Medical-Surgical: Respiratory

A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. The nurse collects additional data from the client. Which of the following findings is an indication of pulmonary embolism?

Sudden onset of dyspnea

A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements should the nurse make?

"I will show you how to splint your incision while coughing."

A nurse is assisting with discharge teaching for a client who is postoperative following a rhinoplasty. Which of the following instructions should the nurse include?

"Lie on your back with your head elevated 30* when resting"

A nurse in a clinic is reinforcing teaching with a client who is to have a tuberculin skin test. Which of the following information should the nurse include?

"You must return to the clinic to have the test read in 2 or 3 days."

A nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax and significant bruising of the left chest following a motor-vehicle crash. The client reports severe left chest pain on inspiration. The nurse should hear which of the following findings when auscultating the client's lung sounds?

Absence of breath sounds

A nurse is preparing to assist a provider to withdraw arterial blood from a clients radial artery for measurement of ABG. Which of the following actions should the nurse plan to take?

Check the circulation in the client's ulnar artery prior to obtaining the specimen.

A nurse is assisting with the care for a client who had a chest tube inserted 12 hr ago. The nurse notes a crackling sensation upon palpation of the skin on the right side of the clients chest. The nurse should notify the charge nurse that the client is demonstrating a clinical manifestation of which of the following complications?

Crepitus Cryptus also called subcutaneous emphysema is a course crackling sensation that the nurse can feel when palpating the skin surface over the client's chest crepitus indicates the air leaks into the subcutaneous tissue which is often a clinical manifestation of pneumothorax.

A nurse is assisting with the development of a teaching plan about how to prevent an acute asthma attack for a young adult client. Which of the following points should the nurse plan to discuss first?

Determine the client's perception of the disease process and what might have triggered the current attack

A nurse in an urgent care clinic is collecting data from a client who reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of inhalation of anthrax?

Dry cough

A nurse is assisting with the plan of care for a client who had chronic obstructive pulmonary disease and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan?

Eat high-calorie foods first. The client with COP D often experiences early satiety. therefore the client should eat calorie dense food 1st.

A nurse is reinforcing teaching about pursed-lip breathing for a client who has chronic obstructive pulmonary disease and emphysema. The nurse should explain that this breathing technique does which of the following?

Keeps the airway open on exhalation ​

A nurse in a provider's office is collecting data from a client who is states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis?

Night sweats Night sweats, fever, anorexia and weight-loss are clinical manifestation of tuberculosis.

A nurse on a medical unit is assisting with the care of a client who aspirated gastric contents prior to admission. The provider prescribed 100% oxygen by nonrebreather mask after the client reported severe dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress syndrome (ARDS)?

PaO2 50 mm Hg The client who has manifestations of ARDS has a low PaO 2 level even with the administration of oxygen hypoxemia after treatment with oxygen is a manifestation of ARDS.

A nurse is caring for an older adult client who has chronic obstructive pulmonary disease and pneumonia. The nurse should monitor the client for which of the following acid-base imbalances?

Respiratory acidosis

A nurse is assisting the provider to prepare a client for a thoracentesis. The nurse should instruct the client that which of the following positions will be used for this procedure?

Sitting while leaning forward over the bedside table

A nurse is assisting with the plan of care for a client following placement of a chest tube 1 hr ago. Which of the following actions should the nurse include in the plan of care?

Tape all connections between the chest tube and drainage system

A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the clients airway secretions?

The client has coarse crackles in the lung fields.

A nurse is collecting data from a client who has a prescription for cisplatin IV to treat lung cancer. Which of the following client findings is an adverse effect of this medication?

Tinnitus

A nurse is reinforcing teaching with a client who has cystic fibrosis and a prescription for daily chest physiotherapy. The nurse should instruct the client that which of the following is the purpose of these treatments?

To mobilize recreations in the airwaySatiety. The purpose of chest physiotherapy is to loosen the client's accretion and promote drainage of secretions from the lungs chest physiotherapy includes percussion vibration and promotion of drainage by gravity.

A nurse is reinforcing teaching with a client about pulmonary function tests. Which of the following tests measures the volume of air the lungs can hold at the end of maximum inhalation?

Total lung capacity Pulmonary function tests are used to examine the effectiveness of the lungs and identify lung problems total lung capacity measures the amount of air the lungs can hold after maximum inhalation.