Oxygenation 80 point test

ask the patient about their allergies

A 55-year-old client is scheduled for spirometry testing for evaluation of chronic obstructive pulmonary disease (COPD). The nurse

6-12 months

After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against tuberculosis. The client's daughter asks the nurse how long the drug must be taken. What is the usual duration of prophylactic isoniazid therapy?

inflammation

An 83-year-old client was originally admitted for surgery and has suffered multiple postoperative complications. The pulmonologist has scheduled a thoracentesis to obtain a sample of pleural fluid or a biopsy specimen from the pleural wall for diagnostic purposes. What does serous fluid indicate?

cautious hydration

An 87-year-old patient has been hospitalized with pneumonia. Which nursing action would be a priority in this patient's plan of care?

take antibiotics for entire 10 days

During discharge teaching, a nurse is instructing a client about pneumonia. The client demonstrates his understanding of relapse when he states that he must:

manage decreased energy levels

It is important for the nurse to provide required information and appropriate explanations of diagnostic procedures to clients with respiratory disorders in order to

It contracts and flattens.

What happens to the diaphragm during inspiration?

orthopnea

When assessing a client, which adaptation indicates the presence of respiratory distress?

wheezes

While auscultating the lungs of a client with asthma, the nurse hears a continuous, high-pitched whistling sound on expiration. The nurse will document this sound as which of the following?

How these issues affect the client's quality of life

You are assessing the respiratory system of a client just admitted to your unit. What do you know to assess in addition to the physical and functional issues related to breathing?

rhonchi

A client with chronic bronchitis is admitted to the health facility. Auscultation of the lungs reveals low-pitched, rumbling sounds. Which of the following describes these sounds?

Use of accessory muscles to breathe Purulent sputum with frequent coughing

A client with chronic bronchitis is admitted with an exacerbation of symptoms. During the nursing assessment, the nurse will expect which of the following findings? Select all that apply.

give the nebulizer treatment herself

A client with chronic obstructive pulmonary disease tells a nurse that he feels short of breath. The client's respiratory rate is 36 breaths/minute and the nurse auscultates diffuse wheezes. His arterial oxygen saturation is 84%. The nurse calls the assigned respiratory therapist to administer an ordered nebulizer treatment. The therapist says, "I have several more nebulizer treatments to do on the unit where I am now. As soon as I'm finished, I'll come and assess the client." The nurse's most appropriate action is to:

Administering a prn cough suppressant

A client with exacerbation of chronic obstructive pulmonary disease (COPD) is scheduled for a thoracentesis. Which nursing intervention would be appropriate for client saftey?

atelectasis

A critical-care nurse is caring for a postoperative patient following lung surgery. The patient has a shallow, monotonous respiratory pattern and is reluctant to cough. What may the patient may be at an increased risk for?

1.4L

A client admitted with pneumonia has a history of lung cancer and heart failure. A nurse caring for this client recognizes that he should maintain adequate fluid intake to keep secretions thin for ease in expectoration. The amount of fluid intake this client should maintain is:

cover their mouth when coughing

An adult patient has tested positive tuberculosis (TB). While engaging in patient teaching, the nurse should explain to the patient that he should implement what to prevent spreading the infection?

Screening/monitoring of individuals at risk

An employee approaches the occupational health nurse with concerns about exposures to toxins in the workplace. The employee states that he wears his protective devices to minimize exposure but wants to know what the occupational health nurse can do control exposure. What is a strategy of the occupational health nurse to control exposure to toxins in the workplace?

vitamin B6

Which vitamin is usually administered with isoniazid (INH) to prevent INH-associated peripheral neuropathy?

primary drug resistance

Resistance to a first-line antituberculotic agent in a client who has not received previous treatment is referred to as

redness and induration

When interpreting the results of a Mantoux test, the nurse explains to the client that a reaction occurs when the intradermal injection site shows

barrel chest

Which assessment finding would be most consistent with advanced emphysema?

respiratory distress

The client has just had an invasive procedure to assess the respiratory system. What does the nurse know should be assessed on this client?

The most important risk factor for COPD is smoking

The clinic nurse is caring for a patient who has just been diagnosed with chronic obstructive pulmonary disease (COPD). The patient asks the nurse what he could have done to minimize the risk of contracting this disease. What would be the nurse's best answer?

a puncture at the radial artery

The nurse is caring for a client who is in respiratory distress. The physician orders arterial blood gases (ABGs) to determine various factors related to blood oxygenation. What site can ABGs be obtained from?

for maintaining muscle strength

The nurse is caring for a client with tuberculosis. Why should the nurse always encourage a client with tuberculosis to perform active range-of-motion (ROM) exercises three times a day?

incentive spirometry

The nurse is caring for a patient at risk for atelectasis. The nurse implements a first-line measure to prevent atelectasis development in the patient. What is an example of a first-line measure to minimize atelectasis?

Take a slow, deep inhalation from the device. Activate the MDI once. The device may increase delivery of the MDI medication

The nurse is teaching the client about use of the pictured item with a metered-dose inhaler (MDI). The nurse instructs the client as follows: (Select all that apply.)

Faint with a prolonged expiratory phase

The nursing instructor is talking about emphysema with her class of nursing students. The instructor describes the breath sounds that would be heard when auscultating the chest. How would the instructor describe the breath sounds?

infection

The nursing instructor is talking with senior nursing students about diagnostic procedures used in respiratory diseases. The instructor discusses thoracentesis, defining it as a procedure performed for diagnostic purposes or to aspirate accumulated excess fluid or air from the pleural space. What would the instructor tell the students purulent fluid indicates?

encourage breathing exercises

A client is recovering in the hospital from a bout with empyema. What intervention would the nurse implement to promote healing and oxygenation?

Tracheobronchitis

A client presents to the walk-in clinic complaining of a dry, irritating cough and production of a minute amount of mucus-like sputum. The patient complains of soreness in her chest in the sternal area. What would the nurse suspect is the diagnosis of this patient?

I'll stop being contagious when I have a negative acid-fast bacilli test

A client who has started therapy for drug-resistant tuberculosis demonstrates understanding of tuberculosis transmission when he says:

Substernal pain Dyspnea Fatigue

A client with COPD has been receiving oxygen therapy for an extended period. What symptoms would be indicators that the client is experiencing oxygen toxicity? Select all that apply.

relieving symptoms

A client with acute tracheobronchitis reports a low-grade fever, chills, headache, and a productive cough. What is the primary treatment strategy for this client?

Thick mucus Swelling of bronchial membranes Airway remodeling

A client with asthma has developed obstruction of the airway. Which of the following does the nurse understand as having potentially contributed to this problem? Choose all that apply.

Placing the client in respiratory isolation

A client is admitted to the facility with a productive cough, night sweats, and a fever. Which action is most important in the initial care plan?

Cromolyn sodium

A client has asthma. Which of the following medications is a commonly prescribed mast cell stabilizer used for asthma?

Respiratory alkalosis

A client has been classified as status asthmaticus. The nurse understands that this client will likely initially exhibit symptoms of:

The client has a partial pressure of arterial oxygen (PaO2) value of 90 mm Hg or higher.

A client has been hospitalized for treatment of acute bacterial pneumonia. Which outcome indicates an improvement in the client's condition?

encouraging increased fluid intake

A client hospitalized with pneumonia has thick, tenacious secretions. Which intervention should the nurse include when planning this client's care?

Decreased oxygen requirements

A home health nurse sees a client with end-stage chronic obstructive pulmonary disease. An outcome identified for this client is preventing infection. Which finding indicates that this outcome has been met?

infection

A nurse admits a patient to her unit with a presumptive diagnosis of pneumonia. When a sputum specimen is obtained, the nurse notes that the sputum is greenish and copious. The nurse notifies the patient's physician because these symptoms are indicative of what?

Because smoking damages the ciliary cleansing mechanism of the respiratory tract

A nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the rationale behind this nursing action?

"I coughed that up about 8 hours ago."

A nurse enters a client's room and observes a container with sputum. Upon questioning about the specimen, which of the following items of information from the client would necessitate the nurse to obtain a new specimen?

A positive reaction indicates that the client has been exposed to the disease.

A nurse is administering a purified protein derivative (PPD) test to a client. Which statement concerning PPD testing is true?

Dyspnea and wheezing

A nurse is assessing a client who comes to the clinic for care. Which findings in this client suggest bacterial pneumonia?

Using strict hand hygiene

A nurse is caring for a client who is at high risk for developing pneumonia. Which intervention should the nurse include on the client's care plan?

a client with a nasogastric tube

A nurse is caring for a group of clients on a medical-surgical floor. Which client is at greatest risk for developing pneumonia?

impaired gas exchange

A nurse is concerned that a client may develop postoperative atelectasis. Which nursing diagnosis would be most appropriate if this complication occurs?

assist the client to a sitting position on the edge of the bed, leaning over the bedside table

A nurse is preparing a client with a pleural effusion for a thoracentesis. The nurse should:

It helps prevent early airway collapse

A nurse is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?

A client experiencing hypothermia

A nurse would question the accuracy of a pulse oximetry evaluation in which of the following conditions?

Daily doses of isoniazid, 300 mg for 6 months to 1 year

A physician determines that a client has been exposed to someone with tuberculosis. The nurse expects the physician to order which treatment?

"I need to hold my breath as long as possible after I take a deep inhalation."

A physician orders metaproterenol (Alupent) by metered-dose inhalation four times daily for a client with acute bronchitis. Which statement by the client indicates effective teaching about this medication?

eosinophils

A sputum study has been ordered for your patient with breathing problems. The physician is assessing for hypersensitivity states. What would you expect the sputum to show if a hypersensitivity state is present?

pneumonia

Preventing falls in older adults directly correlates to preventing bone fractures. If an older adult falls and fractures one or more ribs, what is a possible complication that could develop after the fracture?

Barrel Chest

The nursing instructor is teaching a class of level I nursing students how to do a physical assessment on a patient with lung disease and chronic hyperinflation of the lungs. What would a nurse most likely assess in this type of patient?

warm and humidify inspired air

The nursing instructor is teaching a pre-nursing pathophysiology class. The class is covering the respiratory system. The instructor explains that the respiratory system is comprised of both the upper and lower respiratory system. The nose is part of the upper respiratory system. The instructor continues to explain that the nasal cavities have a vascular and ciliated mucous lining. What is the purpose of the vascular and ciliated mucous lining of the nasal cavities?

Wear protective attire and devices when working with the toxic substance

The occupational health nurse is providing information to new employees. A new employee asks the occupational health nurse to discuss safety related to working with toxic substances. The employee is asking about measures to prevent inhalation exposure of the substances. Which statement by the nurse will decrease the patient's exposure risk to toxic substances?

fibrotic changes in the lung

The occupational nurse is completing routine assessments on the employees where you work. What might be revealed by a chest radiograph for a client with occupational lung diseases?

tidal volume

The term for the volume of air inhaled and exhaled with each breath is

Legionnaires disease

Which community-acquired pneumonia demonstrates the highest occurrence during summer and fall?

receiving vaccinations

Which should a nurse encourage in clients who are at the risk of pneumococcal and influenza infections?

"Because I had a previous reaction to the test, this time I need to get a chest X-ray."

Which statement indicates a client understands teaching about the purified protein derivative (PPD) test for tuberculosis?

Pneumocystis

Which type of pneumonia has the highest incidence in clients with AIDS and clients receiving immunosuppressive therapy for cancer?

influenza

Which vaccine should a nurse encourage a client with chronic obstructive pulmonary disease (COPD) to receive?

A nurse washes her hands before beginning client care

Which would be least likely to contribute to a case of hospital-acquired pneumonia?

presence of cough and gag reflex

You are caring for a patient who has returned to the unit following a bronchoscopy. The patient is asking for something to drink. Which criterion will determine when you will allow the patient to drink fluids?

impaired gas exchange

You are caring for a patient with a lower respiratory tract infection. You know that this type of infection causes what?

Interdermal injection into the inner forearm

You are helping to give Mantoux tests to children who are being registered for kindergarten in your community. How should you administer this test?

a bronchospasm

You are the emergency-department nurse caring for a patient complaining of dyspnea. You assess the patient's chest and hear wheezing throughout the lung fields. What might this indicate?

Abstain from food for at least 6 hours before the procedure

Your client is scheduled for a bronchoscopy to visualize the larynx, trachea, and bronchi. What precautions would you recommend to the client before the procedure?