Exam 14: Pulmonary Clinical Assessment and Diagnostic Procedures

A patient's pulse oximeter alarm goes off.The monitor reads 82%.What is the first action the nurse should perform?

A client just involved in a motor vehicle accident has sustained blunt chest trauma as part of his injuries.The nurse assessment reveals absent breath sounds in the left lung field.A left-sided pneumothorax is suspected and is further validated when assessment of the trachea reveals

While conducting a physical assessment, you note that the patient's breathing is rapid and shallow.This type of breathing pattern is known as

Voice sounds such as bronchophony, egophony, and whispering pectoriloquy are increased in

On admission, a patient presents as follows: pH, 7.38; respiratory rate, 24 breaths/min, regular, pursed-lip breathing; PaO₂, 66 mm Hg; heart rate, 112 beats/min, sinus tachycardia; PaCO₂, 52 mm Hg; blood pressure, 110/68 mm Hg; HCO₃, 24 mEq/L; and SpO₂, 90% on O₂ 2 L/min nasal cannula.What treatment would the physician or nurse practitioner likely order for this patient?

On assessment of a client, you note fremitus over the trachea but not in the lung periphery.You know that this most likely represents

A patient is admitted to the unit in respiratory distress secondary to pneumonia.The nurse knows that obtaining a history is very important.What is the appropriate intervention at this time for obtaining this data?

Which of the following conditions will commonly reveal breath sounds with inspiration greater than expiration on assessment? 1)Normal lung 2)Bronchiectasis 3)Emphysema 4)Acute bronchitis 5)Diffuse pulmonary fibrosis 6)Consolidating pneumonia

A patient with chronic obstructive pulmonary disease requires intubation.After the physician intubates the patient, the nurse auscultates for breath sounds.Breath sounds are questionable in this patient.Which action would best assist in determining endotracheal tube placement in this patient?

Which of the following lung sounds would be most likely heard in a client experiencing an asthma attack?

Which blood gas parameter is the acid-base component that reflects kidney function?

A patient is admitted to the critical care unit with acute respiratory failure secondary to chronic obstructive pulmonary disease.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 further inspection of the patient, the nurse observes that his fingers appear discolored.This is a result of

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 notes that the patient is experiencing air trapping.While auscultating his chest, you note the presence of coarse, rumbling, low-pitched sounds in the right middle and lower lobes.Which of the following best describes the patient's breathing pattern?

The use of observation for assessment is known as

Deviation of the trachea occurs in which of the following conditions?

A patient presents moderately short of breath and dyspneic.A chest radiographic examination reveals a large right pleural effusion with significant atelectasis.The physician or nurse practitioner would be most likely to order which of the following procedures?

Severe coughing and shortness of breath during a thoracentesis are indicative of which of the following complications?

The creation of sound waves across the body surface to determine abnormal densities is known as

Nursing management of a patient undergoing a diagnostic procedure involves

On admission, a patient presents as follows: pH, 7.38; respiratory rate, 24 breaths/min, regular, pursed-lip breathing; PaO₂, 66 mm Hg; heart rate, 112 beats/min, sinus tachycardia; PaCO₂, 52 mm Hg; blood pressure, 110/68 mm Hg; HCO₃^- , 24 mEq/L; and SpO₂, 90% on O₂ 2 L/min nasal cannula.Which of the following diagnoses would be most consistent with the above arterial blood gas values?