Exam 30: Care of Patients with Noninfectious Lower Respiratory Problems

A nurse cares for a client who has a pleural chest tube.Which action should the nurse take to ensure safe use of this equipment?

A nurse auscultates a client's lung fields.Which pathophysiologic process should the nurse associate with this breath sound? (Click the media button to hear the audio clip.)

The nurse instructs a client on how to correctly use an inhaler with a spacer.In which order should these steps occur? 1)"Press down firmly on the canister to release one dose of medication." 2)"Breathe in slowly and deeply." 3)"Shake the whole unit vigorously three or four times." 4)"Insert the mouthpiece of the inhaler into the nonmouthpiece end of the spacer." 5)"Place the mouthpiece into your mouth,over the tongue,and seal your lips tightly around the mouthpiece." 6)"Remove the mouthpiece from your mouth,keep your lips closed,and hold your breath for at least 10 seconds."

A nurse evaluates the following arterial blood gas and vital sign results for a client with chronic obstructive pulmonary disease (COPD): Which action should the nurse take first?

A nurse auscultates a client's lung fields.Which action should the nurse take based on the lung sounds? (Click the media button to hear the audio clip.)

A nurse assesses a client with asthma and notes bilateral wheezing,decreased pulse oxygen saturation,and suprasternal retraction on inhalation.Which actions should the nurse take? (Select all that apply.)

A nurse cares for a client with chronic obstructive pulmonary disease (COPD).The client states that he no longer enjoys going out with his friends.How should the nurse respond?

A nurse administers medications to a client who has asthma.Which medication classification is paired correctly with its physiologic response to the medication?

A nurse cares for a client who is prescribed an intravenous prostacyclin agent.Which actions should the nurse take to ensure the client's safety while on this medication? (Select all that apply.)

The nurse instructs a client on the steps needed to obtain a peak expiratory flow rate.In which order should these steps occur? 1)"Take as deep a breath as possible." 2)"Stand up (unless you have a physical disability)." 3)"Place the meter in your mouth,and close your lips around the mouthpiece." 4)"Make sure the device reads zero or is at base level." 5)"Blow out as hard and as fast as possible for 1 to 2 seconds." 6)"Write down the value obtained." 7)"Repeat the process two additional times,and record the highest number in your chart."

The nurse is caring for a client who is prescribed a long-acting beta₂ agonist.The client states,"The medication is too expensive to use every day.I only use my inhaler when I have an attack." How should the nurse respond?

A nurse assesses a client with chronic obstructive pulmonary disease.Which questions should the nurse ask to determine the client's activity tolerance? (Select all that apply.)

After teaching a client who is prescribed a long-acting beta₂ agonist medication,a nurse assesses the client's understanding.Which statement indicates the client comprehends the teaching?

After teaching a client who is prescribed salmeterol (Serevent),the nurse assesses the client's understanding.Which statement by the client indicates a need for additional teaching?

A nurse cares for a client who had a chest tube placed 6 hours ago and refuses to take deep breaths because of the pain.Which action should the nurse take?