Note NCLEX Qs

Diminished breath sounds on the affected sideo Diminished breath sounds on the affected side

The nurse is assessing the respiratory status of the client after a thoracentesis has been performed. The nurse would become concerned with which assessment finding?

Perform the Valsalva maneuver.

The nurse is assisting a health care provider with the removal of a chest tube. The nurse should instruct the client to take which action?

Continue to monitor the client

The nurse has assisted a health care provider (HCP) with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water-seal chamber after the tube is inserted. Based on this assessment, which action is most appropriate?

Tracheostomy tube Tracheostomy insertion tray Manual resuscitation bag with face mask

The nurse is caring for a client with a newly placed tracheostomy. Which emergency equipment should be available at the bedside? Select all that apply.

32-year-old female with a family history of PH

The nurse is caring for a group of patients on the pulmonary unit. Which patient is at greatest risk for having pulmonary hypertension (PH)?

Regular but abnormally slow

The nurse is monitoring a client for bradypnea. Which description is characteristic of this respiratory pattern?

administer the rescue drugs

A patient with a history of asthma is having shortness of breath. The nurse discovers that the peak flowmeter indicates a peak expiratory flow (PEF) reading that is in the red zone. What is the priority nursing action?

SUPPLEMENTAL OXYGEN HIGH-FOWLER'S POSITION MORPHINE SULFATE INTRAVENOUSLY

A CLIENT, EXPERIENCING A SUDDEN ONSET OF CHEST PAIN AND DYSPNEA, IS DIAGNOSED WITH A PULMONARY EMBOLUS. THE NURSE IMMEDIATELY IMPLEMENTS WHICH EXPECTED PRESCRIPTION FOR THIS CLIENT? SELECT ALL THAT APPLY.

administer nasal oxygen

A POSTOPERATIVE CLIENT SUDDENLY DEVELOPS CHEST PAIN AND IS EXPERIENCING DYSPNEA AND TACHYPNEA. THE NURSE SUSPECTS THAT THE CLIENT HAS A PULMONARY EMBOLISM AND IMMEDIATELY PLANS TO IMPLEMENT WHICH INTERVENTION?

plural pain and fever

A client did not seek medical treatment for a previous respiratory infection, and subsequently an empyema developed in the left lung. The nurse should assess the client for which signs and symptoms associated with this problem?

dyspnea

A client is diagnosed with a tumor of the larynx. The nurse determines that the client is in the late stage of the disease process if the client exhibits which finding?

Tries to increase ambulation and complete some small tasks each day

A client is experiencing difficulty coping with decreased ability to tolerate activity because of respiratory disease. The home care nurse determines that the client is showing an adaptive response when which behaviors are observed?

Laryngeal cancer

A client seeks treatment in an ambulatory clinic for hoarseness that has persisted for 8 weeks. Based on the symptom, the nurse interprets that the client is at risk for which disorder?

laryngeal cancer

A client seeks treatment in an ambulatory clinic for hoarseness that has persisted for 8 weeks. Based on the symptom, the nurse interprets that the client is at risk for which disorder?

Respiratory rate of 22 breaths/m

A client's baseline vital signs are as follows: temperature 98.8°F (37.1°C) oral, pulse 74 beats/min, respirations 18 breaths/min, and blood pressure 124/76 mm Hg. The client's temperature suddenly spikes to 103°F (39.4°C). Which corresponding respiratory rate should the nurse anticipate in this client as part of the body's response to the change in status?

Get plenty of rest. Increase intake of liquids. Take antipyretics for fever eat fruits and vegetables high in vitamin c

A clinic nurse notes that large numbers of clients present with flulike symptoms. Which recommendations should the nurse include in the plan of care for these clients? Select all that apply.

7.5

The client states that he has smoked three-fourths of a pack per day over the last 10 years. The nurse calculates that the client has a smoking history of how many pack-years?

Activities should be resumed gradually A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated. Respiratory isolation is not necessary because family members already have been exposed. Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags

The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated for tuberculosis. Which instructions should the nurse include on the list? Select all that apply.

Cardiac irregularities

The nurse is suctioning a client who has an endotracheal tube in place. Which finding indicates that the client is experiencing an adverse effect of this procedure?

A client at risk for aspiration A client who requires mechanical ventilation

The nurse knows that an inflated cuff for a tracheostomy is indicated for which client? Select all that apply

cigarette smoking

The nurse understands which is the primary risk factor for lung cancer?

"Wheezing sounds like a musical or hissing noise heard on inspiration."

The student nurse is listening to a respiratory lecture on wheezing. Which statement by the student nurse indicates that the teaching has been

Audible wheeze, especially on exhalation Muscle retraction between the ribs Decreased forced expiratory volume in the first second (FEV1) on flowmeter Eosinophils in the sputum

Which signs/symptoms are indicators of an asthma attack? Select all that apply.

Control therapy medications are used to prevent asthma attacks from occurring. Control therapy medications are used to reduce airway responsiveness. Reliever medications are used to stop an asthma attack once it has started.

Which statements are correct regarding the drug management of asthma? Select all that apply.