ATI RN ADULT MEDICAL SURGICAL NURSING 2023/2024 COMPLETE TEST WITH 100% VERIFIED QUESTIONS AND ANSWERS | RATED A+
A nurse at a provider's office is
... [Show More] reviewing information with a client scheduled for pulmonary function tests (PFTs). Which of the following information should the nurse include?
A. "Do not use inhaler medications for 6 hr following the test."
B. "Do not smoke tobacco for 6 to 8 hr prior to the test."
C. "You will be asked to bear down and hold your breath during the test."
D. "The aterial blood flow to your hand will be evaluated as part of the test." - Answer>>>B. When taking actions, the nurses should indentify to ensure accurate results, the client should not smoke tobacco for 6 to 8 hr prior to the test.
A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider?
A. Blood-tinged sputum
B. Dry, nonproductive cough
C. Sore throat
D. Bronchospasms - Answer>>>D. When recognizing cues, the nurse should indentify that bronchospasms can indicate the client is having difficulty maintaining a patent airway.
A, B, and C are normal findings following a bronchoscopy.
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should the nurse ensure are in the room? (Select all that apply.)
A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximeter
D. Sterile dressing
E. Suture removal kit - Answer>>>A, C, D.
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take?
A. Position the client in an upright position, leaning over the bedside table.
B. Explain the procedure to the client.
C. Perform an Allen's test on the client.
D. Administer benzocaine spray. - Answer>>>A. This position widens the intercostal space for the provider to access the pleural fluid.
A nurse is caring for a client following a thoracentesis. Which of the following findings should the nurse report? (Select all that apply.)
A. Dyspnea
B. Localized bloody drainage on the dressing.
C. Fever
D. Hypotension
E. Report of pain at the puncture sight - Answer>>>A, C, D. Dyspnea can indicate a pneumothorax or a re-accumulation of fluid, fever can indicate an infection, and hypotension can indicate intrathoracic bleeding. Report immediately.
A nurse is preparing to care for a client who is having a chest tube placed. Which of the following items should be available in the client's room? (Select all that apply.)
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing - Answer>>>A, B, C, E.
A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following actions be be included in the plan of care? (Select all that apply.)
A. Encourage the client to cough and deep breathe.
B. Check for continuous bubbling in the suction chamber.
C. Strip the chest tube draining tubing every 4 hr.
D. Clamp the tube once a day.
E. Obtain a chest x-ray. - Answer>>>A, B, E.
A nurse is assessing a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. In what order should the nurse perform the following actions?
A. Assess respiratory status
B. Apply sterile gauze to the insertion site
C. Obtain a chest x-ray
D. Place tape around the insertion site - Answer>>>B, D, A, C. [Show Less]