27-31 questions
A client is admitted to the surgical floor with chest pain, shortness of breath, and hypoxemia after having a knee replacement. What primary assessment will the nurse make while preparing the client for a computed tomography (CT) scan?
"Are you allergic to iodine or shellfish?"
The nurse is preparing a client with possible pulmonary embolism for a CT scan with contrast. Prior to the scan, which of these assessment questions is essential for the nurse to ask?
"Did you take metformin today?"
Which assessment finding in the client with exacerbation of emphysema requires intervention by the nurse?
Bronchial breath sounds heard at the bases
The nurse is assessing a client with chronic bronchitis who smoked 3 packs of cigarettes daily for 32 years. How does the nurse document pack-year history of smoking in the medical record?
Client has a 96 pack-year history
Which client does the charge nurse on the medical-surgical unit assign to an RN who has floated from the postanesthesia care unit (PACU)?
Client who had 1200 mL of pleural fluid removed by thoracentesis
The nurse is working in an urgent care clinic where four clients are waiting to be seen. Which client needs to be evaluated first by the nurse?
Client who is speaking in three-word sentences and has an SpO2 of 90%
The RN has received report about four clients. Which client needs the most immediate assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
The home health nurse is assigned to visit these clients when a change in agency staffing requires that one of the clients be rescheduled for a visit on the following day. Which client will be best to reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2 levels of 91% to 93%
The nurse is caring for a client who just returned from an open lung biopsy and has a prescription for morphine by client controlled analgesia (PCA). Which of these actions to detect early opioid induced respiratory depression does the nurse recommend?
Continuous capnography
The nurse is caring for a client with heart failure and acute kidney injury. For which of these breath sounds will the nurse assess?
Crackles
A client is admitted to the medical floor with a new diagnosis of lung cancer. How will the nurse initially assist the client in managing the anxiety associated with the new diagnosis?
Encourage the client to ask questions and verbalize concerns.
The nurse in the outpatient clinic is scheduling a client for pulmonary function tests. When teaching the client about pulmonary function testing (PFT), which point is essential for the nurse to emphasize?
Ensure the client does not smoke for 6 hours before the test
The nurse is preparing the client for a diagnostic bronchoscopy. Which nursing intervention is essential for the nurse to perform prior to the procedure?
Ensure the client has had nothing by mouth.
A client with asthma reports shortness of breath. Which of these findings does the nurse anticipate when assessing this client's chest?
Expiratory wheezing not cleared by coughing
A client has returned to the medical surgical unit after a bronchoscopy. Which nursing task is best for the charge nurse to delegate to the experienced unlicensed assistive personnel (UAP)?
Monitor blood pressure and pulse
The RN and the LPN/LVN are working together to provide care for a group of clients on a medical surgical unit. Which of these actions is most appropriate for the RN to perform?
Plan client and family teaching regarding upcoming pulmonary function testing
When caring for a client who has just undergone thoracentesis, which of these interventions does the nurse perform first?
Schedule an immediate chest x-ray.
The nurse is caring for four clients who came to the emergency department with a productive cough. Which of these clients requires immediate intervention by the nurse?
The client with pink, frothy sputum
The nurse in a life care community for geriatric clients is providing education to a group of residents on expected changes during aging. Which of these activities does the nurse encourage the older adult to perform to maintain respiratory function?
Walk as tolerated each day.
The nurse in the medical clinic is performing an assessment on an older adult client. Which finding requires further assessment by the nurse?
inability to state name and date of birth