A charge nurse receives notification of the admission of a client who is coughing frequently and
whose sputum is pink, frothy, and copious. The client
... [Show More] has history of night sweats, anorexia, and
weight loss. Which of the following actions should the nurse take? (SATA)
-Assign the client to a private room with negative-pressure airflow
-Wear an N95 respirator when entering the client’s room.
2- A nurse is assisting a provider with a comprehensive physical examination of a client. When the
provider uses transillumination, the nurse should explain to the client that this technique help
evaluate which of the following structures?
-Maxillary sinuses
3- A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema. How
should the nurse assist the client with smoking cessation?
-Discuss ways the client can reduce the number of cigarettes smoked per day.
4- A nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD) and
is malnourished. Which of the following recommendations to promote nutritional intake should
the nurse include in the plan?
-Eat high-calorie food first.
Rational: client who has COPD experience early satiety. Client should eat calorie-dense food first.
5- A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should
identify that which of the following findings is an adverse effect of this medication?
-Tinnitus.
Rational: An adverse effect of cisplatin is ototoxicity, which can cause tinnitus.
6- A nurse in a medical-surgical unit is assessing a client. The nurse should identify that which of
the following findings is a manifestation of a pulmonary embolism?
-Stabbing chest pain
Rational: sudden chest pain that is sharp and stabbing is a manifestation of pulmonary
embolism. Other manifestations include dyspnea, coughing, hemoptysis (coughing up blood),
tachypnea, tachycardia, diaphoresis, and feeling of impending doom.
7- A nurse in the PACU is assessing a newly admitted client and observes intercostal retractions and
a high-pitched inspiratory sound (stridor). The nurse should identify theses findings as
manifestations of which of the following complications?
-Respiratory obstruction
8- A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the
following laboratory values should the nurse expect?
-ph 7.49,HCO3-32mEq/L, PaCO2 40mmHg
Rational: Metabolic alkalosis: pH and bicarbonate values are greater than the expected
references range, and the PaCO2 is within the expected reference range.
9- A nurse is providing teaching to a client who has a chronic cough and is scheduled for a
bronchoscopy. Which of the following client statements indicates an understanding of the
teaching?
-“A tissue sample might be obtained during the procedure”
10- A nurse is preparing a client for a bronchoscopy. Which of the following actions should the nurse
take? (SATA)
-Explain that the [Show Less]