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The older adult patient with long-term emphysema complains of 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 what condition?
Spontaneous pneumothorax
Signs and symptoms of sleep apnea include which of the following?
Loud snoring
A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. Which of the following instructions would be appropriate for the nurse to give the client?
Keep a diary if when your symptoms occur.
The older adult patient with long-term emphysema complains of 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 what condition?
Early signs of unilateral pneumonia
How should a patient be positioned after a thoracentesis is completed and the dressing applied?
Side lying on unaffected side
The patient has advanced emphysema and complains of dyspnea and fatigue. What would the most appropriate nursing intervention be for the nursing diagnosis of Activity intolerance related to an imbalance between the oxygen supply and demand?
Plan care to provide optimum rest.
The nurse is caring for a client with seasonal allergies to pollen. The client ask the nurse what can be done to eliminate his allergic reaction. The nurse is correct by saying:
Try to avoid the reason for your allergy.
An elderly male client is complaining of sneezing, running nose, and watery eyes when he is around cats. His condition is known as _____________.
Allergic rhinitis
How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised?
Accept that the therapy is long term
A nurse assesses a client who reports waking up feeling very tired, even after 8 hours of good sleep. Which action should the nurse take first?
Ask the client if he or she has ever been evaluated for sleep study.
A nursing diagnosis for the patient with a new laryngectomy would be Social isolation related to impaired verbal communication related to removal of the larynx. What is an appropriate nursing intervention?
Provide a pad and magic slate.
How will the kidneys behave in respiratory acidosis?
Retain bicarbonate to increase the pH
A 55-year-old man comes to the health nurse at his place of work with epistaxis. He reports he has frequent nosebleeds that he can usually control himself. What would be the most helpful assessment after the nurse has stopped the bleeding?
Obtain a blood pressure
How should a sputum specimen for culture and sensitivity testing be collected?
Collect specimen before beginning antibiotics
A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which of the following statements should the nurse identify as an indication that the client understands?
"I am going to try to lose about 50 pounds."
How would the nurse examining a patient with pleurisy document a low-pitched grating lung sound?
Friction rub
How does pursed lip breathing assist patients with asthma during an attack?
It opens bronchioles by backflow air pressure.
The nurse is caring for a client with allergic rhinitis and asked the nurse what can possibly happen during an allergic response. The nurse is correct by saying:
Watery eyes and runny nose can occur.
An 83-year-old patient is admitted with a temperature of 102° F (38.8° C), chest pain, and fatigue. What is the infected fluid that the physician removes called?
Empyema
A nurse is caring for a child who has nosebleed. Which of the following actions should the nurse take?
Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.
pH =7.47
PCO2 = 48
HCO3 = 30
metabolic alkalosis partially compensated
pH = 7.31
PCO2 = 50
HCO3 = 22
respiratory acidosis un compensated
pH =7.30
PCO2 = 50
HCO3 = 30
Respiratory Acidosis
pH =7.33
PCO2 = 40
HCO3 = 21
metabolic acidosis
pH =7.36
PCO2 = 40
HCO3 = 24
normal ABG