Pulmonary disorders- prepu

the ICU nurse is caring for a client who was admitted with a diagnosis of smoke inhalation. the nurse knows that this client is at increased risk for which of the following? ARDS lung cancer bronchitis tracheobronchitis

ARDS

a nurse is caring for a group of clients on a medical-surgical floor. which client is at greatest risk for developing pneumonia? a client who is receiving acetaminophen for pain a client who ambulates in the hallway every 4 hours a client with a nasogastric tube a client with a history of smoking two packs of cigarettes per day until quitting 2 years ago

a client with a NG tube

a client is being treated in the ED for respiratory distress coupled with bacterial pneumonia. the client has no medical history. however, the client works in a coal mine and smokes 10 cigarettes a day. the nurse anticipates which order based on the client's immediate needs? completion of a 12 lead ECG administration of antibiotics client education: avoidance of irritants like smoke and pollutants administration of corticosteroids and bronchodilators

administer antibiotics

a health care provider orders a beta2-adrenergic agonist agent (bronchodilator) that is short acting and administered by inhaler. which drug would the nurse expect to administer to the client? albuterol isoproterenol ipratropium bromide formoterol

albuterol

during a teaching session, a parent asks the nurse which inhaler to use for quick relief if the child has an asthma attack. what teaching should the nurse review with the parent? albuterol is a short acting inhalant and will relax muscles quickly cromolyn sodium is an inhalant used for asthma theophylline is a tablet, so it will take a while to work salmeterol is a long acting inhalant and will not provide relief for an asthma attack

albuterol is a short-acting inhalant and will relax muscles quickly

a nurse is teaching a client about asthma. which symptom should be included with the teaching? SATA dyspnea wheezing crackles cough chest tightness

chest tightness, wheezing, dyspnea, cough

an asthma nurse educator is working with a group of adolescent asthma clients. what intervention is most likely to prevent asthma exacerbations among these clients? encouraging clients to carry a corticosteroid rescue inhaler at all times ensuring that clients keep their immunizations up to date teaching the clients to utilize alternative therapies in asthma management educating clients about recognizing and avoiding asthma triggers

educating clients about recognizing ad avoiding asthma triggers

you are caring for a client who has been diagnosed with viral pneumonia. you are making a plan of care for this client. what nursing interventions would you put into the plan of care for a client with pneumonia? offer nutritious snacks 2 times a day give antibiotics as ordered place client on bed rest encourage increased fluid intake

encourage increased fluid intake

the nurse has instructed the client to use a peak flow meter. the nurse evaluates client learning as satisfactory when the client: records in a diary the number achieved after one breath inhales deeply and holds the breath sits in a straight-back chair and leans forward exhales hard and fast with a single blow

exhales hard and fast with a single blow

a client who sustained a pulmonary contusion in a motor vehicle crash develops a pulmonary embolism what is the priority nursing concern with this client? acute pain ineffective breathing pattern excess fluid volume activity intolerance

ineffective breathing pattern

a client diagnosed with ARDS is restless and has a low oxygen saturation level. if the client's condition does not improve and the oxygen saturation level continues to decrease, what procedure will the nurse expect to assist with in order to help the client breathe more easily? intubate the client and control breathing with mechanical ventilation increase oxygen administration schedule the client for pulmonary surgery administer a large dose of furosemide (lasix) IVP stat

intubate the client and control breathing with mechanical ventilation

a nurse assesses ABG results for a patient in acute respiratory failure. which results are consistent with this disorder?

low ph, low Po2

a firefighter was trapped in a fire and is admitted to the ICU for smoke inhalation. after 12 hours, the firefighter is exhibiting signs of acute respiratory distress syndrome (ARDS) and is intubated. which other supportive measures should be initiated in this client? psychological counseling nutritional support high-protein oral diet occupational therapy

nutritional support

a gerontologic nurse is teaching a group of medical nurses about the high incidence and mortality of pneumonia in older adults. what is a contributing factor to this that the nurse should describe? OA have less compliant lung tissue than younger adults OA often cannot tolerate the most common antibiotics used to treat pneumonia OA often lack the classic signs and symptoms of pneumonia OA are not normally candidates for pneumococcal vaccination

older adults often lack the classic signs and symptoms of pneumonia

a client suspected of developing ARDS is experiencing anxiety and agitation due to increasing hypoxemia and dyspnea. which intervention may improve oxygenation and provide comfort for the client? force fluids for the next 24 hours assist the client into a chair position the client in the prone position administer small doses of pancuronium

position the client in the prone position

a client has been brought to the ED by the paramedics. the client is suspected of having ARDS. what intervention should the nurse first anticipate? setting up oxygen at 5L/min by nasal cannula preparing to assist with intubating the client setting up a nebulizer to administer corticosteroids performing deep suctioning

preparing to assist with intubating the client

a patient is being treated for status asthmaticus. what danger sign does the nurse observe that can indicate impending respiratory failure? metabolic alkalosis respiratory acidosis metabolic acidosis respiratory alkalosis

respiratory acidosis

influenza, an annual epidemic in the us, creates a significant increase in hospitalizations and an rise in the death rates from pneumonia and cardiovascular disease. besides death, what is the most serious complication of influenza? tracheobronchitis viral pneumonia cardiovascular disease staphylococcal pneumonia

staphylococcal pneumonia

a nurse admits a new client with acute respiratory failure. what are the clinical findings of a client with acute respiratory failure? insidious onset of lung impairment in a client who had compromised lung function sudden onset of lung impairment in a client who had normal lung function insidious onset of lung impairment in a client who had normal lung function sudden onset of lung impairment in a client who had compromised lung function

sudden onset of lung impairment in a client who had normal lung function

the nurse assesses a patient for a possible pulmonary embolism. what frequent sign of pulmonary embolus does the nurse anticipate finding on assessment? syncope cough tachypnea hemoptysis

tachypnea

a nurse is developing a teaching plan for a client with asthma. which teaching point has the highest priority? avoid goose down pillows change filters on heating and air conditioning units frequently take ordered medications as scheduled avoid contact with fur-bearing animals

take ordered medication as scheduled

a client is being discharged following pelvic surgery. what would be included in the patient care instructions to prevent the development of a pulmonary embolus? wear tight-fitting clothing consume the majority of daily fluid intake prior to bed tense and relax muscles in the lower extremities begin estrogen replacement

tense and relax muscles in the lower extremities

a nurse is caring for a client experiencing an acute asthma attack. the client stops wheezing and breath sounds aren't audible. this change occurred because: the airways are so swollen that no air can get through the swelling has decreased the attack is over crackles have replaced wheezes

the airways are so swollen that no air can get through

the nurse is caring for a client with suspected ARDS with a pO2 of 53. the client is placed on oxygen via face mask and the Po2 remains the same. what does the nurse recognize as a key characteristic of ARDS? diminished alveolar dilation tachypnea increased pao2 unresponsive arterial hypoxemia

unresponsive arterial hypoxemia

a client at risk for pneumonia has been ordered an influenza vaccine. which statement from the nurse bet explains the rationale for this vaccine? influenza is the major cause of death in the US getting the flu can complicate pneumonia viruses like influenza are the most common cause of pneumonia influenza vaccine will prevent typical pneumonias

viruses like influenza are the most common cause of pneumonia