Question 1

The nurse palpates the posterior chest while the patient says "99" and notes absent fremitus.Which action should the nurse take next?

Accepted Answer

A)  Palpate the anterior chest and observe for barrel chest. 
B)  Encourage the patient to turn, cough, and deep breathe. 
C)  Review the chest x-ray report for evidence of pneumonia. 
D)  Auscultate anterior and posterior breath sounds bilaterally. 
A)  Palpate the anterior chest and observe for barrel chest. 
B)  Encourage the patient to turn, cough, and deep breathe. 
C)  Review the chest x-ray report for evidence of pneumonia. 
D)  Auscultate anterior and posterior breath sounds bilaterally.

Question 2

A patient with a chronic cough has a bronchoscopy.After the procedure,which intervention by the nurse is most appropriate?

Accepted Answer

A)  Elevate the head of the bed to 80 to 90 degrees. 
B)  Keep the patient NPO until the gag reflex returns. 
C)  Place on bed rest for at least 4 hours after bronchoscopy. 
D)  Notify the health care provider about blood-tinged mucus. 
A)  Elevate the head of the bed to 80 to 90 degrees. 
B)  Keep the patient NPO until the gag reflex returns. 
C)  Place on bed rest for at least 4 hours after bronchoscopy. 
D)  Notify the health care provider about blood-tinged mucus.

Question 3

A patient is admitted to the emergency department complaining of sudden onset shortness of breath and is diagnosed with a possible pulmonary embolus.How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?

Accepted Answer

A)  Start an IV so contrast media may be given. 
B)  Ensure that the patient has been NPO for at least 6 hours. 
C)  Inform radiology that radioactive glucose preparation is needed. 
D)  Instruct the patient to undress to the waist and remove any metal objects. 
A)  Start an IV so contrast media may be given. 
B)  Ensure that the patient has been NPO for at least 6 hours. 
C)  Inform radiology that radioactive glucose preparation is needed. 
D)  Instruct the patient to undress to the waist and remove any metal objects.

Question 4

A patient with acute shortness of breath is admitted to the hospital.Which action should the nurse take during the initial assessment of the patient?

Accepted Answer

A)  Ask the patient to lie down to complete a full physical assessment. 
B)  Briefly ask specific questions about this episode of respiratory distress. 
C)  Complete the admission database to check for allergies before treatment. 
D)  Delay the physical assessment to first complete pulmonary function tests. 
A)  Ask the patient to lie down to complete a full physical assessment. 
B)  Briefly ask specific questions about this episode of respiratory distress. 
C)  Complete the admission database to check for allergies before treatment. 
D)  Delay the physical assessment to first complete pulmonary function tests.

Exam 26: Nursing Assessment: Respiratory System

The nurse palpates the posterior chest while the patient says "99" and notes absent fremitus.Which action should the nurse take next?

A patient with a chronic cough has a bronchoscopy.After the procedure,which intervention by the nurse is most appropriate?

A patient is admitted to the emergency department complaining of sudden onset shortness of breath and is diagnosed with a possible pulmonary embolus.How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?

A patient with acute shortness of breath is admitted to the hospital.Which action should the nurse take during the initial assessment of the patient?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Complementary and Alternative Therapies

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Abuse

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses, and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, Electrolyte, and Acid-Base Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Hematologic System

Nursing Management: Hematologic Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Dysrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,Pancreas,and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urologic Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: Stroke

Nursing Management: Chronic Neurologic Problems

Nursing Management: Alzheimer's Disease,Dementia,and Delirium

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care

Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency, Terrorism, and Disaster Nursing

Filters