Exam 28: Nursing Assessment Respiratory System

The nurse is admitting a client with acute shortness of breath. Which of the following actions should the nurse take during the initial assessment of the client?

The nurse is admitting a client who is hypothermic with a O2 saturation of 96%. Which of the following actions should the nurse take next?

The nurse is caring for a client with a metabolic acidosis of unknown origin. Which of the following findings should the nurse expect based on this diagnosis?

The nurse is caring for a client with respiratory disease and observes that the client's SpO₂ drops from 92% to 88% while the client is ambulating in the hallway. Which of the following actions should the nurse take next?

The nurse is auscultating a client's lungs and hears short, high-pitched sounds during exhalation in the lower 1/3 of both lungs. Which of the following information should the nurse document?

The nurse is preparing a client with a right-sided pleural effusion for a thoracentesis. Which of the following positions should the nurse position the client?

The nurse is analyzing the results of a client's arterial blood gases (ABGs). Which of the following findings require the most immediate action?

Which of the following respiratory assessments are not normal? (Select all that apply.)

The nurse is caring for a client with a chronic cough who has had a bronchoscopy. Which of the following actions should the nurse include in the nursing care plan after the procedure?

Which of the following lung structures has the most generations?

The nurse is assessing the respiratory system of an older-adult client. Which of the following findings indicate that the nurse should take immediate action?

The nurse is observing a student who is listening to a client's lungs. Which of the following actions by the student indicates a need to review respiratory assessment skills?

The nurse has just received arterial blood gas (ABG) results on four clients. Which of the following results is considered normal?

The nurse is auscultating a client's chest while the client takes a deep breath and hears loud, high-pitched, "blowing" sounds at both lung bases. Which of the following information should the nurse document?

Which of the following pH values is abnormal for a pH when assessing blood results of a mixed venous blood sample?

The nurse is performing an assessment of the client's respiratory system. Which of the following parameters is the nurse assessing when using the following illustrated technique?

The nurse is palpating the posterior chest of a client while the client says "99" and notes that no vibration is felt. Which of the following information should the nurse document?

The nurse is reviewing a client's laboratory results and identifies which of the following values as a normal tidal volume?

After the nurse has received change-of-shift report, which of the following clients should be assessed first?

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) with increasing dyspnea over the last 3 days. Which of the following findings is most important to report to the health care provider?