Respiratory NCLEX questions

The nurse is caring for a dyspneic client with decreased breath sounds. The nurse should carry out which intervention to decrease the client's work of breathing?

Administer the prescribed bronchodilator

The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the water seal chamber. What action is most appropriate?

Check for an air leak, because the bubbling should be intermittent.

Which are risk factors for chronic obstructive pulmonary disease (COPD)? Select all that apply.

Cigarette smoking Genetic risk factor Environmental factors Alpha-1 antitrypsin (AAT) deficiency

The community health nurse is conducting an educational session with community members regarding the signs and symptoms associated with tuberculosis. The nurse informs the participants that tuberculosis is considered as a diagnosis if which signs and symptoms are present? Select all that apply.

Dyspnea Night sweats A bloody, productive cough A cough with the expectoration of mucoid sputum

The nurse is discharging a client with chronic obstructive pulmonary disease (COPD) and reviewing specific instructional points about COPD. What comment by the client indicates that further teaching is needed?

I have to keep my nasal cannula oxygen levels between 4 and 6 L/minute."

The nurse is preparing for suctioning an unconscious client who has a tracheostomy. The nurse should perform which actions for this procedure? Select all that apply.

Keeping a supply of suction catheters at the bedside Auscultating breath sounds to determine the need for suctioning Hyperoxygenating the client before, during, and after suctioning

Which are possible causes of upper airway obstruction? Select all that apply.

Laryngeal edema Head and neck cancer Foreign body aspiration Lymph node enlargement

The nurse is monitoring the chest tube drainage system in a client with a chest tube. The nurse notes constant bubbling in the water seal chamber. Which is the most appropriate initial nursing action?

Perform a focused respiratory assessment.

A client being mechanically ventilated after experiencing a fat embolism is visibly anxious. What is the best nursing action?

Provide reassurance to the client and give small doses of morphine sulfate intravenously as prescribed.

The nurse is teaching a client with emphysema about positions that help breathing during dyspneic episodes. The nurse instructs the client that which positions alleviate dyspnea? Select all that apply.

Sitting up and leaning on a table Standing and leaning against a wall Sitting up with the elbows resting on knees

health care provider (HCP) is about to remove a chest tube from a client. After the dressing is removed and the sutures have been cut, the nurse assisting the health care provider should ask the client to perform which procedure?

Take a deep breath and hold it.

The nurse is preparing to wean a client from a ventilator by the use of a T-piece. Which would be a component of the plan of care with this type of weaning process? Select all that apply.

The T-piece is connected to the client's artificial airway. The client is removed from the mechanical ventilator for a short period of time. Supplemental oxygen is provided through the T-piece at a fraction of inspired oxygen (FiO2) that is 10% higher than a ventilator setting.

The nurse is caring for a client with a dry suction chest drainage system. During assessment of the drainage system, what should the nurse expect to find? Select all that apply.

The dry suction control regulation set to the prescribed amountThe drainage in the collection chamber marked each shift to monitor the amount of drainage