ms 21 ?
A physician stated to the nurse that the patient has fluid noted in the pleural space and will need a thoracentesis. The nurse would expect that the physician will document this fluid as ?
Pleural effusion
What dietary recommendations should a nurse provide a patient with a lung abscess?
A diet rich in protein
Emphysema is described as?
A disease of the airways characterized by destruction of the walls of overdistended alveoli
A physician orders a beta2 adrenergic-agonist agent (bronchodilator) that is short-acting and administered only by inhaler.
Albuterol
defining emphysema
An abnormal distention of the air spaces with destruction of the alveolar walls
The nurse is evaluating the diagnostic studies data on a patient with suspected cystic fibrosis. Which of the following tests is associated with a diagnosis of cystic fibrosis?
An elevated sweat chloride concentration test
Which of the following is the most common chronic disease of childhood?
Asthma
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?
Atelectasis
You learn that the most common symptoms of asthma are what?
Bilateral wheezes
Which of the following is a sign and symptom that identifies viral pneumonia?
Blood cultures are sterile.
What are complications that can result from pneumonia?
CHF • Shock • Septicemia
Which of the following terms refers to lung tissue that has become more solid in nature due to a collapse of alveoli or an infectious process?
Consolidation
The admitting nurse is assessing a client with COPD. The nurse auscultates diminished breath sounds, which signify changes in the airway. These changes indicate to the nurse to monitor the patient for what?
Dyspnea and hypoxemia
The nurse implements a first-line measure to prevent atelectasis development in the patient
Incentive spirometry
A client hospitalized with pneumonia has thick, tenacious secretions. Which intervention should the nurse include when planning this client's care?
Encouraging increased fluid intake
Histamine, a mediator that supports the inflammatory process in asthma, is secreted by
Mast cells
When caring for a client with acute respiratory failure, the nurse should expect to focus on resolving which set of problems
Hypercapnia, hypoventilation, and hypoxemia
main treatment for tb
INH
A client has intermittent asthma attacks. Which of the following therapies does the nurse teach the client to use at home when experiencing an asthma attack?
Inhaled albuterol (Ventolin)
You are helping to give Mantoux tests to children who are being registered for kindergarten in your community. How should you administer this test?
Interdermal injection into the inner forearm
A client being seen in the emergency department has labored respirations. Auscultation reveals inspiratory and expiratory wheezes. Oxygen saturation is 86%. The client was nonresponsive to an albuterol (Ventolin) inhaler and intravenous methylprednisolone (Solu-Medrol). The nurse administers the following prescribed treatment first:
Oxygen therapy through a non-rebreather mask
A client is being seen in the emergency department for exacerbation of chronic obstructive pulmonary disease (COPD). The first action of the nurse is to administer which of the following prescribed treatments?
Oxygen through nasal cannula at 2 L/minute
As status asthmaticus worsens, the nurse would expect which acid-base imbalance?
Respiratory acidosis
inhaler instructions
attach the stem shake exhale slowly through pursed lips seal lips around mouthpiece compress canister release the pressure on the canister withdraw the mouthpiece hold breath for a few seconds exhale slowly
peak flow meter
blow out
sleeve resection
cancerous lobe removed
s/s of bronchitis
fever chill malaise headache and dry irritating cough
chest wall resection with removal of cancerous lung tissue
for cancers the have invaded the chest wall
pneumonia
inflammatory process affecting the bronchioles and alveoli
A client with chronic obstructive pulmonary disease (COPD) is admitted to the medical-surgical unit. To help this client maintain a patent airway and achieve maximal gas exchange, the nurse should:
instruct the client to drink at least 2 L of fluid daily.
pneumonectomy
removal of entire lung
wedge resection
removal of small pie shaped area
segmentectomy
segment of lung removed
lobectomy
single lobe of lung removed
incentive spirometer
suck in
A nurse is caring for a client experiencing an acute asthma attack. The client stops wheezing and breath sounds aren't audible. This change occurred because:
the airways are so swollen that no air can get through.
bilobectomy
tow lobes of lung removed
