Respiratory Disorders (ATI)

A nurse in a provider's office is collecting data from a client who states he was recently exposed to TB. What is a clinical manifestation of pulmonary TB?

night sweats

Which of the following is an indication for the prodromal stage of inhalation anthrax? -dry cough -rhinitis -sore throat -swollen lymph nodes

-dry cough

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? -"If the test is positive, it means you have an active case of TB" -"If the test is positive, you should have another tuberculin skin test in 3 weeks." -"You must return to the clinic to have the test read in 2 or 3 days." -"A nurse will use a small lancet to scratch the skin of your forearm before applying the tuberculin substance."

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

What can indicate a possible pneumothorax?

-absence of lung sounds upon auscultation

A nurse is preparing to assist a provider withdraw arterial blood from a client's radial artery for an ABG measurement. Which of the following actions should the nurse take? -hyperventilate the client with 100% oxygen prior to obtaining the specimen -apply ice to the site after obtaining the specimen -check the circulation in the client's ulnar artery prior to obtaining the specimen -release pressure applied to the puncture site 1 min after needle is withdrawn

-check the circulation in the client's ulnar artery prior to obtaining the specimen

A nurse is assisting the provider to prepare a client for a thoracentesis. The nurse should instruct the client which of the following positions will be used for this procedure? -lying flat on affected side -prone with arms raised over the head -supine with the head of the bed elevated -sitting while leaning forward over the bedside table

-sitting while leaning forward over the bedside table (This position maximizes the space between the client's ribs & allows for aspiration of accumulated fluid & air.)

A nurse is assisting with the plan of care for a client following placement of a chest tube 1 hour ago. Which of the following actions should the nurse include in the plan of care? -clamp the chest tube if there is continuous bubbling in the water seal chamber -keep the chest tube drainage system level with the right atrium -tape all connections between chest tube and drainage system -empty the collection chamber and empty every 8 hours

-tape all connections between chest tube and drainage system (The nurse should tape all connections to make sure the system is airtight & prevent the chest tube from accidentally disconnecting.)

A nurse is reinforcing teaching with a client with 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 encourage deep breaths -to mobilize secretions in the airway -to dilate the bronchioles -to stimulate the cough reflex

-to mobilize secretions in the airway (the purpose of chest physiotherapy is to promote drainage of secretions in the lungs)

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? -vital lung capacity -total lung capacity -functional residual capacity -residual volume

-total lung capacity (PFTs are used to examine the effectiveness of the lungs and identify the lung problems. Total lung capacity measure the amount of air lungs can hold after maximum inhalation)

A nurse is assisting with the plan of care for a client who has COPD & is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan? -increased water intake -eat high-calorie food first -perform active ROM before meals -keep saltine crackers nearby for snacking

eat high-calorie foods first (clients with COPD feel full sooner, therefore should eat high-calorie foods first)

A nurse is caring for an older adult client who has COPD and pneumonia. The nurse should monitor the client for what acid-base imbalance?

respiratory acidosis