Respiratory

A client is diagnosed with thrombophlebitis. The client states, "I am worried about getting a clot in my lungs that will kill me." The nurse's initial response should be to: 1.Discuss the client's concerns 2.Clarify the misconception 3.Explain measures to prevent pulmonary emboli 4.Teach recognition of early symptoms of pulmonary emboli

1.Discuss the client's concerns

The nurse is developing a plan of care for a client that had a chest tube removed. To promote respiratory exchange, the plan should include: 1.Careful monitoring for crepitus 2.Coughing and deep breathing every hour 3.Bed rest with range-of-motion exercises 4.Covering the chest tube site with a sterile dressing

2.Coughing and deep breathing every hour

A nurse repositions a client who is diagnosed with emphysema to facilitate breathing. Which position facilitates maximum air exchange? 1.Supine 2.Orthopneic 3.Low-Fowler 4.Semi-Fowler

2.Orthopneic

A nurse who is caring for a client after head and neck surgery is concerned with the client's anger and depressive episodes about the effects of surgery. The action that indicates the client is reaching acceptance is: 1.Smiling and becoming more extroverted 2.Performing self-care of the tracheal stoma 3.Ambulating in the hall and sitting in the lounge 4.Allowing a family member to participate in care

2.Performing self-care of the tracheal stoma

A client has a persistent productive cough that becomes blood tinged. A needle biopsy is scheduled. The client tells the nurse, "During the procedure, a needle will be inserted into my back to collapse my lung." Which is the most appropriate response by the nurse? 1."Your perception of the diagnostic test is incorrect." 2."I will ask the primary health care provider to clarify the diagnostic procedure." 3."Tell me more about the conversation you had with your health care provider." 4."The procedure will be fast so that you will experience minimal discomfort."

3."Tell me more about the conversation you had with your health care provider."

The nurse auscultates fine crackles in a client who has been in respiratory distress. When the nurse is providing information to the client about crackles, which would be appropriate to include? 1.They are indicative of pleural rubbing. 2.They are signs of bronchial constriction. 3.Crackles are located in the smaller air passages. 4.Crackles are heard during respiratory expiration.

3.Crackles are located in the smaller air passages.

A health care provider prescribes oxygen given in low concentration rather than in high concentration to a client with chronic obstructive pulmonary disease (COPD). What does this prevent? 1.Decrease in red cell formation 2.Rupture of emphysematous bullae 3.Depression of the respiratory center 4.Excessive drying of the respiratory mucosa

3.Depression of the respiratory center

Nursing intervention for a client who is hyperventilating should focus on providing reassurance and: 1.Administering oxygen 2.Using an incentive spirometer 3.Having the client breathe into a paper bag 4.Administering an IV containing bicarbonate ions

3.Having the client breathe into a paper bag

The nurse is caring for a client that has a lesion in the right upper lobe. A diagnosis of tuberculosis (TB) has been made. What are the clinical manifestations of tuberculosis? 1.Frothy sputum and fever 2.Dry cough and pulmonary congestion 3.Night sweats and blood-tinged sputum 4.Productive cough and engorged neck veins

3.Night sweats and blood-tinged sputum

A nurse is caring for clients with various health problems. These problems include scarlet fever, otitis media, bacterial endocarditis, rheumatic fever, and glomerulonephritis. What common factor linking these diseases should the nurse consider? 1.Are self-limiting infections caused by spirilla 2.Can be controlled through childhood vaccination 3.Are caused by parasitic bacteria that normally live outside the body 4.Result from streptococcal infections that enter via the upper respiratory tract

4.Result from streptococcal infections that enter via the upper respiratory tract

A client is admitted to the hospital for medical treatment of bronchopneumonia. What test result should the nurse examine to help determine the effectiveness of the client's therapy? 1.Bronchoscopy 2.Pulse oximetry 3.Pulmonary function studies 4.Culture and sensitivity tests of sputum

4.Culture and sensitivity tests of sputum

A client is admitted with suspected atelectasis. Which clinical manifestation does the nurse expect to identify when assessing this client? 1.Slow, deep respirations 2.Normal oral temperature 3.Dry, unproductive cough 4.Diminished breath sounds

4.Diminished breath sounds