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A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?" The nurse explains that the purpose of the chest tube is to: 1.Check for bleeding in the lung 2.Monitor the function of the lung 3.Drain fluid from the pleural space 4.Remove air from the pleural space

4.Remove air from the pleural space

A client is experiencing severe respiratory distress. What response should the nurse expect the client to exhibit? 1.Tremors 2.Anasarca 3.Bradypnea 4.Tachycardia

4.Tachycardia

A client diagnosed with asthma has received a prescription for an inhaler. The nurse teaches the client how to determine when the inhaler is empty, instructing the client to: 1.Count the number of doses taken 2.Taste the medication when sprayed into the air 3.Shake the canister 4.Place the canister in water to see if it floats

1.Count the number of doses taken

After a laryngectomy is scheduled, the most important factor for the nurse to include in the preoperative teaching plan is: 1.Establishing a means for communicating postoperatively 2.Explaining that there will be a feeding tube postoperatively 3.Demonstrating how to care for a permanent laryngeal stoma 4.Teaching how to cough to expectorate bronchial secretions effectively

1.Establishing a means for communicating postoperatively

A community health nurse is educating a client who is interested in discontinuing cigarette smoking. What should the teaching plan include? 1.Helping the client set a date to stop smoking 2.Referring the client to the American Red Cross 3.Encouraging the client to eat when the desire to smoke occurs 4.Telephoning the client several weeks after the preset target date

1.Helping the client set a date to stop smoking

A nurse is teaching Hands Only Basic Life Support for adults in the community. What should the rescuer do first after determining that the person is not responding and the emergency medical system has been activated? 1.Identify the absence of pulse. 2.Give two rescue breaths with a CPR mask. 3.Perform the head tilt-chin lift maneuver. 4.Perform chest compression at a rate of 100/min.

1.Identify the absence of pulse.

A client who had thoracic surgery complains of pain at the incision site when coughing and deep breathing. What action should the nurse take? 1.Instruct the client to splint the wound with a pillow when coughing 2.Place the client in the supine position and inspect the site of the incision 3.Assess the intensity of the pain and administer the prescribed analgesic 4.Call the health care provider immediately and then check for wound dehiscence

1.Instruct the client to splint the wound with a pillow when coughing

A nurse is caring for a group of clients on a medical-surgical unit. Which client has the highest risk for developing a pulmonary embolism? 1.Obese client with leg trauma 2.Pregnant client with acute asthma 3.Client with diabetes who has cholecystitis 4.Client with pneumonia who is immunocompromised

1.Obese client with leg trauma

A client is receiving oxycodone (Oxycontin) postoperatively for pain. The health care provider's prescription indicates that the dose should be administered every three hours for eight doses. What should the nurse assess before administering each dose of oxycodone? 1.Respiratory rate and level of consciousness 2.Color, character, and amount of urine output 3.Intravenous site and patency of the intravenous catheter 4.Amount and character of drainage in the portable drainage system

1.Respiratory rate and level of consciousness

A client is brought to the emergency department after a bee sting. The client has a history of allergies to bees and is having difficulty breathing. What client reaction should cause a nurse the most concern? 1.Ischemia 2.Asphyxia 3.Lactic acidosis 4.Increased blood pressure

2.Asphyxia

A client is diagnosed with emphysema. For what long-term problem should the nurse monitor this client? 1.Localized tissue necrosis 2.Carbon dioxide retention 3.Increased respiratory rate 4.Saturated hemoglobin molecules

2.Carbon dioxide retention

What is the priority goal for a client with asthma who is being discharged from the hospital? 1.Is able to obtain pulse oximeter readings 2.Demonstrates use of a metered-dose inhaler 3.Knows the health care provider's office hours 4.Can identify the foods that may cause wheezing

2.Demonstrates use of a metered-dose inhaler

A client responds well after extensive pulmonary surgery for lung cancer and is discharged. A week after discharge the home care nurse observes the client's downcast eyes and lack of interest in the environment. The client's family states that this behavior started a few days after discharge. The nurse understands that the client's response is: 1.Normal, and no follow-up is required 2.Expected, but needs to be addressed 3.Unusual, indicating mental illness 4.Serious, needing immediate acute care

2.Expected, but needs to be addressed

After a thoracentesis for pleural effusion, a client returns to the outpatient clinic for a follow-up visit. The nurse suspects a recurrence of pleural effusion when the client says: 1."Lately I can only breathe well if I sit up." 2."During the night I sometimes get the chills." 3."I get a sharp, stabbing pain when I take a deep breath." 4."I'm coughing up larger amounts of thicker mucus for the last several days."

3."I get a sharp, stabbing pain when I take a deep breath."

A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and Pco2 of 60. These blood gases require nursing attention because they indicate: 1.Metabolic acidosis 2.Metabolic alkalosis 3.Respiratory acidosis 4.Respiratory alkalosis

3.Respiratory acidosis

What data about the fluid in the water-seal chamber of a closed chest drainage system provide support for the nurse's conclusion that the system is functioning correctly? 1.Contains many small air bubbles. 2.Bubbles vigorously on inspiration. 3.Rises with inspiration and falls with expiration. 4.Remains at a consistent level during the respiratory cycle

3.Rises with inspiration and falls with expiration.

During admission a client appears anxious and says to the nurse, "The doctor told me I have lung cancer. My father died from cancer. I wish I had never smoked." What is the nurse's best response? 1."You are concerned about your diagnosis." 2."You are feeling guilty about your smoking." 3."There have been advances in lung cancer therapy." 4."Trust your health care provider, who is very competent in treating cancer."

1."You are concerned about your diagnosis."

A nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). What complications are associated most commonly with COPD? 1.Cardiac problems 2.Joint inflammation 3.Kidney dysfunction 4.Peripheral neuropathy

1.Cardiac problems

A client appears anxious, with respirations that are shallow and 40 per minute. The client reports feeling dizzy and light-headed and having tingling sensations of the fingertips and around the lips. What does the nurse determine is the probable cause of these clinical manifestations? 1.Hyperventilation 2.Dyspnea 3.Kussmaul respirations 4.Carbon dioxide intoxication

1.Hyperventilation

After a thoracentesis is performed for pleural effusion, a client returns to the health care provider's office for a follow-up visit. Which client statement leads the nurse to suspect a recurrence of the pleural effusion? 1."I can breathe well only if I sit up." 2."I sometimes have chills during the night." 3."I get a sharp pain when I take a deep breath." 4."I have been coughing up large amounts of thicker mucus lately."

3."I get a sharp pain when I take a deep breath."

A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse provides education about common side effects of general anesthesia. The nurse concludes that the teaching has been effective when the client states, "Immediately after surgery I may experience: 1.Transient headaches." 2.An elevated temperature." 3.Paroxysmal hiccoughs." 4.A sore throat."

4.A sore throat."

A nurse is caring for a client with a pneumothorax that has a chest tube attached to a closed chest drainage system. If the chest tube and closed-chest drainage system are effective, the type of pressure that will be reestablished is: 1.Neutral pressure in the pleural space 2.Negative pressure in the pleural space 3.Atmospheric pressure in the thoracic cavity 4.Intrapulmonic pressure in the thoracic cavity

2.Negative pressure in the pleural space

A health care provider prescribes metaproterenol (Allupent) for a client who was recently admitted to the hospital. For what therapeutic effect should the nurse monitor the client? 1.Induced sedation 2.Relaxed bronchial spasm 3.Decreased blood pressure 4.Increased bronchial secretions

2.Relaxed bronchial spasm

After resection of a lower lobe of the lung, a client has excessive respiratory secretions. Which independent nursing action should the nurse implement? 1.Postural drainage 2.Turning and positioning 3.Administration of an expectorant 4.Percussion and vibration techniques

2.Turning and positioning

What must the nurse do when performing tracheostomy care? 1.Place the client in the semi-Fowler position. 2.Use sterile gloves when touching the inner cannula. 3.Monitor body temperature after the procedure is completed. 4.Remove both tracheostomy ties at the same time.

2.Use sterile gloves when touching the inner cannula.

A client is admitted to the hospital with a diagnosis of emphysema and dyspnea. The nurse should encourage the client to assume what position? 1.Supine 2.Contour 3.Orthopneic 4.Semi-Fowler

3.Orthopneic

A client is diagnosed with pulmonary tuberculosis, and the health care provider prescribes a combination medication, Rifamate, composed of rifampin (Rifadin) and isoniazid (INH). The nurse evaluates that the teaching regarding the drug is effective when the client says, "The most important thing I must do is: 1.Report any changes in vision. 2.Take the medicine with my meals. 3.Call my doctor if my urine or tears turn red-orange. 4.Continue taking the medicine even after I feel better

4.Continue taking the medicine even after I feel better

The nurse provides instructions to a client who will be using an incentive spirometer postoperatively. During the client's return demonstration, the nurse concludes that the teaching has been effective when the client: 1.Coughs twice before inhaling deeply through the mouthpiece 2.Uses the incentive spirometer for 10 consecutive breaths an hour 3.Inhales deeply, seals the lips around the mouthpiece, and then exhales 4.Inhales deeply through the mouthpiece, holds the breath for two seconds, and then exhales

4.Inhales deeply through the mouthpiece, holds the breath for two seconds, and then exhales

A nurse works with a large population of immigrant clients and is concerned about the debilitating effects of influenza. Which action is the first line of defense against an emerging influenza pandemic? 1.Complying with quarantine measures 2.Instituting strict international travel restrictions 3.Seeking aid from the international public health community 4.Reporting surveillance findings to appropriate public health officials

4.Reporting surveillance findings to appropriate public health officials