations should the nurse identify as an indication of impending respiratory failure?

"I'll call the doctor if I see any blood in my urine or stool."

A nurse is providing discharge teaching to a client who had a pulmonary embolism. Which of the following statements indicates that the client understands the info?

"Try to drink at least 2 to 3 liters of fluid per day."

A nurse is providing discharge teaching to a client who has emphysema. Which of the following instructions should the nurse include?

"Lie on your back with your head elevated 30 degrees when resting."

A nurse is providing discharge teaching to a client who is post op following a rhinoplasty. Which of the following instructions should the nurse include?

Promotes carbon dioxide elimination

A nurse is providing instructions about pursed-lip breathing for a client who has COPD with emphysema. This breathing technique accomplishes which of the following?

Inspiratory stridor

A nurse is assessing a client who has pharyngitis. Which of the following findings is the nurse's priority to report to the provider?

Assign the client to a private room with negative-pressure airflow Wear an N95 respirator when entering the client's room

A charge nurse receives notification of the admission of a client who is coughing frequently and whose sputum is pink, frothy, and copious. The client has a history of night sweats, anorexia, and weight loss. Which of the following actions should the nurse take?

Chest tube insertion

A client comes to the ED in severe respiratory distress following left-sided blunt chest trauma. The nurse notes absent breath sounds on the client's left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client?

Crepitus

A client is admitted to the emergency department following a motorcycle crash. The nurse notes a crackling sensation upon palpation of the right side of the client's chest. After notifying the provider, the nurse should document this findings as which of the following?

"You must return to the clinic to have the test read in 2 or 3 days."

A nurse in a clinic is providing teaching for a client who is scheduled to have a tuberculin skin test. Which of the following pieces of information should the nurse include?

Stabbing chest pain

A nurse in a med surg unit is assessing a client. The nurse should identify that which of the following findings is a manifestation of a pulmonary embolism?

Night sweats

A nurse in a provider's office is assessing a client who states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis?

Dry cough

A nurse in an urgent care clinic is collecting data from a client who reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of inhalation anthrax?

Absence of breath sounds

A nurse in the ED is assessing a client for closed pneumothorax and significant bruising of the left chest following a MVA. The client reports severe left chest pain on inspiration. The nurse should assess the client for which of the following manifestations of pneumothorax?

Respiratory obstruction

A nurse in the PACU is assessing a newly admitted client and observes intercostal retractions and a high-pitched inspiratory sound. The nurse should identify these findings as manifestations of which of the following complications?

Night sweats

A nurse is assessing a client who has a positive tuberculin skin test. Which of the following findings indicates that the client has active tuberculosis?

Maxillary sinuses

A nurse is assisting a provider with a comprehensive physical examination of a client. When the provider uses transillumination, the nurse should explain to the client that this technique helps evaluate which of the following structures?

Noisy wheezing

A nurse is auscultating the lungs of a client who is having an acute asthma attack. Which of the following sounds should the nurse expect to hear?

Tracheal deviation to the left Absent breath sounds on the right side Neck vein distention

A nurse is caring for a client following a right pleural thoracentesis. The nurse measures a total of 35 mL of purulent drainage. Which of the following findings should the nurse recognize as an indication of a tension pneumothorax?

Evaluate the client for stridor

A nurse is caring for a client for whom the respiratory therapist has just removed the endotracheal tube. Which of the following actions should the nurse take first?

Stridor

A nurse is caring for a client immediately following extubation. Which of the following manifestations indicates that the nurse should call the rapid response team?

Ensure an adequate airway

A nurse is caring for a client who experiencing acute opioid toxicity. Which of the following actions should the nurse identify as the priority?

Lung cancer usually metasized before the client presents with symptoms

A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following factors will have a significant impact on the plan of care for this client?

Place the client in an upright position

A nurse is caring for a client who has COPD and is experiencing SOB. Which of the following actions should the nurse perform first?

Increase the oxygen flow and request an arterial blood gas determination

A nurse is caring for a client who has a 20 year history of COPD and is receiving oxygen at 2 L/min via nasal cannula. The client is dyspneic and has an oxygen saturation via pulse oximetry of 85%. Which of the following actions should the nurse take?

Immerse the end of the chest tube in a bottle of sterile water

A nurse is caring for a client who has a chest tube. The nurse notes that the chest tube has become disconnected from the chest drainage system. Which of the following actions should the nurse take?

A leak within the ventilator's circuitry

A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. When the low-pressure alarm on the ventilator sounds, it indicates which of the following to the nurse?

The nurse auscultates coarse crackles in the lung fields

A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions?

Respiratory alkalosis

A nurse is caring for a client who is extremely anxious and is hyperventilating. The client's ABG results are pH 7.50, PaCO2 27, HCO3 25. The nurse should identify that the client has which of the following acid-base imbalances?

Frequent swallowing

A nurse is caring for a client who is postop following a rhinoplasty. Which of the following findings should the nurse report to the surgeon?

"The lower tube will drain blood, and the higher tube will remove air."

A nurse is caring for a client who is postop following a thoracic lobectomy. The client has 2 chest tubes in place: 1 in the lower portion of the thorax and the other higher on the chest wall. When a family member asks why the client has 2 chest tubes, which of the following responses should the nurse make?

Use pursed-lip breathing during periods of dyspnea

A nurse is providing discharge teaching about improving gas exchange for a client who has emphysema. Which of the following instructions should the nurse include in the teaching?

Initiate bag valve mask ventilation

A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiratory distress. Which of the following actions should the nurse take first?

Instruct the client to perform the Valsalva maneuver during removal

A nurse is caring for a client who is scheduled to have his chest tube removed. Which of the following actions should the nurse take?

Discuss ways the client can reduce the number of cigarettes smoked per day

A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema. How should the nurse assist the client with smoking cessation?

Encourage deep breathing and coughing

A nurse is caring for a client with pneumonia who is experiencing thick oral secretions. Which of the following actions should the nurse take first?

Respiratory acidosis

A nurse is caring for an older adult client who has COPD with pneumonia. The nurse should monitor the client for which of the following acid-base imbalances?

Addressing the client;s perception of the disease process and what might have triggered past attacks

A nurse is developing a teaching plan for a client about preventing acute asthma attacks. Which of the following points should the nurse plan to discuss first?

Tape all connections between the chest tube and drainage system

A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following actions should the nurse include in the plan of care?

Eat high-calorie foods first

A nurse is planning care for a client ho has COPD and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan?

Nasal cannula

A nurse is planning care for a client who is postop following a hip arthroplasty. In the client's medical record, the nurse notes a history of COPD. Which of the following oxygen-delivery methods should the nurse plan to use for this client?

NPO status Alternative methods of communication Changes in body image Swallowing exercises

A nurse is planning post op education for a client who will undergo a radical neck dissection for cancer of the larynx. The nurse should include which of the following topics?

Explain that the client will receive sedation and will not remember the procedure Verify that the client understands the purpose and nature of the procedure

A nurse is preparing a client for a bronchoscopy. Which of the following actions should the nurse take?

Confirming the gag reflex

A nurse is preparing a client for discharge following a bronchoscopy. Which of the following assessments is the nurse's monitoring priority?

Sitting while leaning forward over the bedside table

A nurse is preparing a client for thoracentesis. In which of the following positions should the nurse place the client?

Tinnitus

A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should identify that which of the following findings is an adverse effect of this drug?

Perform an Allen's test prior to obtaining the specimen

A nurse is preparing to assist a provider with an arterial blood withdrawal from a client's radial artery for ABG measurement. Which of the following actions should the nurse plan to take?

Aspiration of water

A nurse is providing discharge instructions to a client who has a new laryngectomy. The nurse should tell the client to be careful while bathing to prevent which of the following complications?

Draining blood and fluid from the pleural space

A nurse is providing post op care for a client who has 2 chest tubes in place following a lobectomy. The client asks the nurse the reason for having 2 chest tubes. The nurse should inform the client that the lower chest tube is placed for which of the following reasons?

"You will have a chest tube in place after surgery." "We'll frequently help you turn, cough, and breathe deeply after surgery." "We'll give you oxygen to support your breathing if you need it."

A nurse is providing preop teaching to a client who has lung cancer and will undergo a pneumonectomy. Which of the following statements should the nurse include?

"I will show you how to splint your incision while coughing."

A nurse is providing preop teaching to a client who is to undergo a pneumonectomy. The client states, "I am afraid coughing will hurt after the surgery." Which of the following statements by the nurse is appropriate?

"I understand that I will have a permanent tracheostomy after the surgery."

A nurse is providing preoperative teaching to a client who will undergo a total laryngectomy. Which of the following statements indicates that the client understands the impact of the surgery?

Total lung capacity

A nurse is providing teaching to a client about pulmonary function testing. Which of the following tests measures the volume of air the lungs can hold at the end of maximum inhalation?

"A tissue sample might be obtained during the procedure."

A nurse is providing teaching to a client who has a chronic cough and is scheduled for a bronchoscopy. Which of the following client statements indicates an understanding of the teaching?

pH 7.49, HCO3 32, PaCO2 40

A nurse is reviewing lab results of a client who has metabolic alkalosis. Which of the following lab values should the nurse expect?

To mobilize secretions in the airways

A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Which of the following is the purpose of these treatments?

"When I breathe out through pursed lips, my airways don't collapse between breaths."

A nurse is teaching breathing techniques to a client who has emphysema. Which of the following statements indicates that the client understands the mechanics of pursed-lip breathing?

Increased coughin

A nurse on a med surg unit is assessing a client who recently transferred from the ICU following endotracheal extubation. Which of the following findings should the nurse identify as a possible manifestation of tracheal stenosis and report to the provider?

A client who has a chest tube following a pneumothorax

A nurse on a med surg unit is caring for 4 clients. Which of the following clients should the nurse monitor for crepitus?

Sudden onset of dyspnea

A nurse on a med surg unit is caring for a client who is postop following a hip replacement surgery. The client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of pulmonary embolism?

PaO2 50 mm Hg

A nurse on a medical unit is caring for a client who aspirated gastric contents prior to admission. The nurse administers 100% oxygen by nonrebreather mask after the client reports severe dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress syndrome (ARDS)?