NRS188 Exam 1 Resp. prepU

dietary recommendations for a client with a lung abscess.

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

Approximately what percentage of people who are initially infected with TB develop active disease?

10%

What is the usual duration of prophylactic isoniazid therapy?

6 to 12 months

Which statement concerning PPD testing is true?

A positive reaction indicates that the client has been exposed to the disease.

On auscultation, which finding suggests a right pneumothorax?

Absence of breath sounds in the right thorax

Which action should the nurse take first in caring for a client during an acute asthma attack?

Administer bronchodilator as ordered.

A client is admitted to the emergency department with a stab wound and is now presenting dyspnea, tachypnea, and sucking noise heard on inspiration and expiration. The nurse should care for the wound in which manner?

Apply airtight dressing.

pulmonary contusion S/S

Blood-tinged sputum

What may induce/cause acute bronchitis

Chemical irritation

What is a cardinal sign of lung cancer?

Cough or change in chronic cough

What adventitious lung sounds are significant for pulmonary edema?

Crackles in the lung bases

What assessment finding by the nurse is a significant finding for this patient pulmonary arterial hypertension.?

Dyspnea

Which findings in this client suggest bacterial pneumonia?

Dyspnea and wheezing

pneumonia has thick, tenacious secretions nursing interventions

Encouraging increased fluid intake

Assessing occupational lung diseases?

Fibrotic changes in lungs

When caring for a client with acute respiratory failure, the nurse should expect to focus on resolving which set of problems?

Hypercapnia, hypoventilation, and hypoxemia

the purpose of this type of breathing perform pursed-lip breathing?

Improve oxygen transport; induce a slow, deep breathing pattern; and assist the client to control breathing

The nurse is assessing a client's potential for pulmonary emboli. What finding indicates possible deep vein thrombosis?

Localized calf tenderness

acute respiratory failure (ARF) with (ABG)

Low pH, Low O2

The nurse identifies which finding to be most consistent prior to the onset of acute respiratory distress?

Normal lung function

Distinguishing between acute respiratory distress syndrome and acute respiratory failure?

Partial pressure of arterial oxygen (PaO2)

What are the signs and symptoms of chronic respiratory failure?

Progressive loss of lung function associated with chronic disease

A client continues to report dyspnea on exertion and overall weakness. A pulmonary artery catheter is placed and the mean pulmonary arterial pressure is 35 mm Hg. What condition is the client experiencing?

Pulmonary arterial hypertension

The nurse assesses for which most common early sign of ARDS (acute respirator distress syndrome)?

Rapid onset of severe dyspnea

What should you check when bubbling in the water-seal chamber is excessive on a chest tube?

See if there are leaks in the system.

What symptoms does the nurse recognize are significant for this patient's diagnosis (pleurisy)?

Stabbing pain during respiratory movement

What does the nurse know is the most common organism that causes community-acquired pneumonia?

Streptococcus pneumoniae

The patient with a chest tube is being transported to X-ray. Which complication may occur if the chest tube is clamped during transportation?

Tension pneumothorax

Which technique does a nurse suggest to a patient with pleurisy for splinting the chest wall?

Turn onto the affected side.

Which vitamin is usually administered with isoniazid (INH) to prevent INH-associated peripheral neuropathy?

Vitamin B6

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

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

lung inflammation is most likely caused by exposure; construction worker and has been demolishing an older building

asbestos

client has fluid in the pleural space and will need a thoracentesis. The nurse expects the physician to document this fluid as

pleural effusion.