Addies Quiz Week 6

A client with emphysema is admitted to the hospital with pneumonia. On the third hospital day, the client complains of a sharp pain on the right side of the chest. The nurse suspects a pneumothorax. What breath sound is most likely to be present when the nurse assesses the client's right side? Crackling Wheezing Decreased sounds Adventitious sounds

Decreased sounds

What is the priority goal for a client with asthma who is being discharged from the hospital with prescriptions for inhaled bronchodilators? Is able to obtain pulse oximeter readings Demonstrates use of a metered-dose inhaler Knows the healthcare providers office hours Can identify the foods that may cause wheezing

Demonstrates use of a metered-dose inhaler

A client is admitted to the hospital with a diagnosis of an exacerbation of asthma. What should the nurse plan to do to best help this client? Determine the clients emotional state Give prescribed drugs to promote bronchiolar dilation Provide education about the impact of a family history Encourage the client to use an incentive spirometer routinely.

Give prescribed drugs to promote bronchiolar dilation

The school nurse recommends suitable physical activity for a child with exercise-induced asthma. Which statement by a parent indicates the need for additional teaching? I'll sign him up for swimming lessons. She'd really enjoy being on a bowling team. I'll encourage him to join a youth running club I know she'd enjoy going to the gym and lifting weights

I'll encourage him to join a youth running club

A client who is admitted with emphysema shows progressive respiratory failure and has a PaCO2 of 60. To address the problems, the nurse expects to receive a prescription for? Mucolytics Bronchodilators Mechanical ventilation Intermittent positive pressure breathing (IPPB)

Mechanical ventilation

A client who sustained trauma to the chest as a result of an injury has chest tubes inserted and is attached to a closed chest drainage system. When caring for this client, what should the nurse do? Palpate the area around the tubes for crepitus Clamp the chest tubes when suctioning the client Empty the drainage chamber at the end of the shift Change the clients dressing daily using aseptic technique

Palpate the area around the tubes for crepitus

A client has chest tubes attached to a chest tube drainage system. What should the nurse do when caring for this client? Clamp the chest tubes when suctioning Palpate the surrounding area for crepitus Change the dressing daily using aseptic technique Empty the drainage chamber at the end of the shift

Palpate the surrounding area for crepitus

A nurse is caring for a client experiencing an acute episode of bronchial asthma. What should nurse interventions achieve? Curing the condition permanently Raising mucous secretions from the chest Limiting pulmonary secretions by decreasing fluid intake Convincing the client that the condition is emotionally based

Raising mucous secretions from the chest

A post-operative client is being weaned from mechanical ventilation. What is the most important factor for the nurse to consider when organizing activities? Remain with the client to assess response Allow family members to participate in the process Permit the client more extended times alone for independence Observe monitoring devices at the control panel of the ventilator

Remain with the client to assess response

When providing discharge teaching for a young female client who had a pneumothorax, it is important that the nurse include the S/S of a recurring pneumothorax. What is the most important symptom that the nurse should teach the client to report to the healthcare provider? Substernal chest pain Episodes of palpitation Severe shortness of breath Dizziness when standing up

Severe shortness of breath

What clinical indicators should the nurse expect to identify when assessing an individual with a spontaneous pneumothorax? Select all that apply Hematemesis Shortness of breath Unilateral chest pain Increased thoracic motion Mediastinal shift toward the involved side

Shortness of breath Unilateral chest pain

A nurse is caring for a client in postoperative recovery who just had a central venous catheter inserted. The client begins to complain of chest pain. Upon further assessment, the nurse notes that the client has decreased breath sounds on the affected side. Which action should the nurse do first? Administer oxygen as prescribed Notify the healthcare provider Assist with insertion of chest tube Continue to assess client's respiratory status

Administer oxygen as prescribed

A client's chest tube has accidentally dislodged. What is the nursing action of highest priority? Place the client in a left side-lying position Apply oxygen via non-rebreather mast Apply a petroleum gauze dressing over the site Prepare to reinsert a new chest tube.

Apply a petroleum gauze dressing over the site

Endotracheal intubation and positive-pressure ventilation are instituted because of a client deteriorating respiratory status. What is the priority nursing intervention? Facilitate verbal communication Prepare the client for emergency surgery Maintain sterility of the ventilation system Assess the client's response to the mechanical ventilation

Assess the client's response to the mechanical ventilation

A client is admitted to the hospital with chronic asthma. Which complication should the nurse monitor in this client? Atelectasis Pneumothorax Pulmonary edema Respiratory alkalosis

Atelectasis

A registered nurse is educating a client who has just undergone thoracentesis on the manifestations of pneumothorax. Which statements made by the client indicate effective learning? Select all that apply I'll report any instance of blue skin right away I'll report any feeling of air hunger immediately I'll report any decrease in HR immediately I'll call you right away if my nagging cough disappears I'll call you right away if my shallow breathing goes away

I'll report any instance of blue skin (cyanosis) right away I'll report any feeling of air hunger immediately

A client with a chest tube is to be transported via a stretcher. When transporting the client, what should the nurse do? Keep collection device attached to mechanical suction Keep chest tube clamped distal to the water-seal chamber Keep collection device below the level of the client's chest Keep chest tube and covered with sterile gauze pads taped to the client

Keep collection device below the level of the client's chest

When preparing a child with asthma for discharge, what instructions must the nurse emphasize to the family? Select all that apply. Limit allergens in the home Maintain a dry home environment Avoid placing limits on the child's behavior Continue the medications even if the child is asymptomatic Prevent exposure to infection by having the child tutored at home

Limit allergens in the home Continue the medications even if the child is asymptomatic

The nurse is teaching a client with asthma about using a peak flow meter. Which statement by the client reflects a correct understanding of how to use a peak flow meter? Select all that apply Readings in the green zone mean that my asthma is under control. If I get a reading in the yellow zone, I need to stop what I'm doing and rest, then recheck in an hour. If I get a reading in the red zone, then I need to take my reliever drug and have my wife take me to the hospital. I should check the peak flow readings at least twice a day I don't need to check my peak flow readings if I take a reliever drug.

Readings in the green zone mean that my asthma is under control. If I get a reading in the red zone, then I need to take my reliever drug and have my wife take me to the hospital. I should check the peak flow readings at least twice a day

When caring for a client who has ARDS, the nurse would implement which measure to promote effective airway clearance? Administer sedatives around the clock Turn the client every four hours Increase ventilator settings as needed Suction as needed

Suction as needed

A child with a history of asthma is brought to the emergency department experiencing an acute exacerbation of asthma. Which nursing assessment findings support this conclusion? Select all that apply. Fever Stridor Wheezing Tachycardia Hypotension

Wheezing Tachycardia