Exam 28: Nursing Management: Lower Respiratory Problems

A patient with bacterial pneumonia has rhonchi and thick sputum.What is the nurse's most appropriate action to promote airway clearance?

The nurse is caring for a patient with idiopathic pulmonary arterial hypertension (IPAH)who is receiving epoprostenol (Flolan).Which assessment information requires the most immediate action by the nurse?

An older patient is receiving standard multidrug therapy for tuberculosis (TB).The nurse should notify the health care provider if the patient exhibits which finding?

The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test.Which action should the nurse take?

A patient who is taking rifampin (Rifadin)for tuberculosis calls the clinic and reports having orange discolored urine and tears.Which is the best response by the nurse?

The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident.Which statement,if made by the patient,would indicate that teaching has been effective?

A patient with a pleural effusion is scheduled for a thoracentesis.Which action should the nurse take to prepare the patient for the procedure?

A patient with idiopathic pulmonary arterial hypertension (IPAH)is receiving nifedipine (Procardia).Which assessment would best indicate to the nurse that the patient's condition is improving?

A patient has acute bronchitis with a nonproductive cough and wheezes.Which topic should the nurse plan to include in the teaching plan?

The nurse completes discharge teaching for a patient who has had a lung transplant.The nurse evaluates that the teaching has been effective if the patient makes which statement?

The nurse supervises unlicensed assistive personnel (UAP)who are providing care for a patient with right lower lobe pneumonia.The nurse should intervene if which action by UAP is observed?

The nurse monitors a patient after chest tube placement for a hemopneumothorax.The nurse is most concerned if which assessment finding is observed?

Employee health test results reveal a tuberculosis (TB)skin test of 16-mm induration and a negative chest x-ray for a staff nurse working on the pulmonary unit.The nurse has no symptoms of TB.Which information should the occupational health nurse plan to teach the staff nurse?

The clinic nurse teaches a patient with a 42 pack-year history of cigarette smoking about lung disease.Which information will be most important for the nurse to include?

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days.Which assessment data obtained by the nurse indicates that the treatment has been effective?

Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting?

An alcoholic and homeless patient is diagnosed with active tuberculosis (TB).Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?

A patient has just been admitted with probable bacterial pneumonia and sepsis.Which order should the nurse implement first?

A patient with newly diagnosed lung cancer tells the nurse,"I don't think I'm going to live to see my next birthday." Which response by the nurse is best?

The nurse notes new onset confusion in an older patient who is normally alert and oriented.In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].) A) Obtain the oxygen saturation. B) Check the patient's pulse rate. C) Document the change in status. D) Notify the health care provider.