Exam 24: Nursing Management: Lower Respiratory Problems

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days.Which assessment data obtained by the nurse indicates that the treatment has been effective?

The nurse notes new onset confusion in an older patient who is normally alert and oriented.In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)

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

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

A patient has just been admitted with probable bacterial pneumonia and sepsis.Which order should the nurse implement first?

A patient is admitted with active tuberculosis (TB).The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?

A patient with bacterial pneumonia has rhonchi and thick sputum.What is the nurse's most appropriate action to promote airway clearance?

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

A patient who has a right-sided chest tube following a thoracotomy has continuous bubbling in the suction-control chamber of the collection device.Which action by the nurse is most appropriate?

A patient with idiopathic pulmonary arterial hypertension (IPAH)is receiving nifedipine (Procardia).Which assessment would best indicate to the nurse that the patient's condition is improving?

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?

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

An hour after a thoracotomy,a patient complains of incisional pain at a level 7 (based on 0 to 10 scale)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?

An experienced nurse instructs a new nurse about how to care for a patient with dyspnea caused by a pulmonary fungal infection.Which action by the new nurse indicates a need for further teaching?

The nurse cares for a patient who has just had a thoracentesis.Which assessment information obtained by the nurse is a priority to communicate to the health care provider?

The nurse completes discharge teaching for a patient who has had a lung transplant.The nurse evaluates that the teaching has been effective if the patient makes which statement?

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

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

After change-of-shift report,which patient should the nurse assess first?

The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy.Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?