Respiratory Disorders

A client has a tracheostomy. Which nursing action would prevent complications of suctioning? Suction for at least 15 seconds. Keep a replacement cuff at the bedside. Maintain sterility of the suction catheter. Record time, amount, character of secretions.

Suction for at least 15 seconds.

A nurse observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude? The system is functioning normally. The client has a pneumothorax. The system has an air leak. The chest tube is obstructed.

The system has an air leak.

A client is undergoing a complete physical examination as a requirement for college. When checking the client's respiratory status, the nurse observes respiratory excursion to help assess lung vibrations. vocal sounds. breath sounds. chest movements.

chest movements.

Which complication is associated with mechanical ventilation? gastrointestinal hemorrhage immunosuppression increased cardiac output pulmonary emboli

gastrointestinal hemorrhage

The nurse is planning care for a client with a crushing chest injury. The client is in an intensive care unit, and the client's vital signs have not stabilized. Which finding puts the client at risk for acute respiratory distress syndrome (ARDS)? history of smoking low serum potassium hypercapnia hypovolemia

hypovolemia

A client is critically ill with sepsis. The nurse expects what assessment finding related to compensatory mechanisms attempting to maintain normal pH? increased respiratory rate increased urine output decreased blood pressure increased body temperature

increased respiratory rate

After a bronchoscopy with biopsy, the nurse assesses the client. The nurse should report which finding to the health care provider? green sputum dry cough hemoptysis laryngeal stridor

laryngeal stridor

A client with respiratory acidosis is admitted to the intensive care unit for close observation. The nurse should stay alert for which complication associated with respiratory acidosis? shock stroke seizures hyperglycemia

stroke

For a client with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?

using a Venturi mask to deliver oxygen as ordered

A client who sustained a pulmonary contusion in a motor vehicle crash develops a pulmonary embolism. Which nursing diagnosis takes priority with this client? impaired circulation related to blood clot acute pain related to tissue trauma ineffective breathing pattern related to tissue trauma risk for vascular trauma related to pulmonary emboli

ineffective breathing pattern related to tissue trauma

Which finding alerts the nurse to possible internal bleeding in a client who has undergone pulmonary lobectomy 2 days ago? increased blood pressure and decreased pulse and respiratory rates sanguineous drainage from the chest tube at a rate of 50 ml/hour during the past 3 hours restlessness and shortness of breath urine output of 180 mL during the past 3 hours

restlessness and shortness of breath

A nurse is weaning a client from mechanical ventilation. Which assessment finding indicates the weaning process should be stopped?

runs of ventricular tachycardia