Conditions
The nurse assessing an 11-year-old who is having an asthma attack expects to hear which adventitious sounds?
Expiratory wheezes
Isolation is indicated for patients with pulmonary TB who have a positive sputum smear or a positive chest X-ray. The proper isolation to consider for the active TB patients is:
Negative air pressure room with airborne isolation
Aspiration pneumonia occurs most commonly as a result of aspiration of vomitus, which can occur when the patient is in an altered state of consciousness because of:
Seizure
Anesthesia
Shock
The patient has advanced emphysema and reports experiencing dyspnea and fatigue. Which nursing intervention would be appropriate for the patient who is having difficulty with activity tolerance?
Plan care to provide optimum rest
Isoniazid and Rifampin (Rifadin) are commonly prescribed for treatment of ___________.
Tuberculosis
An 83-year-old patient is admitted with a temperature of 102°F (38.8°C), chest pain, and fatigue. Which term describes the infected fluid that the health care provider removes from the pleural cavity?
Empyema
Which feature is a major advantage of video-assisted thoracoscopic surgery (VATS)?
The surgeon can remove tumors of the lung through a small keyhole incision
A patient, age 69, has emphysema. On assessment, the nurse notes the presence of a “barrel chest.” Which pathology causes this to occur?
An increased anteroposterior diameter caused by overinflation of the alveoli
Which nursing intervention is for a patient, age 40, who is diagnosed with active tuberculosis?
Place the patient in acid-fast bacillus (AFB) Isolation Precautions
Which intervention should the nurse use to keep the chest tubes from becoming occluded?
Prevent the patient from lying on it
A patient is on postoperative day 2 after undergoing a total hip replacement. The patient suddenly complains of chest pain and is coughing up blood-tinged sputum. Which action should be the nurse’s initial intervention?
Elevate head of bed and administer oxygen
A second-day postoperative patient is recovering from thoracic surgery. Which therapeutic nursing intervention would the nurse carry out first?
Help the patient cough and deep breathe by splinting the anterior and posterior chest
Activities, such as walking, will have which benefit for the patient with emphysema?
Increase capacity to use oxygen
Which important precaution should the nurse include when instructing a patient with emphysema on the use of home oxygen?
Limit oxygen to 1 to 2 L/min flow rate
Which nursing activity requires greater caution when performed on a client with COPD?
Administering opioids for pain relief
The nurse is examining a patient with pleurisy. How would the nurse document a low-pitched grating lung sound?
Friction rub
Acute respiratory distress syndrome (ARDS) is a complication that may occur as a result of other disease processes and injuries. Possible causes include:
Chest trauma
Education for a client with a chronic obstructive pulmonaru disease, such as chronic bronchitis, should include which instruction?
How to recognize and report signs of impending respiratory infection
In which way does pursed lip breathing assist patients with asthma during an attack?
It decreases breathing efforts
Clients at high risk for pulmonary embolism include a patient who has a diagnosis of:
Long or large bone injury or fracture
The older adult patient with long-term emphysema reports experiencing a sharp pleuritic pain after a severe period of coughing. The patient’s heart rate and respiratory rate have increased. Auscultation reveals no breath sounds on the left side. These are signs and symptoms of which condition?
Spontaneous pneumothorax
The patient with ARDS is slowly recovering with slow improvement. Which diagnostic indicator is the most appropriate to identify improvement of the patient?
ABGs
The male patient had major abdominal surgery and has spent 24 hours in ICU postoperatively. He is now being transported to the medsurg unit this afternoon. His recovery will include nursing interventions to assure decreased risk for postoperative respiratory complications. The most common respiratory disorder 24-48 hours following a surgical procedure is:
Pneumonia
Leukotriene modifiers are drugs that interfere with the synthesis, or block action of, leukotrienes. In which way do leukotriene modifiers reduce the symptoms of asthma?
By causing bronchodilation and anti-inflammation effects
A patient was admitted to the Emergency Department following an injury during a sports event. He is SOB, and has decreased breath sounds on the right side of his chest. Which treatment would the nurse begin to prepare for?
Chest tube replacement