Study Adaptive

Atelectasis

A client has chronic asthma. For which complication should the nurse monitor this client?

Administer oxygen at a low concentration to maintain respiratory drive

A client has chronic obstructive pulmonary disease (COPD). To decrease the risk of CO 2 intoxication (CO 2 narcosis), the nurse should:

Quality and depth of respirations

A client is admitted to the emergency department with a stab wound of the chest. What is the priority when the nurse performs a focused assessment of the client's response to this injury?

Carbon dioxide retention

A client is diagnosed with emphysema. For what long-term problem should the nurse monitor this client?

tachycardia

A client is experiencing severe respiratory distress. What response should the nurse expect the client to exhibit?

The disease process and breathing exercises

A client is hospitalized with a diagnosis of emphysema. The nurse provides teaching and should begin with which aspect of care?

Assess for altered breathing patterns

A client is receiving morphine sulfate (MS Contin) for severe metastatic bone pain. To prevent complications from a common, serious side effect of morphine, the nurse should:

Apply a petroleum gauze dressing over the site.

A client's chest tube has accidentally dislodged. What is the nursing action of highest priority?

Schedule nursing activities to allow for rest

A client, complaining of fatigue, is admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease (COPD). To prevent fatigue, the nurse should:

On awakening

A health care provider prescribes daily sputum specimens to be collected from a client. When is the most appropriate time for the nurse to collect these specimens?

Increase fluid intake to at least 2000 mL/day

A 13-year-old child is hospitalized with an exacerbation of chronic bronchitis. What action should a nurse take to decrease retained secretions?

Respiratory acidosis

A nurse is caring for a client after abdominal surgery and encourages the client to turn from side to side and to engage in deep-breathing exercises. What complication is the nurse trying to prevent?

Bronchial obstruction or pleural effusion

A nurse is caring for a client who is admitted to the hospital with severe dyspnea and a diagnosis of cancer of the lung. The nurse concludes that the severe dyspnea probably is caused by:

Wear a particulate respirator when caring for the client.

A nurse receives a call from the emergency department about a client with tuberculosis (TB) who will be admitted to the medical unit. What precautions should the nurse take?

Administer the nebulizer treatment

An 8-year-old child with a history of asthma is brought to the emergency department because of respiratory distress. The nurse immediately places the child in a bed with the head of the bed elevated and administers oxygen by means of a facemask. The health care provider performs a physical assessment, writes prescriptions, and admits the child to the pediatric unit. Which instruction should the nurse carry out first?

Aspirin 325 mg every 4 hours prn for fever higher than 101.4° F.

An 8-year-old child with viral pneumonia is admitted to the pediatric unit. The nurse reviews the instructions from the health care provider. Which prescription should the nurse question?

Respiratory assessment

The nurse is caring for a client one hour after the client had esophageal surgery. The assessment that is the priority for this client is:

Prolonged exhalation to decrease air trapping

The nurse who is teaching the client with chronic obstructive pulmonary disease (COPD) to use pursed-lip breathing (PLB) is aware that this is beneficial for the client through which mechanism?

Naloxone

What drug should a nurse anticipate that the health care provider will prescribe for a client demonstrating clinical manifestations associated with an opioid overdose?

-Count the client's respirations. -Document the intensity of the client's pain. -Verify the number of doses in the locked cabinet before administering the prescribed dose.

What is a nurse's responsibility when administering prescribed opioid analgesics? (Select all that apply.)

Abdominal and irregular

What type of respirations does the nurse expect to identify in a healthy newborn?

Vesicular breath sounds

When auscultating a client's chest, the nurse hears swishing sounds of normal breathing. The nurse should document:

Respiratory alkalosis

When caring for an anxious patient, the nurse should monitor for which signs of hyperventilation?

Cover the opening with the cleanest material available

While walking in a hallway, a client with a chest tube becomes confused and pulls the chest tube out. What is the nurse's immediate action?