Exam 28: Nursing Management: Lower Respiratory Problems

A patient who has a right-sided chest tube following a thoracotomy has continuous bubbling in the suction-control chamber of the collection device.Which action by the nurse is most appropriate?

The nurse receives change-of-shift report on the following four patients.Which patient should the nurse assess first?

When assessing a patient who has just arrived after an automobile accident,the emergency department nurse notes tachycardia and absent breath sounds over the right lung.For which intervention will the nurse prepare the patient?

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

A patient who has just been admitted with community-acquired pneumococcal pneumonia has a temperature of 101.6° F with a frequent cough and is complaining of severe pleuritic chest pain.Which prescribed medication should the nurse give first?

A patient is admitted to the emergency department with an open stab wound to the left chest.What is the first action that the nurse should take?

Following assessment of a patient with pneumonia,the nurse identifies a nursing diagnosis of ineffective airway clearance.Which assessment data best supports this diagnosis?

An occupational health nurse works at a manufacturing plant where there is potential exposure to inhaled dust.Which action,if recommended by the nurse,will be most helpful in reducing the incidence of lung disease?

After 2 months of tuberculosis (TB)treatment with isoniazid (INH),rifampin (Rifadin),pyrazinamide (PZA),and ethambutol,a patient continues to have positive sputum smears for acid-fast bacilli (AFB).Which action should the nurse take next?

The nurse assesses the chest of a patient with pneumococcal pneumonia.Which finding would the nurse expect?

A lobectomy is scheduled for a patient with stage I non-small cell lung cancer.The patient tells the nurse,"I would rather have chemotherapy than surgery." Which response by the nurse is most appropriate?

A patient is diagnosed with both human immunodeficiency virus (HIV)and active tuberculosis (TB)disease.Which information obtained by the nurse is most important to communicate to the health care provider?

Which factors will the nurse consider when calculating the CURB-65 score for a patient with pneumonia ?

The nurse administers prescribed therapies for a patient with cor pulmonale and right-sided heart failure.Which assessment would best evaluate the effectiveness of the therapies?

A patient with pneumonia has a fever of 101.4° F (38.6° C),a nonproductive cough,and an oxygen saturation of 88%.The patient complains of weakness,fatigue,and needs assistance to get out of bed.Which nursing diagnosis should the nurse assign as the highest priority?

An experienced nurse instructs a new nurse about how to care for a patient with dyspnea caused by a pulmonary fungal infection.Which action by the new nurse indicates a need for further teaching?

The nurse provides discharge instructions to a patient who was hospitalized for pneumonia.Which statement,if made by the patient,indicates a good understanding of the instructions?

The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB).Which statement,if made by the patient,indicates that teaching was effective?

A patient who was admitted the previous day with pneumonia complains of a sharp pain of 7 (based on 0 to 10 scale)"whenever I take a deep breath." Which action will the nurse take next?

When caring for a patient who is hospitalized with active tuberculosis (TB),the nurse observes a student nurse who is assigned to take care of a patient.Which action,if performed by the student nurse,would require an intervention by the nurse?