Respiratory post test
A nurse is providing discharge teaching to a client who has COPD regarding the influenza vaccine. Which of the following statement should the nurse make?
"You should make every effort to receive a flu vaccine every year."
A charge nurse is teaching a new release recognize manifestation of decreased oxygenation In a client. Which of the following statements by the new license nurse indicate an understanding of the teaching?
Clubbing of the fingers indicates a chronic state of impaired perfusion
A nurse is preparing to auscultate a client's posterior and lateral chest. In which order should the nurse perform the following actions.
1. Expose the posterior chest with the client sitting with their arms folded across their chest 2. Auscultate 8cm to one side of the spine around c7, then auscultate the other side of the spine in the same location 3. Auscultate down the spine, moving the stethoscope from one side to the other until the lower thoracic spine is reached 4. Auscultate the lateral sides slightly below the axillary area, then down to the seventh or eight rib
Charge nurse Is observing a newly licensed nurse perform an anterior chest auscultation on a client. Which of the following actions should the charge nurse intervene?
The nurse is auscultating through the clients gown
A charge nurse is teaching a newly licensed nurse how to recognize a pleural friction rub. Which of the following descriptions should the nurse use to describe a pleural friction rub? (Select all the apply)
Coarse grating tone Heard on inspiration and experation Pain with breathing
A nurse is caring for a client who is dying and he's having periods of deep breathing Alternating with Apnea. The nurse should identify this as which of the following types of breathing?
Cheyne-stokes breathing
A nurse is caring for a client was having difficulty breathing. Which of the following actions should the nurse take first?
Elevate the head of the clients bed
A charge nurse is reviewing the documentation of a newly licensed nurse. Which of the following entries made by the newly licensed nurse is an example of correct documentation?
Inspiratory wheezing auscultated left lateral chest
A nurse is assessing a client who is dark skinned. In which of the following areas of the clients body should the nurse assess the client for adequate oxygenation?
Nail beds Lips Oral mucosa
A nurse is caring for a client is experiencing episodes of hyperventilation. Which of the following manifestation sure the nurse expect during hyperventilation?
Numbness and tingling of extremities Lightheadedness Chest pain
A nurse is admitting a client who has a new diagnosis of COPD. Which of the following information documented by the nurse is subjective data? (Select all that apply)
Report From client says they sleep well propped on two pills at night Client says they quit smoking two years ago Client states, being short of breath all the time is making me depressed
The nurse is providing teaching to a client who has a new diagnosis of asthma and reports of smoking history of 20 years. Which of the following statements to the nurse make one counseling the client about her tobacco use?
Smoking is going to various forms of cancer It might take several attempts to stop smoking There are pharmacologic therapies that can help a person stop smoking
A nurse in the emergency department is assessing a client who has experience thoracic trauma from a motor vehicle crash. Which of the following findings is an indication of pneumothorax?
The client is experiencing unequal movement of the posterior chest
A nurse is performing to do assessment of a client. Which of the following findings indicates a client might be experiencing respiratory difficulties?
The client is sitting in a tripod position. The client is using Pursed lip breathing The client appears confused
