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

A patient is unable to maintain a clear airway effectively with coughing and has a respiratory rate of 22/min with coarse crackles bilaterally.Which intervention should the nurse provide first?

A patient asks the nurse what can be done to prevent the development of lung cancer.What measure should the nurse explain as the most effective way to prevent this disease?

The nurse observes a newly admitted patient in the hospital room and determines that data collection should be focused on chronic obstructive pulmonary disease.What did the nurse observe to make this decision?

The nurse is assisting with the development of content on lung diseases to be provided during an upcoming health fair.What should the nurse include as being the disease that one-third of the world's population is currently infected?

The nurse needs to collect a sputum specimen for culture from a patient with a chronic cough.What actions should the nurse take when collecting this specimen? (Select all that apply.)

The nurse is beginning morning care after receiving report.Which patient should the nurse monitor most closely for symptoms of a pulmonary embolism (PE)?

A patient is admitted to a respiratory unit with a diagnosis of left lower lobe pneumonia.The nursing assessment reveals the patient to be febrile and experiencing a weak,congested-sounding cough.The patient has moist crackles throughout the lung fields.Based on the data provided,which nursing diagnosis is most appropriate?

The nurse answers a call light and finds the patient gasping for breath and looking very anxious.Based on the patient's history,the nurse believes the patient may be experiencing a pulmonary embolism (PE).Which action should the nurse take first?

A summer camp worker reports to the camp nurse with complaints of shortness of breath and audible wheezing.Which inhaled medication should the nurse provide?

A nurse is providing home care for a patient with chronic obstructive pulmonary disease (COPD).Which order should the nurse question?

A patient with TB who is in respiratory isolation must go to the x-ray department.Which action should the nurse take?

A patient has a positive response to a Candida test,in addition to a positive purified protein derivative (PPD)skin test.Which interpretation of these results is correct?

According to Centers for Disease Control and Prevention (CDC)guidelines,which individuals should the nurse consider as being positive for the TB skin test? (Select all that apply.)

The nurse auscultates the lung sounds of a patient with a pneumothorax every 4 hours.What is the nurse listening for during this auscultation?

A patient diagnosed with a pleural effusion is very dyspneic.With which procedure should the nurse anticipate assisting?

The nurse is caring for a patient with long-standing bronchiectasis.Which manifestation should the nurse report immediately?

A patient's arterial blood gas analysis shows a PaCO₂ of 62 mm Hg.What action should the nurse take?

A patient with a lung infection has blood-tinged sputum.What term should the nurse use to document this finding?

A patient with a pneumothorax has a chest drainage system.The family asks when the chest tube will be removed.What should the nurse respond to the family?

The nurse is providing discharge teaching for a patient with newly diagnosed asthma.What should be included in the discharge teaching?