A nurse is caring for a client immediately following extubation. Which of the
following manifestations indicates that the nurse should call the rapid
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team?
- A. Stridor
A nurse is caring for an older adult client who has chronic obstructive pulmonary
disease (COPD) with pneumonia. The nurse should monitor the client for which of
the following acid-base imbalances?
- B. Respiratory acidosis
A nurse is auscultating the lungs of a client who is having an acute asthma attack.
Which of the following sounds should the nurse expect to hear?
- D. Noisy wheezing
A nurse is providing postoperative care for a client who has 2 chest tubes in place
following a lobectomy. The client asks the nurse the reason for having 2 chest
tubes. The nurse should inform the client that the lower chest tube is placed for
which of the following reasons?
- D. Draining blood and fluid from the pleural space
A nurse on a medical-surgical unit is caring for 4 clients. Which of the following
clients should the nurse monitor for crepitus?
- A. A client who has a chest tube following a pneumothorax
A nurse in a provider's office is assessing a client who states he was recently
exposed to tuberculosis. Which of the following findings is a clinical manifestation
of pulmonary tuberculosis?- C. Night sweats
A nurse is providing discharge teaching to a client who is postoperative following a
rhinoplasty. Which of the following instructions should the nurse include?
- D. Lie on your back with your head elevated 30 degrees when resting
A nurse is caring for a client with the following ABG results: 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?
- B. Respiratory alkalosis
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD)
and is experiencing shortness of breath. Which of the following actions should the
nurse perform first?
- D. Place the client in an upright position [Show Less]