Ch. 23 - Mgmt Chest & Lower Respiratory Tract Disorders

6. 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 to 12 months

The nurse is collecting a sputum culture to identify the causative organism for a patient with acute tracheobronchitis. What causative fungal organism does the nurse suspect?

Haemophilus

The nurse is conducting a community program about prevention of respiratory illness. What illness does the nurse recognize is the most common cause of death in the United States?

pneumonia

A patient taking isoniazid (INH) therapy for tuberculosis demonstrates understanding when making which statement?

"It is all right if I have a grilled cheese sandwich with American cheese"

A patient who wears contact lenses is to be placed on rifampin for tuberculosis therapy. What information should the nurse provide to the patient?

"You should switch to wearing your glasses while taking this medication"

The nurse is planning the care for a patient at risk of developing pulmonary embolism. What nursing interventions should be included in the care plan? (Select all that apply.)

-encouraging a liberal fluid intake -assisting patient to do leg elevations above level of heart -using elastic stockings, esp. when decreased mobility would promote venous stasis -applying SCD

The nurse is administering anticoagulant therapy with heparin. What international normalized ratio (INR) would the nurse know is within therapeutic range?

2.0 to 2.5

A patient comes to the clinic with fever, cough, and chest discomfort. The nurse auscultates crackles in the left lower base of the lung and suspects that the patient may have pneumonia. What does the nurse recognize is the most common organism that causes community-acquired pneumonia?

Streptococcus pneumoniae

The nurse is assessing a patient who has been admitted with possible acute respiratory distress syndrome (ARDS). What findings would distinguish ARDS from cardiogenic pulmonary edema?

elevated BNP levels

A patient arrives in the emergency department after being involved in a motor vehicle crash. The nurse observes paradoxical chest movement when removing the patient's shirt. What does the nurse know that this finding indicates?

flail chest

The nurse is caring for a patient with pleurisy. What symptoms does the nurse recognize are significant for this patient's diagnosis?

stabbing pain during respiratory movement

The nurse is developing a plan of care for a patient with acute tracheobronchitis. What nursing interventions should be included in the plan of care? (Select all that apply.)

-increasing fluid intake to remove secretions -encouraging patient to remain in bed -using cool-vapor therapy to relieve laryngeal & tracheal irritation

A patient has a Mantoux skin test prior to being placed on an immunosuppressant for the treatment of Crohn's disease. What results would the nurse determine is not significant for holding the medication?

0-4mm

A patient with pulmonary hypertension has a positive vasoreactivity test. What medication does the nurse anticipate administering to this patient?

calcium channel blockers

The nurse is having an information session with a women's group at the YMCA about lung cancer. What frequent and commonly experienced symptom should the nurse be sure to include in the session?

coughing

a patient who had a colon resection 3 days ago resports discomfort in left calf. How should nurse assess Homan sign to determine if patient may have a thromnbus formation in leg?

dorsiflex foot while leg is elevated to check for calf pain

A patient is admitted to the hospital with pulmonary arterial hypertension. What assessment finding by the nurse is a significant finding for this patient?

dyspnea

The nurse is auscultating the patient's lung sounds to determine the presence of pulmonary edema. What adventitious lung sounds are significant for pulmonary edema?

crackles in lung bases

The nurse assesses a patient for a possible pulmonary embolism. What frequent sign of pulmonary embolus does the nurse anticipate finding on assessment?

tachypnea

The nurse is caring for a patient with suspected acute respiratory distress syndrome (ARDS) with a PO2 of 53. The patient is placed on oxygen via face mask and the PO2 remains the same. What does the nurse recognize as a key characteristic of ARDS?

unresponsive arterial hypoxemia