ATI Respiratory

A nurse is caring for a client who is hyper ventilating. The nurse should identify that which of the following circumstances can contribute to hyperventilation? (Select all that apply)

Pain Anxiety Fear

A nurse is reviewing the anatomy of the pulmonary system. How many lobes are in the left lung?

2

Which of the following documentation provides the most accurate information to include in the medical record?

Breath sounds have wheezing in all lobes. No intercostal retraction present. Non-productive cough

A nurse is completing a respiratory assessment of a client. Place the following steps in order when auscultating the posterior chest of the client.

3 inches to the side of the spine at C7 3 inches to the side of the spine at T4 Mid axillary line at T7 3 inches to the side of the spine at the intercostal space of the eighth rib

A nurse is preparing education material for a client to maintain a healthy respiratory status. Which of the following information should the nurse include in the materials? (Select all that apply)

Instruct and encourage the client to obtain the influenza vaccine Counsel the client about smoking cessation Educate the client that hand hygiene is the first line of defense to prevent illness

A nurse is assessing a client and notes minimal air movement with the client's inspirations. Which of the following should the nurse recognize as a contributing factor? (Select all that apply)

Pneumonia Chest trauma

Review the following client responses during the gathering of subjective data. Which client responses should prompt you to investigate further by conducting a comprehensive assessment? (Select all that apply)

A, B, C, D

A nurse is inspecting a client and documents of the spine is straight and the movement upon inspiration is symmetrical. Which of the following describes the location of the nurse is documenting?

The posterior chest

The nurse is inspecting a client's anterior chest. Which of the following findings should the nurse expect?

The ribs are sloping downward at an angle

A nurse is caring for a client who is experiencing respiratory distress. Which of the following position should the nurse assess the client into?

Tripod position

Which normal breath sounds are heard over the largest portions of the lungs and are soft-sounding like wind blowing through trees

Vesicular