Exam 28: Nursing Management: Lower Respiratory Problems

The nurse observes nursing assistive personnel (NAP) doing all the following activities when caring for a patient with right lower lobe pneumonia. The nurse will need to intervene when NAP

Which information will the nurse include in the patient teaching plan for a patient who is receiving rifampin (Rifadin) for treatment of tuberculosis?

During assessment of the chest in a patient with pneumococcal pneumonia, the nurse would expect to find

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

A patient with a pleural effusion is scheduled for a thoracentesis. Before the procedure, the nurse will plan to

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?

The nurse recognizes that the goals of teaching regarding the transmission of pulmonary tuberculosis ( TB ) have been met when the patient with TB

Which of these orders will the nurse act on first for a patient who has just been admitted with probable bacterial pneumonia and sepsis?

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

When assessing a 24-year-old patient who has just arrived after an automobile accident, the emergency department nurse notes that the breath sounds are absent on the right side. The nurse will anticipate the need for

Which information about a patient who has a recent history of tuberculosis ( TB ) indicates that the nurse can discontinue airborne isolation precautions?

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

When caring for a patient who is hospitalized with active tuberculosis ( TB ), the nurse observes a family member who is visiting the patient. The nurse will need to intervene if the family member

A patient with pneumonia has a fever of 101.2° F ( 38.5° C ), a nonproductive cough, and an oxygen saturation of 89%. The patient is very weak and needs assistance to get out of bed. The priority nursing diagnosis for the patient is

Which statement by a patient who has been hospitalized for pneumonia indicates a good understanding of the discharge instructions given by the nurse?

A patient experiences a steering wheel injury as a result of an automobile accident. During the initial assessment, the emergency department nurse would be most concerned about

An hour after a thoracotomy, a patient complains of incisional pain at a level 7 out of 10 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?

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

A patient who was admitted the previous day with pneumonia complains of a sharp pain "whenever I take a deep breath." Which action will the nurse take next?

A staff nurse has a tuberculosis ( TB ) skin test of 16-mm induration. A chest radiograph is negative, and the nurse has no symptoms of TB. The occupational health nurse will plan on teaching the staff nurse about the