Exam 27: Assessment of the Respiratory System

A nurse auscultates a harsh hollow sound over a client's trachea and larynx.Which action should the nurse take first?

A nurse is caring for an older adult client who has a pulmonary infection.Which action should the nurse take first?

A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60-pack-year smoking history.Which action is most important for the nurse to take when interviewing this client?

A nurse assesses a client after a thoracentesis.Which assessment finding warrants immediate action?

A nurse assesses a client's respiratory status.Which information is of highest priority for the nurse to obtain?

A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs)for a client.Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply.)

A nurse is providing care after auscultating clients' breath sounds.Which assessment finding is correctly matched to the nurse's primary intervention?

A nurse assesses a client after an open lung biopsy.Which assessment finding is matched with the correct intervention?

A nurse is caring for a client who is scheduled to undergo a thoracentesis.Which intervention should the nurse complete prior to the procedure?

A nurse teaches a client who is prescribed nicotine replacement therapy.Which statement should the nurse include in this client's teaching?

A nurse plans care for a client who is at high risk for a pulmonary infection.Which interventions should the nurse include in this client's plan of care? (Select all that apply.)

While obtaining a client's health history,the client states,"I am allergic to avocados." Which responses by the nurse are best? (Select all that apply.)

A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy.The client presents with continuous cyanosis even with oxygen therapy.Which action should the nurse take next?

A nurse teaches a client who is interested in smoking cessation.Which statements should the nurse include in this client's teaching? (Select all that apply.)

A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs.Which intervention should the nurse include in this client's plan of care?

A nurse is assessing a client who is recovering from a lung biopsy.Which assessment finding requires immediate action?

A nurse assesses a 66-year-old client who is attempting to quit smoking.The client states,"I started smoking at age 16,and smoked one pack each day until 10 years ago.Then I decreased to a half of a pack per day." How many pack-years should the nurse document for this client? (Record your answer using a whole number.)___ pack-years

A nurse cares for a client who had a bronchoscopy 2 hours ago.The client asks for a drink of water.Which action should the nurse take next?

A nurse observes that a client's anteroposterior (AP)chest diameter is the same as the lateral chest diameter.Which question should the nurse ask the client in response to this finding?

A nurse assesses a client who is prescribed varenicline (Chantix)for smoking cessation.Which manifestations should the nurse identify as adverse effects of this medication? (Select all that apply.)