Exam 26: Nursing Assessment: Respiratory System

A patient in metabolic alkalosis is admitted to the emergency department,and pulse oximetry (SpO₂)indicates that the O₂ saturation is 94%.Which action should the nurse take next?

The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis.How should the nurse position the patient?

Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?

On auscultation of a patient's lungs,the nurse hears low-pitched,bubbling sounds during inhalation in the lower third of both lungs.How should the nurse document this finding?

A patient with acute dyspnea is scheduled for a spiral computed tomography (CT)scan.Which information obtained by the nurse is a priority to communicate to the health care provider before the CT?

After the nurse has received change-of-shift report,which patient should the nurse assess first?

The nurse observes a student who is listening to a patient's lungs who is having no problems with breathing.Which action by the student indicates a need to review respiratory assessment skills?

The nurse analyzes the results of a patient's arterial blood gases (ABGs).Which finding would require immediate action?

The nurse teaches a patient about pulmonary function testing (PFT).Which statement,if made by the patient,indicates teaching was effective?

A patient is scheduled for a computed tomography (CT)of the chest with contrast media.Which assessment findings should the nurse immediately report to the health care provider ?

A patient who has a history of chronic obstructive pulmonary disease (COPD)was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO₂ levels of 89% to 90%).In planning for discharge,which action by the nurse will be most effective in improving compliance with discharge teaching?

Using the illustrated technique,the nurse is assessing for which finding in a patient with chronic obstructive pulmonary disease (COPD)?

A diabetic patient's arterial blood gas (ABG)results are pH 7.28; PaCO₂ 34 mm Hg; PaO₂ 85 mm Hg; HCO₃- 18 mEq/L.The nurse would expect which finding?

While listening to the posterior chest of a patient who is experiencing acute shortness of breath,the nurse hears these sounds.How should the nurse document the lung sounds?

The laboratory has just called with the arterial blood gas (ABG)results on four patients.Which result is most important for the nurse to report immediately to the health care provider?

The nurse completes a shift assessment on a patient admitted in the early phase of heart failure.When auscultating the patient's lungs,which finding would the nurse most likely hear?

The nurse assesses a patient with chronic obstructive pulmonary disease (COPD)who has been admitted with increasing dyspnea over the last 3 days.Which finding is most important for the nurse to report to the health care provider?

The nurse admits a patient who has a diagnosis of an acute asthma attack.Which statement indicates that the patient may need teaching regarding medication use?

When assessing the respiratory system of an older patient,which finding indicates that the nurse should take immediate action?

While caring for a patient with respiratory disease,the nurse observes that the patient's SpO₂ drops from 93% to 88% while the patient is ambulating in the hallway.What is the priority action of the nurse?