Respiratory (Unit 3)

Crepitus

A nurse is examining a client's chest. During the exam, the nurse palpates what feels like bubbles under the clent's chest muscles. Which term would the nurse use when documenting this finding? 1-wheeze 2-rhonchi 3-crackles 4-crepitus

Turn the patient on his or her side to assess all lung fields, so that dependent areas can be assessed for breath sounds.

An acutely ill patient is in a supine position. What approach should the nurse take to assess the patient's lung fields for a patient in this position? 1-Inform the health care provider that the patient is in a supine position and anticipate an order for a portable chest X-ray. 2-Avoid turning the patient, and assess the accessible breath sounds from the anterior chest wall. 3-Turn the patient on his or her side to assess all lung fields, so that dependent areas can be assessed for breath sounds. 4-Obtain a pulse oximetry reading and, if the reading is low, reposition the patient and auscultate breath sounds.

"We'll monitor you closely after the procedure, especially until your gag reflex returns.

Computed tomography of a patient's chest is suggestive of a malignancy, but these results are not conclusive. As a result, the patient has been scheduled for a bronchoscopy. What patient education should the nurse provide for this patient regarding this diagnostic procedure? 1-"We'll monitor you closely after the procedure, especially until your gag reflex returns." 2-"You won't be able to swallow solid food for a day or two after the procedure." 3-"Your doctor will probably instill a contrast solution into your lungs to aid visualization." 4-"The care team will likely give you a general anesthetic for your bronchoscopy."

Cyanosis

The nurse is caring for a patient with a pulmonary disorder. What observation by the nurse is indicative of a very late symptom of hypoxia? 1-Confusion 2-Dyspnea 3-Restlessness 5-Cyanosis

Crackles at lung bases

The nurse is assessing the lungs of a patient diagnosed with pulmonary edema. Which of the following would be expected upon auscultation?

Emphysema

While assessing for tactile fremitus, the nurse palpates almost no vibration. Which of the following conditions in this client's history will account for this finding? 1-Funnel chest 2-Pigeon chest 3-Pneumonia 4-Emphysema