Lung Biopsy Assessment Quiz: Identify Urgent Interventions

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Questions and Answers

Which of the following is the most important consideration for a nurse when providing care to a client after an open lung biopsy?

Maintaining a positive attitude and providing false hope to the client

Avoiding a nonjudgmental approach when discussing the client's condition

Closely monitoring the client for signs of a potentially serious complication, such as pneumothorax (correct)

Ensuring the client's respiratory rate remains within the normal range

A nurse assesses a client's respiratory status after an open lung biopsy and notes reduced breath sounds. Which of the following is the most appropriate nursing intervention?

Withhold pain medication due to the client's decreased heart rate

Apply oxygen and monitor the client's pulse oximetry

Call the physician immediately to report the findings (correct)

Increase the oxygen flow rate to improve the client's respiratory status

A client states they are feeling dizzy after an open lung biopsy. Which of the following nursing interventions is most appropriate?

Call the physician immediately to report the findings

Decrease the oxygen flow rate to improve the client's respiratory status

Apply oxygen and monitor the client's pulse oximetry (correct)

Withhold pain medication due to the client's decreased heart rate

A client's heart rate is 55 beats per minute after an open lung biopsy. Which of the following nursing interventions is most appropriate?

Withhold pain medication due to the client's decreased heart rate Signup and view all the answers

A client's respiratory rate is 18 breaths per minute after an open lung biopsy. Which of the following nursing interventions is most appropriate?

Decrease the oxygen flow rate to improve the client's respiratory status Signup and view all the answers

Which of the following is the most important principle to consider when providing care to a client after an open lung biopsy?

Closely monitoring the client for signs of a potentially serious complication, such as pneumothorax Signup and view all the answers

What is the main purpose of obtaining informed consent from a client before a thoracentesis?

To verify the client's understanding of potential complications Signup and view all the answers

Who is responsible for explaining the potential complications and the procedure details of a thoracentesis to the client?

The physician or nurse practitioner Signup and view all the answers

What does a deviated trachea following a thoracentesis indicate?

A possible tension pneumothorax Signup and view all the answers

Which assessment finding in a client after a thoracentesis requires the nurse's immediate attention?

Deviated trachea toward the opposite side of the neck Signup and view all the answers

What is an expected oxygen saturation level for a client on 2 liters of oxygen post-thoracentesis?

98% Signup and view all the answers

If a client who had a bronchoscopy requests a drink of water 2 hours post-procedure, what should be the nurse's next action?

Consult with the physician before giving water Signup and view all the answers

Which of the following assessment findings would require immediate action for a client recovering from a lung biopsy?

Absence of breath sounds on auscultation Signup and view all the answers

Prior to performing a thoracentesis, which intervention should the nurse prioritize?

Obtaining informed consent from the client or their legal representative Signup and view all the answers

Which of the following assessment findings would indicate a potential chronic lung disorder or barrel chest in a client?

All of the above Signup and view all the answers

In assessing a client for potential chronic lung disorders, which approach should the nurse prioritize?

Directly asking the client about any chronic breathing problems they may experience Signup and view all the answers

Which of the following assessment findings would be considered a life-threatening complication after a lung biopsy procedure?

Absence of breath sounds on auscultation Signup and view all the answers

In preparing a client for a thoracentesis procedure, which of the following interventions should the nurse prioritize?

Obtaining informed consent from the client or their legal representative Signup and view all the answers

Which statement is the most accurate regarding the nurse's collaboration with food services in this scenario?

The nurse should collaborate with food services to ensure no avocados are placed on the client's meal trays. Signup and view all the answers

Which statement regarding the nurse's communication with the respiratory therapist is INCORRECT?

The nurse should tell the respiratory therapist that physical therapy states the client can run on a treadmill during the PFTs. Signup and view all the answers

What is the LEAST relevant information the nurse should communicate to the respiratory therapist prior to the pulmonary function tests?

The client is ready to go down to radiology for this examination. Signup and view all the answers

Which statement best describes the nurse's role in collaborating with the respiratory therapist for the pulmonary function tests?

The nurse should communicate relevant information to the respiratory therapist to ensure the tests are accurate. Signup and view all the answers

What is the LEAST important piece of information the nurse should communicate to the respiratory therapist prior to the pulmonary function tests?

Physical therapy states the client can run on a treadmill. Signup and view all the answers

Which statement best describes the purpose of the nurse's collaboration with the respiratory therapist prior to the pulmonary function tests?

To ensure the client is prepared and the tests can be conducted accurately. Signup and view all the answers

Which of the following should NOT be included in the teaching for a client interested in smoking cessation?

Establishing a punitive measure for lapses in smoking cessation Signup and view all the answers

According to the information provided, which of the following snacks would be appropriate for a client attempting smoking cessation?

Fresh fruits and vegetables Signup and view all the answers

Which of the following strategies is NOT recommended for a client interested in smoking cessation?

Consuming high-calorie snacks to curb cravings Signup and view all the answers

According to the information provided, which of the following is an appropriate approach for a nurse when a client experiences a lapse in smoking cessation?

Encourage the client not to be discouraged by the lapse Signup and view all the answers

Which of the following is the LEAST important reason for a client to create a list of motivations for quitting smoking?

To comply with workplace or societal smoking restrictions Signup and view all the answers

According to the information provided, which of the following combinations of strategies would be MOST effective for a client attempting smoking cessation?

Drinking at least 8 glasses of water daily, creating a list of reasons for quitting, and engaging in enjoyable activities Signup and view all the answers

Which assessment finding would indicate the nurse's primary intervention should be to administer an inhaled bronchodilator?

Wheezes are heard in central lung areas Signup and view all the answers

What is the MOST important consideration for the nurse when providing care to a client with a pulmonary infection?

Assessing the level of consciousness Signup and view all the answers

Which statement regarding the nurse's collaboration with the respiratory therapist is MOST accurate?

The nurse should prioritize communicating the client's assessment findings and medication regimen Signup and view all the answers

Which nursing intervention is MOST appropriate for a client who has reduced breath sounds after an open lung biopsy?

Have the client breathe deeply Signup and view all the answers

What is the MAIN purpose of obtaining informed consent from a client before a thoracentesis procedure?

To ensure the client understands the procedure details Signup and view all the answers

Which assessment finding would require the nurse's IMMEDIATE attention after a thoracentesis procedure?

Deviated trachea Signup and view all the answers

Which of the following is the MOST important nursing intervention to help maximize functioning of the respiratory system and prevent infection in a client at high risk for a pulmonary infection?

Encouraging regular pulmonary hygiene and activities to maintain health and fitness Signup and view all the answers

A client is recovering from a thoracentesis procedure. Which of the following assessment findings would require the nurse's IMMEDIATE attention?

Reduced breath sounds Signup and view all the answers

A client is recovering from an open lung biopsy. Which of the following assessment findings would be considered a LIFE-THREATENING complication?

Reduced breath sounds Signup and view all the answers

A client is interested in smoking cessation. Which of the following strategies would be LEAST effective for this client?

Creating a list of motivations for quitting smoking Signup and view all the answers

A client is recovering from a thoracentesis procedure. Which of the following oxygen saturation levels would be considered APPROPRIATE for this client on 2 liters of oxygen?

92% Signup and view all the answers

In assessing a client's smoking history, what is the significance of calculating pack-years?

It quantifies the cumulative exposure to tobacco smoke over time. Signup and view all the answers

When interviewing a client with a significant smoking history, which approach should the nurse prioritize?

Maintain a non-judgmental attitude to encourage honest disclosure. Signup and view all the answers

Which of the following substances should be included in a comprehensive smoking history?

Cigarettes, cigars, pipe tobacco, marijuana, and electronic cigarettes Signup and view all the answers

In addition to assessing active smoking, what other factor should the nurse consider when evaluating a client's respiratory health?

All of the above Signup and view all the answers

If a client discloses a history of smoking but expresses denial or guilt, what is the most appropriate nursing intervention?

Maintain a non-judgmental attitude and create a supportive environment. Signup and view all the answers

What is the primary purpose of documenting a client's smoking history in pack-years?

To estimate the client's risk for developing respiratory diseases. Signup and view all the answers

Which assessment finding would indicate a potential barrel chest in the client described?

An anteroposterior chest diameter equal to the lateral chest diameter Signup and view all the answers

What is the most likely underlying cause of the described chest finding?

Long-term chronic airflow limitation Signup and view all the answers

If the nurse rechecks the client's chest measurements and finds the anteroposterior diameter exceeds the lateral diameter, what should be the next step?

Recommend chest x-ray and pulmonary function tests Signup and view all the answers

Which additional assessment would be most relevant for a client with a potential barrel chest?

Checking for clubbed nails Signup and view all the answers

If the client confirms having a chronic breathing problem, which intervention should the nurse prioritize?

Referring to a respiratory therapist Signup and view all the answers

Which statement about the described chest finding is most accurate?

It warrants further investigation Signup and view all the answers

What should a nurse emphasize to a client interested in smoking cessation regarding keeping snacks on hand?

Choose low-fat, healthy snacks like fruits or vegetables Signup and view all the answers

Which approach should a nurse take when teaching a client interested in smoking cessation about managing setbacks?

Accept that setbacks are normal and part of the process Signup and view all the answers

What is the most crucial reason for a nurse to encourage a client interested in smoking cessation to drink at least eight glasses of water daily?

It helps flush out toxins from the body Signup and view all the answers

Why should a nurse recommend a client interested in smoking cessation to find an activity that keeps their hands busy?

To distract from cravings and replace the smoking habit Signup and view all the answers

Which behavior should a nurse discourage in a client interested in smoking cessation related to reasons for quitting smoking?

Relying solely on external pressure to stop smoking Signup and view all the answers

Which recommendation is most appropriate for a nurse to give to a client interested in smoking cessation regarding creating a list of reasons to quit?

Incorporate both personal and external motivators on the list Signup and view all the answers

Study Notes

Smoking Cessation

To help a client quit smoking, the nurse should teach them to:
- Find an activity that keeps their hands busy
- Keep healthy snacks on hand to nibble on
- Drink at least 8 glasses of water each day
- Make a list of reasons for quitting smoking

Assessment and Diagnostic Examination

After an open lung biopsy, the nurse should:
- Assess for decreased or absent breath sounds, which may indicate pneumothorax
- Notify the physician immediately if decreased breath sounds are detected
When assessing a client's respiratory status, the nurse should:
- Ask about chronic breathing problems
- Assess for occupation and hobby-related exposure to irritants
Absent breath sounds may indicate pneumothorax, a serious complication after a needle biopsy or open lung biopsy
A deviated trachea is a manifestation of a tension pneumothorax, which is a medical emergency

Pulmonary Function Tests (PFTs)

To ensure accurate PFTs, the nurse should:
- Withhold bronchodilators for 4-6 hours prior to the test
- Ensure the client did not smoke within 6-8 hours prior to the test
- Verify that the client can follow basic commands, including different breathing maneuvers

Respiratory Distress/Failure

Wheezes are indicative of narrowed airways, and bronchodilators can help to open the air passages
Crackles may represent a deep interstitial process, and coughing forcefully may not help the client expectorate secretions
A barrel chest may occur as a result of a long-term chronic airflow limitation problem, such as chronic obstructive pulmonary disease or severe chronic asthma

Thoracentesis

Prior to a thoracentesis, the nurse should:
- Verify that informed consent has been given by the client
After a thoracentesis, the nurse should:
- Assess for a deviated trachea, which may indicate a tension pneumothorax
- Notify the physician immediately if a deviated trachea is detected

Communication and Documentation

When assessing a client's health history, the nurse should:
- Maintain a nonjudgmental attitude to encourage honesty about tobacco and marijuana use
- Document the smoking history in pack-years
The nurse should ask about allergies, including:
- The specific response to the allergen
- The treatment and response to treatment
- Documenting the allergy in a prominent place in the client's medical record

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Test your knowledge on nursing care assessments related to client interactions and interventions. Includes scenarios on patient-centered care and assessment findings matched with appropriate interventions.

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