Exam 28: Nursing Management: Lower Respiratory Problems

After discharge teaching has been completed for a patient who has had a lung transplant, the nurse will evaluate that the teaching has been effective if the patient states

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 health care provider inserts a chest tube in a patient with a hemopneumothorax. When monitoring the patient after the chest tube placement, the nurse will be most concerned about

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

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

After the nurse has received change-of-shift report about the following four patients, which patient should be assessed first?

To determine the effectiveness of prescribed therapies for a patient with cor pulmonale and right-sided heart failure, which assessment will the nurse make?

Which nursing action will be most effective in preventing aspiration pneumonia in patients who are at risk?

A patient with bacterial pneumonia has rhonchi and thick sputum. Which action will the nurse use to promote airway clearance?

The nurse is performing tuberculosis ( TB ) screening in a clinic that has many patients who have immigrated to the United States. Before doing a TB skin test on a patient, which question is most important for the nurse to ask?

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

After a patient with right lower-lobe pneumonia has been treated with intravenous ( IV ) antibiotics for 2 days, which assessment data obtained by the nurse indicates that the treatment has been effective?

The nurse notes new onset confusion in an 89-year-old patient in a long-term care facility. The patient is normally alert and oriented. In which order should the nurse take the following actions? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________ A) Obtain the oxygen saturation. B) Check the patient's pulse rate. C) Document the change in status. D) Notify the health care provider.

A patient with primary pulmonary hypertension ( PPH ) is receiving nifedipine ( Procardia ). The nurse will evaluate that the treatment is effective if

A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing. The nurse finds a heart rate of 142, BP reading of 100/60, and respirations of 42. The nurse's first action should be to

A patient with newly diagnosed lung cancer tells the nurse, "I think I am going to die pretty soon." Which response by the nurse is best?

When developing a teaching plan for a patient with a 42 pack-year history of cigarette smoking, it will be most important for the nurse to include information about

Which assessment information obtained by the nurse when caring for a patient who has just had a thoracentesis is most important to communicate to the health care provider?

After 2 months of tuberculosis ( TB ) treatment with a standard four-drug regimen, a patient continues to have positive sputum smears for acid-fast bacilli ( AFB ). Which action should the nurse take next?

When providing preoperative instruction for a patient scheduled for a left pneumonectomy for cancer of the lung, the nurse informs the patient that the postoperative care includes