Exam 31: Nursing Care of Patients With Lower Respiratory Tract Disorders

The nurse is providing care for a patient admitted with an acute lower respiratory infection. The nurse notices that the patient is stifling the cough reflex and exhibiting shallow respirations due to pain. The nurse will focus nursing care on the prevention of which condition?

The nurse finds a patient gasping for breath and looking very anxious. Based on the patient's history, the nurse believes the patient may be experiencing a pulmonary embolism (PE). Which action should the nurse take first?

The nurse is caring for a patient with a suspected PE. Which diagnostic tests or procedures should the nurse expect to be prescribed for this patient? (Select all that apply.)

The nurse is providing care for a patient admitted for a lower respiratory infection. On admission, the patient's vital signs were blood pressure (BP) 140/80 mm Hg, apical pulse (AP) 112 beats/min, respirations (R) 32 breaths/min, and pain level of 8 on a scale of 0 to 10. After assisting the patient to bed and applying the prescribed oxygen, which finding helps the nurse evaluate the effectiveness of nursing care?

A patient is diagnosed with respiratory failure. Which acid-base abnormality should the nurse expect the patient to demonstrate?

The licensed practical nurse/licensed vocational nurse (LPN/LVN) is reviewing laboratory results for a patient with COPD. Which action does the LPN/LVN take if the ABG analysis shows a PaCO₂ of 62 mm Hg?

Some lung cancers produce __________ hormones that mimic the body's own hormones.

The nurse is researching the dietary recommendations by the American Lung Association for patients with lower respiratory tract disease. Which strategy is not supported by the American Lung Association?

The nurse is providing care for a patient admitted to the hospital for a respiratory disorder. The HCP is prescribing diagnostic tests to rule out bronchiectasis. Which manifestations does the nurse recognize as possible indicators for the diagnosis? (Select all that apply.)

A young adult is admitted with manifestations associated with cystic fibrosis. What should the nurse expect to find when collecting data from this patient? (Select all that apply.)