Lagniappe I
Which intervention should the nurse use to keep the chest tubes from becoming occluded?
Prevent the patient from lying on it
The nurse assessing an 11-year-old who is having an asthma attack expects to hear which adventitious sounds?
Expiratory wheezes
The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber. Which action is appropriate based on this assessment?
Document the tidaling
One of the biggest challenges in long-term treatment of active TB is:
Patient’s compliance with taking the medications
Your patient is taking Rifampin and reports that his urine is reddish-orange. Which statement made by the nurse is appropriate?
“This is a normal side effect of the medication.”
A patient presents to the ED after involvement in a motor vehicle accident. He is SOB, anxious and has decreasing breath sounds in the right mid and lower lobes. Which condition would best explain the symptoms?
Pneumothorax
Activities, such as walking, will have which benefit for the patient with emphysema?
Increase capacity to use oxygen
What is the appropriate oxygen delivery value for the nasal cannula?
1-6 L/min = 24%-44% O2
The nurse is examining a patient with pleurisy. How would the nurse document a low-pitched grating lung sound?
Friction rub
On entering the room of a client with COPD, you notice that he is receiving oxygen at 4 L/min via nasal cannula, and you take action to aadjust the oxygen. Your actions should be based on which statement?
The flow rate is too high
Symptoms of lung cancer include subjective data that is:
Chronic cough and hoarseness
In which way does pursed lip breathing assist patients with asthma during an attack?
It decreases breathing efforts
What is the maximum time that suctioning should be applied during nasotracheal suctioning?
15 seconds
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 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
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 term “Pink Puffer” refers to which condition?
Emphysema
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
The collapse of alveoli, preventing the respiratory exchange of carbon dioxide and oxygen is called ______________.
Atelectasis
Clients at high risk for pulmonary embolism include a patient who has a diagnosis of:
Right hip fracture
Exposure to an asthma trigger can cause which aspect of asthma to occur next?
Inflammatory process in the mast cells of the lungs
The patient with long-term emphysema is admitted with a secondary diagnosis of cor pulmonale. Which symptoms will the patient likely exhibit?
Edema of the lower extremities and extended neck veins due to hypertension of the pulmonary circulation
You are beginning to provide oropharyngeal suctioning to a patient who has been sedated and needs temporary assistance managing his airway. You know the appropriate device to provide oral suctioning is:
Yankeur suction catheter
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
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