1. A nurse is caring for a client who is receiving mechanical ventilation and
develops acute respiratory distress. Which of the following actions should
... [Show More] the
nurse take first? - Initiate bag-valve-mask ventilation
2. A nurse is caring for a client for whom the respiratory therapist has just removed
the endotracheal tube. Which of the following actions should the nurse take first?
- Evaluate the client for stridor
3. A nurse is caring for a client who had a left lower lobectomy to treat lung cancer.
Which of the following factors will have a significant impact on the plan of care for
this client? - Lung cancer usually has metastasized before the client presents
with symptoms
4. A nurse in an urgent care clinic is collecting data from a client who reports
exposure to anthrax. Which of the following findings is an indication of the
prodromal stage of inhalation anthrax? - Dry cough
5. A client is admitted to the emergency department following a motorcycle crash.
The nurse notes a crackling sensation upon palpation of the right side of the
client's chest. After notifying the provider, the nurse should document this finding
as which of the following? - Crepitus
6. A nurse is planning care for a client following placement of a chest tube 1 hr ago.
Which of the following actions should the nurse include in the plan of care? -
Tape all connections between the chest tube and drainage system
7. A nurse is assessing a client who has pharyngitis. Which of the following findings
is the nurse's priority to report to the provider? - Inspiratory stridor
8. A nurse is providing instructions about pursed-lip breathing for a client who has
chronic obstructive pulmonary disease (COPD) with emphysema. This breathing
technique accomplishes which of the following? - Promotes carbon dioxide
elimination
9. A nurse is developing a teaching plan for a client about preventing acute asthma
attacks. Which of the following points should the nurse plan to discuss first? -
Addressing the client's perception of the disease process and what might have
triggered past attacks
10.A nurse is caring for a client with pneumonia who is experiencing thick oral
secretions. Which of the following actions should the nurse take first? -
Encourage deep-breathing and coughing11.A nurse is caring for a client who is extremely anxious and is hyperventilating.
The client's ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3- 25 mEq/L.
The nurse should identify that the client has which of the following acid-base
imbalances? - Respiratory alkalosis
12.A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy.
Which of the following is the purpose of these treatments? - To mobilize
secretions in the airways
13.A nurse is caring for a client for whom the respiratory therapist has just removed
the endotracheal tube. Which of the following actions should the nurse take first?
- Evaluate the client for stridor
14.A nurse on a medical-surgical unit is caring for 4 clients. Which of the following
clients should the nurse monitor for crepitus? - A client who has a chest tube
following a pneumothorax
15.A nurse is providing discharge teaching to a client who had a pulmonary
embolism. Which of the following statements indicates that the client understands
the information? - "I'll call the doctor if I see any blood in my urine or stool." [Show Less]