Exam 26: Nursing Assessment: Respiratory System

When auscultating a patient's chest while the patient takes a deep breath, the nurse hears loud, high-pitched, "blowing" sounds at both lung bases. The nurse will document these as

A patient is admitted with a metabolic acidosis of unknown origin. Based on this diagnosis, the nurse would expect the patient to have

Which action will the nurse plan to take for a patient who is scheduled for pulmonary function testing (PFT)?

A hypothermic patient is admitted to the emergency department, and pulse oximetry (SpO₂) indicates that the O₂ saturation is 96%. Which action should the nurse take next?

Which nursing actions will be included when sending a patient for computed tomography (CT) of the chest with contrast (select all that apply)?

On auscultation of a patient's lungs, the nurse hears short, high-pitched sounds during exhalation in the lower 1/3 of both lungs. The nurse records this finding as

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

A patient is admitted to the emergency department complaining of sudden onset shortness of breath and is diagnosed with a possible pulmonary embolus. To confirm the diagnosis, the nurse will anticipate preparing the patient for a

When the nurse is analyzing the results of a patient's arterial blood gases (ABGs), which finding indicates the need for most immediate action?

When preparing the patient with a right-sided pleural effusion for a thoracentesis, how will the nurse position the patient?

The nurse has just received arterial blood gas (ABG) results on four patients. Which result is most important to report rapidly to the health care provider?

The nurse is observing a student who is listening to a patient's lungs. Which action by the student indicates a need to review respiratory assessment skills?

When assessing the respiratory system of a 78-year-old patient, which finding indicates that the nurse should take immediate action?

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

A patient with a chronic cough has a bronchoscopy. Which action will be included in the nursing care plan after the procedure?

When performing an assessment of the patient's respiratory system, the nurse uses the following illustrated technique to evaluate

The nurse is admitting a patient who has a diagnosis of an acute asthma attack. Which information obtained by the nurse indicates that the patient may need teaching regarding medication use?

The nurse palpates the posterior chest while the patient says "99" and notes that no vibration is felt. How should this be charted?

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?

While caring for a patient with respiratory disease, the nurse observes that the patient's SpO₂ drops from 92% to 88% while the patient is ambulating in the hallway. Which action should the nurse take next?