Exam 24: Nursing Management: Lower Respiratory Problems

When assessing a patient who has just arrived after an automobile accident,the emergency department nurse notes tachycardia and absent breath sounds over the right lung.For which intervention will the nurse prepare the patient?

A patient with a pleural effusion is scheduled for a thoracentesis.Which action should the nurse take to prepare the patient for the procedure?

A patient who is taking rifampin (Rifadin)for tuberculosis calls the clinic and reports having orange discolored urine and tears.Which is the best response by the nurse?

A patient has acute bronchitis with a nonproductive cough and wheezes.Which topic should the nurse plan to include in the teaching plan?

The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB).Which statement,if made by the patient,indicates that teaching was effective?

The nurse is performing tuberculosis (TB)skin tests in a clinic that has many patients who have immigrated to the United States.Which question is most important for the nurse to ask before the skin test?

The nurse supervises unlicensed assistive personnel (UAP)who are providing care for a patient with right lower lobe pneumonia.The nurse should intervene if which action by UAP is observed?

Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting?

A patient who was admitted the previous day with pneumonia complains of a sharp pain of 7 (based on 0 to 10 scale)"whenever I take a deep breath." Which action will the nurse take next?

A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing.The nurse finds a heart rate of 142 beats/minute,blood pressure of 100/60 mmHg,and respirations of 42 breaths/minute.Which action should the nurse take first?

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

Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?

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

An older patient is receiving standard multidrug therapy for tuberculosis (TB).The nurse should notify the health care provider if the patient exhibits which finding?

The nurse receives change-of-shift report on the following four patients.Which patient should the nurse assess first?

A patient with newly diagnosed lung cancer tells the nurse,"I don't think I'm going to live to see my next birthday." Which response by the nurse is best?

After 2 months of tuberculosis (TB)treatment with isoniazid (INH),rifampin (Rifadin),pyrazinamide (PZA),and ethambutol,a patient continues to have positive sputum smears for acid-fast bacilli (AFB).Which action should the nurse take next?

A patient with pneumonia has a fever of 101.4° F (38.6° C),a nonproductive cough,and an oxygen saturation of 88%.The patient complains of weakness,fatigue,and needs assistance to get out of bed.Which nursing diagnosis should the nurse assign as the highest priority?

The nurse monitors a patient after chest tube placement for a hemopneumothorax.The nurse is most concerned if which assessment finding is observed?

The nurse provides discharge instructions to a patient who was hospitalized for pneumonia.Which statement,if made by the patient,indicates a good understanding of the instructions?