A client is being prepared for a thoracentesis. The nurse assigned to care for the client assists the client to which of the following positions for the
... [Show More] procedure? - ✔✔ Lying in bed on the unaffected side with the head of the bed elevated 45 degrees
A nurse is providing endotracheal suctioning to a client who is mechanically ventilated when the client becomes restless and tachycardic. What should the nurse do? - ✔✔ Discontinue suctioning until the client is stabilized and monitor vital signs.
A nurse is assigned to assist with caring for a client who has a chest tube. The nurse notes fluctuations of the fluid level in the water-seal chamber. Based on this observation, which action would be appropriate? - ✔✔ Continue to monitor, because this is an expected finding.
A nurse is assigned to assist the health care provider with the removal of a chest tube. The nurse instructs the client to do which of the following during this process? - ✔✔ Perform Valsalva's maneuver
A nurse is assisting in caring for a client with a chest tube. The nurse understands that which of the following is an incorrect action for the care of the client? - ✔✔ Pin the tubing to the bed linens.
A nurse is assigned to care for a client who has a chest tube. The nurse is told to monitor the client for crepitus (subcutaneous emphysema). The nurse monitors the client for this complication by: - ✔✔ Palpating for the leakage of air into the subcutaneous tissues
A nurse is told that an assigned client will have a fenestrated tracheostomy tube inserted. The nurse prepares the client for the procedure, knowing that this type of tube: - ✔✔ Enables the client to speak
A nurse is assisting with monitoring the functioning of a chest-tube drainage system in a client who just returned from the recovery room after a thoracotomy with wedge resection. Which findings would the nurse expect to note? Select all that apply. - ✔✔ 3.50 mL of drainage in the drainage-collection chamber
4.The drainage system is maintained below the client's chest.
5.An occlusive dressing is in place over the chest-tube insertion site.
6.Fluctuation of water in the tube of the water-seal chamber during inhalation and exhalation
A nurse is providing instructions to a hospitalized client with a diagnosis of emphysema about positions that will enhance the effectiveness of breathing during dyspneic periods. Which position will the nurse instruct the client to assume? - ✔✔ Sitting on the side of the bed, leaning on an overbed table
A nurse is gathering data on a client with a diagnosis of tuberculosis (TB). The nurse reviews the results of which diagnostic test that will confirm this diagnosis? - ✔✔ Sputum culture
Which of the following identifies the route of transmission of tuberculosis (TB)? - ✔✔ The airborne route
A nurse is caring for a client with emphysema who is receiving oxygen. The nurse checks the oxygen flow rate to ensure that it does not exceed: - ✔✔ 2 L/min
A nurse is instructing a client about pursed lip breathing, and the client asks the nurse about its purpose. The nurse tells the client that the primary purpose of pursed lip breathing is to: - ✔✔ Promote carbon dioxide elimination
The low-pressure alarm sounds on the ventilator. The nurse checks the client and then attempts to determine the cause of the alarm but is unsuccessful. Which initial action will the nurse take? - ✔✔ Ventilate the client manually.
A nurse is assigned to care for a client after a left pneumonectomy. Which one of the follow positions would be contraindicated for this client? - ✔✔ On the side
A nurse is caring for a client after pulmonary angiography via catheter insertion into the left groin. The nurse monitors for an allergic reaction to the contrast medium by noting the presence of: - ✔✔ Respiratory distress
A nurse is providing discharge instructions to the client with pulmonary sarcoidosis. The nurse knows that the client understands the information if the client verbalizes which early sign of exacerbation? - ✔✔ Shortness of breath
A nurse is caring for several clients with respiratory disorders. Which client is at least risk for developing a tuberculosis infection? - ✔✔ A man who is an inspector for the U.S. Postal Service
A nurse is reading the results of a Mantoux skin test on a client with no documented health problems. The site has no induration and a 1-mm area of ecchymosis. The nurse interprets that the result is: - ✔✔ Negative [Show Less]