Prep U respiratory

After nasal surgery what is most effective for decreasing pain and edema

apply cold compresses to the area

The nurse is instructing a client with acute asthma who is taking short-term corticosteroid therapy. The nurse should tell the client that steroids will have which expected outcome? Steroids will: a. promote bronchodilation. b. have an anti-inflammatory effect. c. prevent development of respiratory infections. d. act as an expectorant.

b

The nurse is suctioning a client who had a laryngectomy. What is the maximum amount of time the nurse should suction the client? a. 20 seconds b. 10 seconds c. 25 seconds d. 30 seconds

b

Which health-promoting activity should the nurse teach the client who recently underwent a laryngectomy? a. Develop an aggressive program of exercise to increase airway functioning. b. Cleanse the mouth three times a day. c. Dehumidify the air for comfort. d. Avoid taking tub baths.

b

A nurse is caring for a client after a thoracotomy for a lung mass. Which nursing diagnosis should be the first priority? a. Impaired physical mobility b. Impaired airway clearance c. Impaired gas exchange d. Ineffective breathing pattern

c

The nurse interprets which finding as an early sign of acute respiratory distress syndrome (ARDS) in a client at risk? a. metabolic acidosis b. elevated carbon dioxide level c. hypoxia not responsive to oxygen therapy d. severe, unexplained electrolyte imbalance

c

A client with an exacerbation of chronic obstructive pulmonary disease (COPD) is admitted to the hospital. Which nursing diagnosis requires the nurse to collaborate with other health team members to achieve the best outcome for the client? a. Impaired skin integrity b. Activity intolerance c. Imbalanced nutrition: Less than body requirements d. Impaired gas exchange

d

Which physical sensation will the client who has had an abdominal hysterectomy most likely experience if she hyperventilates while performing deep-breathing exercises? a. dyspnea b. mental confusion c. blurred vision d. dizziness

d

The nurse is caring for a client who is having an acute asthma attack. The nurse should notify the health care provider when the client has which symptom? a. persistent cough b. decreased breath sounds c. tenacious, thick sputum d. loud wheezing

b

The nurse is admitting a client who just had a bronchoscopy. Which assessment should be the nurse's priority? a. ability to deep breathe b. medication allergies c. swallow reflex d. presence of carotid pulse

c

What is the best way for the nurse to position a chest tube for a client to prevent dislocation? a. coiled flat on the bed and secured without putting tension on the tube b. coiled flat and secured to the bedrail c. coiled flat and secured in dependent loops along the side of the bed d. coiled flat on the bed and positioned loosely

a

A client has had a left chest tube in place for several days. The nurse assesses the client and notes that there is no bubbling in the water seal chamber. Auscultation of the left lower lung reveals vesicular breath sounds. What is the most appropriate action by the nurse? a. Clamp the chest tube and document the response. b. Further assess the client for reinflation of the lung. c. Connect the client to a new chest tube system. d. Increase the suction level of the chest tube.

b

A nurse observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude? a. The chest tube is obstructed. b. The system has an air leak. c. The system is functioning normally. d. The client has a pneumothorax.

b

The nurse is assessing a client who has been in a car accident. The client reports sore ribs and painful breathing on the left side of the chest wall. A chest X-ray confirms fracture of two ribs and left-sided hemopneumothorax. What can the nurse anticipate? a. Oxygen will be initiated and a bronchoscopy will be performed to identify the area of damage. b. A chest tube will be inserted into the left pleural space and attached to a pleural evacuation device. c. Splinting of the affected ribs will be initiated and limitation of upper body activity recommended. d. Aspirational thoracentesis will be performed to remove the accumulated bloody fluid.

b

When there is fluid in the pleura space what breathe sounds are heard

diminished breathe sounds

The nurse is preparing to assist with the removal of a chest tube. Which dressing is appropriate at the site from which the chest tube is removed? a. adhesive strips b. No dressing is necessary. c. 4 x 4 gauze d. petrolatum gauze

d. Gauze saturated with petrolatum is placed over the site to make an airtight seal to prevent air leakage during the healing process.

A nurse is conducting an initial assessment on a client with possible tuberculosis. Which assessment finding indicates a risk factor for tuberculosis?

the client had a liver transplant because this makes them immunocompromised

When hearing a high pitches whistling sound the most likely cause of this is while the client is on oxygen is

the oxygen tubing is pinched

For a client with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?

using a Venturi mask to deliver oxygen as ordered

The nurse is developing a plan to teach a client deep-breathing exercises to expand collapsed alveoli and prevent postoperative atelectasis and pneumonia. What information should be included in the plan? Select all that apply.

Splint or support the incision to promote maximal comfort. Inhale slowly through the nostrils; exhale through pursed lips. Hold the breath for about 5 seconds to expand the alveoli. Repeat this breathing method 5 to 10 times hourly.

After undergoing a left thoracotomy, a client has a chest tube in place. When caring for this client, the nurse must a. encourage coughing and deep breathing. b. milk the chest tube every 2 hours. c. report fluctuations in the water-seal chamber. d. clamp the chest tube once every shift.

a

Which diet would be most appropriate for a client with chronic obstructive pulmonary disease (COPD)? a. high-calorie, high-protein diet b. low-sodium diet c. bland, soft diet d. low-fat, low-cholesterol diet

a. to maintain nutrition status and prevent weight loss from deep breathing