Exam 28: Nursing Management: Lower Respiratory Problems

The nurse cares for a patient who has just had a thoracentesis.Which assessment information obtained by the nurse is a priority to communicate to the health care provider?

A patient experiences a chest wall contusion as a result of being struck in the chest with a baseball bat.The emergency department nurse would be most concerned if which finding is observed during the initial assessment?

The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy.Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?

A patient is admitted with active tuberculosis (TB).The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?

A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing.The nurse finds a heart rate of 142 beats/minute,blood pressure of 100/60 mmHg,and respirations of 42 breaths/minute.Which action should the nurse take first?

The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy for cancer of the lung.Which information should the nurse include about the patient's postoperative care?

The nurse develops a plan of care to prevent aspiration in a high-risk patient.Which nursing action will be most effective?

An hour after a thoracotomy,a patient complains of incisional pain at a level 7 (based on 0 to 10 scale)and has decreased left-sided breath sounds.The pleural drainage system has 100 mL of bloody drainage and a large air leak.Which action is best for the nurse to take next?

The nurse notes that a patient has incisional pain,a poor cough effort,and scattered rhonchi after a thoracotomy.Which action should the nurse take first?

The nurse is performing tuberculosis (TB)skin tests in a clinic that has many patients who have immigrated to the United States.Which question is most important for the nurse to ask before the skin test?

Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?