Exam 31: Nursing Care of Patients With Lower Respiratory Tract Disorders

A patient with TB takes the prescribed drugs until the bottle runs out and then feels better and does not refill the prescription.The home health nurse explains that continuing the drugs is important for which reason?

The nurse teaches a patient with TB about drug therapy.Which patient statement indicates that teaching has been effective?

An older adult patient who reports difficulty breathing and a productive cough and has a low-grade fever is admitted to the hospital for diagnosis and treatment.Which new-onset symptom should take priority?

A patient is diagnosed with respiratory failure.Which acid-base abnormality should the nurse expect the patient to demonstrate?

A patient is prescribed long-term anticoagulant therapy as treatment for pulmonary emboli.What should the nurse ensure the patient is instructed before being discharged home? (Select all that apply.)

A patient with cystic fibrosis has ineffective airway clearance.What intervention would worsen this problem?

While reinforcing discharge teaching for a patient with emphysema,which patient statement indicates that teaching was effective?

A patient has difficulty raising pulmonary secretions,and the nurse writes a nursing diagnosis of "Ineffective Airway Clearance related to weak cough and fatigue." What would best help the patient maintain a clear airway?

The nurse is providing routine follow-up care for a young adult with asthma who has been on a 3-month course of maintenance therapy.Which activity would best help the nurse to determine if the patient's treatment plan was effective?

The nurse is reviewing the health statuses for assigned patients to determine the risk for pneumonia.Which type of pneumonia occurs most often as a nosocomial infection in hospitalized patients,very young patients,and older patients?

The nurse is reviewing the health histories for an assigned group of patients.Which patient should the nurse identify as being the most at risk for TB?

A patient prescribed theophylline for asthma has a theophylline level of 3 mcg/dL.What should the nurse do?

A nurse performs purified protein derivative and Candida skin tests on a patient suspected of TB.After 48 hours,what finding at the injection sites should the nurse document as a positive result?

The nurse is reviewing data collected on a patient with a respiratory disorder.Which factor should the nurse identify that places the patient at risk for lung cancer?

The nurse is caring for a patient with pneumonia.Which laboratory test would best help the nurse to monitor the condition of this patient?

The nurse is providing care for a patient prescribed tiotropium (Spiriva).Which statement should be included in the patient education?

A patient with suspected TB is prescribed a Candida skin test.What should the nurse explain as the purpose of this test?

A patient with chronic obstructive pulmonary disease is prescribed methylprednisolone (Solu-Medrol).For what reason should the nurse realize that corticosteroids are used in the treatment of this health problem?

The nurse develops a plan for impaired gas exchange for a patient with end-stage chronic obstructive pulmonary disease (COPD).Which finding best helps the nurse to know when the goal has been reached?

The nurse is concerned that a patient with a chronic low oxygen saturation level should be wearing home oxygen.Which oxygenation level should be used to make this decision?