Acute: Respiratory

When admitting a patient who has a pleural effusion, which technique will the nurse use to assess for tactile fremitus?

Place the palms of the their hands on the chest wall

If a pt with PNA complains of "sharp pain with deep breath", which action should the nurse take?

Administer pain meds as ordered

Scott Jones (24 y/o) works as a house painter. During the winter he is primarily involved in painting inside. He recently developed respiratory congestion, frontal headache, and extreme fatigue. He is diagnosed with sinusitis. Which of the following measures would help Scott liquify secretions?

Breathe hot steam

Which of the following factors in her history would most predispose Miss Adams to Larygneal cancer?

Chronic laryngitis for 10 years

A patient who has had a total laryngectomy appears withdrawn and depressed. The patient keeps the curtain drawn, refuses visitors, and indicated a desire to be left alone. Which nursing intervention would MOST likely be therapeutic for the client?

Encouraging expression of feelings nonverbally in writing

Which of the followig would be an expected outcome for a client recovering from an upper respiratory tract infection?

Experience less nasal obstruction and discharge

Postoperative nursing management of the client following a radial neck dissection for laryngeal cancer requires:

Frequent suctioning of the laryngectomy tube

Miss Adams, a 52 y/o woman has come to be evaluated for the following symptoms: worsening hoarseness for the past 2 months, and a cough that started about 2 weeks ago. Following a laryngectomy Miss Adams was diagnosed with laryngeal cancer. Miss Adams most likely has which type of cancer?

Glottic or Intrinsic Larygeal Cancer

Mrs. Gates a 77 year old patient with PNA has a fever of 101.2, nonproductive cough, and O2 sat of 89%. She has scattered pulmonary crackles, but they are much worse in the left side. She is exhausted, very weak and needs assistance to get out of bed. The priority nursing diagnosis for the patient is

Impaired gas exchange related to respiratory congestion

On auscultation of a patients lungs, the nurse hears high pitched whistling sound during inspiration in the right and left lower lobes. The nurse records the finding as:

Inspiratory wheezes in right and left lower lobes

A patient with a chronic cough with blood tinged sputum undergoes a bronchoscopy. Following the bronchoscopy, the nurse should

Keep the patient NPO until the gag reflex returns

The nurse notes new-onset confusion in an 89- year -old patient in a long term care facility; the patient is normally alert and oriented. Which action should the nurse take next?

Obtain an oxygen saturation

House would you position a patient with PNA with scattered crackles but worse on the left?

On the Right to promote drainage from the affected side

A patient is in respiratory distress is admitted to the medical unit at the hospital. During the initial assessment of the patient the nurse should:

Perform a respiratory system assessment and ask specific questions about this episode of respiratory distress.

When caring for a patient with tracheostomy what are 4 things that you MUST have at the bedside?

Suction Ambu Bag New Trach set of same or smaller than inserted Obturator

The nurse is observing a student who is auscultating a patients lungs. Which action by the student indicated that the nurse should intervene.

The student places the stethoscope over the scapulae and then auscultates