Exam 14: Pulmonary Clinical Assessment and Diagnostic Procedures

The use of touch to judge the character of the body surface and underlying organs is known as

A patient is intubated, and sputum for culture and sensitivity is ordered.Which of the following is important for obtaining the best specimen?

For which of the following conditions is a bronchoscopy indicated?

In a patient who is hemodynamically stable, which procedure can be used to estimate the PaCO₂ levels?

The adventitious breath sounds that sound like popping in the small airways or alveoli are

Place the steps for analyzing arterial blood gases in the proper order. 1. Assess HCO₃^- level for metabolic abnormalities. 2) Assess PaO₂ for hypoxemia. 3) Examine PaCO₂ for acidosis or alkalosis. 4) Re-examine pH to determine level of compensation. 5) Examine pH for acidemia or alkalemia.

A patient is admitted with acute respiratory failure attributable to pneumonia.Smoking history reveals that the patient smoked two packs of cigarettes a day for 25 years, stopping 10 years ago.ABG values on the current ventilator settings are pH, 7.37; PaCO₂, 50 mm Hg; and HCO₃^-, 27 mEq/L.Chest radiograph reveals a large right pleural effusion.Intrapulmonary shunting value of 35% indicates

Diaphragmatic excursion is a measurement of the difference in the level of the diaphragm on inspiration and expiration determined by percussion.It is increased in

Which of the following is an example of a disorder with increased tactile fremitus?

Determination of oxygenation status by oxygen saturation alone is inadequate.What other value must be known?

Which of the following describes the major difference between tachypnea and hyperventilation?

A patient presents with chest trauma from an MVA.Upon assessment, the nurse documents that the patient is complaining of dyspnea, shortness of breath, tachypnea, and tracheal deviation to the right.In addition, the client's tongue is blue-gray.Based on the following data, what the nurse would expect to find?

A patient presents with the following values: pH, 7.20; paO₂, 106 mm Hg; paCO₂, 35 mm Hg; and HCO₃^-, 11 mEq/L.These values are most consistent with

A patient is admitted to the critical care unit with acute respiratory failure secondary to COPD.The patient has a 15-year history of emphysema and bronchitis.On inspection, the nurse observes that the patient is experiencing air trapping.While auscultating the chest, the nurse notes the presence of coarse, rumbling, low-pitched sounds in the right middle and lower lobes.On percussion of the lung fields, a patient with emphysema will predictably exhibit which tone?

Risk factors that need to be considered with a thoracentesis include

A patient's assessment data present as follows: pH, 7.10; PaCO₂, 60 mm Hg; PaO₂, 40 mm Hg; HCO₃, 24 mEq/L; RR, 34 breaths/min; HR, 128 beats/min; and BP, 180/92 mm Hg.This condition is best described as

Which of the following regarding the client history will assist the nurse in developing the plan of management?

V/Q scans are ordered to evaluate the possibility of which of the following?

A patient is admitted to the critical care unit with acute respiratory failure.Upon auscultation, the health care provider hears creaking, leathery, coarse breath sounds in the lower anterolateral chest area during inspiration and expiration.The nurse suspects that the patient has a(n)

Which of the following patients would be considered hypoxemic?