Exam 30: Nursing Management Lower Respiratory Problems

The nurse is caring for a client with a possible pulmonary embolism who has symptoms of chest pain and difficulty breathing. The nurse assesses a heart rate of 142, BP 100/60 mm Hg, and respirations of 42 breaths/minute. Which of the following actions shouldthe nurse implement first?

The nurse is caring for a client who is hospitalized with active tuberculosis (TB) and the nurse observes a family member who is visiting the client. Which of the following actions by the visitor should cause the nurse to intervene?

The nurse is caring for a client with right lower-lobe pneumonia who has been treated with intravenous (IV) antibiotics for 2 days. Which of the following assessment data obtained by the nurse indicates that the treatment has been effective?

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

Which of the following prescriptions should the nurse implement first for a client who has just been admitted with probable bacterial pneumonia and sepsis?

Which of the following nursing actions is most effective in preventing aspiration pneumonia in clients who are at risk?

The nurse is caring for a client in the emergency department who has an open stab wound to the right chest. Which of the following actions should the nurse implement first?

The nurse is performing tuberculosis (TB) screening in a clinic that has many clients who have immigrated to Canada. Before doing a TB skin test on a client, which of the following questions is most important for the nurse to ask?

The nurse is teaching a client who is receiving standard multidrug therapy for tuberculosis (TB) about possible toxic effects of the antitubercular medications. Which of the following findings should the nurse instruct the client to report to the healthcareprovider?

The nurse is caring for a client who has incisional pain, a poor cough effort, and scattered rhonchi after a thoracotomy. Which of the following actions should the nurse take first?

The nurse is caring for a client with bacterial pneumonia who has pleurisy. Which of the following actions should the nurse implement to promote airway clearance?

The nurse is caring for a client who has just been admitted with pneumococcal pneumonia has a temperature of 38.7°C (101.7°F) with a frequent cough and symptoms of severe pleuritic chest pain. Which of the following prescribed medications should the nursegive first?

The nurse is caring for a client with pneumonia has a fever of 38.4°C (101.1°F), a nonproductive cough, and an oxygen saturation of 89%. The client is very weak and needs assistance to get out of bed. Which of the following nursing diagnoses is priority?

The nurse is developing a teaching plan for a client with a 42 pack-year history of cigarette smoking. Which of the following information should the nurse include in the plan of care?

The nurse is conducting a chest assessment on a client with pneumococcal pneumonia. Which of the following findings should the nurse expect to assess?

The nurse is assessing a client who has just arrived after an automobile accident and the nurse notes that the breath sounds are absent on the right side. Which of the following actions should the nurse anticipate?

The nurse has completed discharge teaching for a client who has had a lung transplant. Which of the following client statements indicate that the teaching was effective?

The nurse is caring for a client who has a right-sided chest tube following a thoracotomy and has continuous bubbling in the suction-control chamber of the collection device. Which of the following actions should the nurse implement?

The nurse is providing teaching to a client with pulmonary tuberculosis (TB) regarding the transmission of TB. Which of the following client actions indicate that the teaching has been effective?

Following assessment of a client with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which of the following information best supports this diagnosis?