Exam 29: Respiratory System Function, Assessment, and Therapeutic Measures

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A postoperative patient is taking shallow breaths because of fear of incisional pain.Which action should the nurse take first?

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A patient is recovering after a bronchoscopy.Which action is a priority for this patient?

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The nurse is examining a chest drainage system on a patient with a pneumothorax and notes the water level in the water seal chamber fluctuating with each of the patient's respirations.What should the nurse do?

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A patient being mechanically ventilated is prescribed peak end-expiratory pressure (PEEP).How does this setting assist the ventilated patient?

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The nurse is auscultating a patient's lungs but is unable to hear much air movement.What should the nurse do to most effectively hear the lung sounds?

(Multiple Choice)
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A patient's chest x-ray shows a suspicious area,and the physician plans a bronchoscopy.How should the nurse describe this procedure to the patient?

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The nurse is coaching a patient to empty the lungs of all air before using a metered-dose inhaler.What air that is expired beyond tidal volume in a forceful exhalation is the nurse coaching the patient to remove from the lungs?

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The nurse documents that a patient's chest is within normal limits.What does this statement mean?

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The nurse is preparing to suction a patient's tracheostomy Place in order the steps the nurse should take to complete this procedure.All options must be used.

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A patient's oxygen saturation is 89%.Which actions should the nurse take first?

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The nurse is auscultating a patient's chest and hears an adventitious sound in the left lower lobe.What is the first step in determining whether this is an abnormality?

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The nurse is providing care for a patient diagnosed with asthma.Which adventitious sound should the nurse expect when auscultating this patient's lung sounds?

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The nurse is asked to assist with the intubation of a confused patient with respiratory failure.What should the nurse do first?

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A patient enters the emergency department with a stab wound to the chest.The physician places chest tubes to drain air and blood from the patient's thoracic cavity.The nurse sets up the chest tube drainage system.Where should the nurse place the system?

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A patient is having problems with oxygenation of body tissues.What is important for the nurse to consider about the transport of oxygen in the blood?

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A patient has a thoracentesis for dyspnea caused by a pleural effusion.The physician obtains 1000 mL of fluid.Which outcome indicates that the thoracentesis has been effective?

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A patient is making a loud crowing sound caused by an obstruction of the airways by a foreign body.How should the nurse document this patient's lung sound?

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During the admission assessment of an individual admitted to the medical respiratory unit,the nurse notes the patient has a barrel-shaped chest.Which assessment should the nurse perform next?

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A patient is prescribed noninvasive positive-pressure ventilation (NIPPV).How can the nurse increase the patient's comfort when using this ventilation system?

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A patient with pneumonia is having difficulty raising secretions for a sputum culture.Which action should the nurse take first?

(Multiple Choice)
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