NCLEX

Mental changes Cardiac irregularities Cherry-red skin color

A client is admitted to the emergency department with carbon monoxide poisoning. Which signs and symptoms indicate carbon monoxide poisoning ?

Breath sounds greater on the right than the left

A client who underwent a bronchoscopy was returned to the nursing until 1 hour ago. The nurse determines that the client is experiencing complications of the procedure if the nurse notes which sign/symptom?

Dyspnea

A client with acquired immunodeficiency syndrome (AIDS) has become infected with histoplasmosis. The nurse monitors the client for which manifestation of histoplasmosis?

Tracheal deviation to the right

A hospitalized client is dyspneic and has been diagnosed with left pneumothorax by chest x-ray. Which sign or symptom observed by the nurse clearly indicates that the pneumothorax is rapidly worsening?fa

Perform the Valsalva maneuvers

A primary health care provider is about to remove a chest tube from a client. Once the dressing is removed and the sutures have been cut, the nurse assisting the primary health car provider asks the client to do what action?

Po2 of 60 mm Hg and Po2 of 50 mm Hg

A Clint is admitted to the hospital with acute exacerbation of chronic obstructive pulmonary disease (COPD) and has an arterial blood gas test done. Which results would the nurse expect to note?

Check vital signs Notify the registered nurse Begin low flow oxygen therapy

A client at risk for pulmonary embolism (PE) suddenly develops respiratory distress, chest pain, and anxiety. The nurse should plan to take which action?

Palpating the skin around the chest and neck for a crackling sensation

The nurse is assigned to care for a client who has a chest tube. The nurse is told to monitor the client for crepitus (subcutaneous emphysema). Which method should be used to monitor the client for crepitus?

abdominal distention

The nurse is caring for a client at home who has had a tracheostomy tube for several months. the nurse monitors the client for complications associated with the long term tracheostomy and suspects tracheoesophageal fistula if which observation is noted for the client?

Night sweats Mucopurulent sputum Afternoon low grade fever

The nurse is collecting data from a client who is experiencing the typical signs/symptoms of tuberculosis (TB). Which are signs and symptoms of tuberculosis?

Sputum culture

The nurse is gathering data on a client with a diagnosis of tuberculosis. The nurse should review the results of which diagnostic test to confirm this diagnosis?

Neurological disorders

The nurse is monitoring a client for Biot's respiration. Which condition causes Biot's respiration?

Check the amount of suction pressure being applied

The nurse is performing nasopharyngeal suctioning on a client and suddenly notes the presence of bloody secretions. Which action soiled the nurse implement?

Elastoplast tape Sterile 4 X 4 gauze pads Povidone-iodine solution Petrolatum (vaseline) gauze

The nurse is preparing to assist a primary health car provider with the insertion of a chest tube. The nurse anticipates that which supplies will be required for the chest tube insertion site?

Breathe in a fast-paced pattern

The nurse is preparing to perform chest physiotherapy (CPT) on a client. In performing postural drainage, which statement is incorrect?

Apply suction for up to 10 seconds Hyper-oxygenate the client before suctioning Apply intermittent suction while rotating and withdrawing the catheter Advance the catheter until resistance is met and then pull the catheter back 1 cm

The nurse preparing to suction an adult client through the client's tracheostomy tube. Which interventions should the nurse perform for this procedure?

Respiratory rate of 10 breaths per minute

The nurse is reviewing the record of a client with acute respiratory distress syndrome (ARDS). The nurse determines that which finding documented in the client's record is consistent with the most expected characteristics of this disorder?

Administer pain medication 15 to 30 minutes before the procedure

The nurse is told that an assigned client will have the chest tubes removed. The nurse plans to do which in preparation for the procedure?