Podcast
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?
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?
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?
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?
A client's heart rate is 55 beats per minute after an open lung biopsy. Which of the following nursing interventions is most appropriate?
A client's respiratory rate is 18 breaths per minute after an open lung biopsy. Which of the following nursing interventions is most appropriate?
A client's respiratory rate is 18 breaths per minute after an open lung biopsy. Which of the following nursing interventions is most appropriate?
Which of the following is the most important principle to consider when providing care to a client after an open lung biopsy?
Which of the following is the most important principle to consider when providing care to a client after an open lung biopsy?
What is the main purpose of obtaining informed consent from a client before a thoracentesis?
What is the main purpose of obtaining informed consent from a client before a thoracentesis?
Who is responsible for explaining the potential complications and the procedure details of a thoracentesis to the client?
Who is responsible for explaining the potential complications and the procedure details of a thoracentesis to the client?
What does a deviated trachea following a thoracentesis indicate?
What does a deviated trachea following a thoracentesis indicate?
Which assessment finding in a client after a thoracentesis requires the nurse's immediate attention?
Which assessment finding in a client after a thoracentesis requires the nurse's immediate attention?
What is an expected oxygen saturation level for a client on 2 liters of oxygen post-thoracentesis?
What is an expected oxygen saturation level for a client on 2 liters of oxygen post-thoracentesis?
If a client who had a bronchoscopy requests a drink of water 2 hours post-procedure, what should be the nurse's next action?
If a client who had a bronchoscopy requests a drink of water 2 hours post-procedure, what should be the nurse's next action?
Which of the following assessment findings would require immediate action for a client recovering from a lung biopsy?
Which of the following assessment findings would require immediate action for a client recovering from a lung biopsy?
Prior to performing a thoracentesis, which intervention should the nurse prioritize?
Prior to performing a thoracentesis, which intervention should the nurse prioritize?
Which of the following assessment findings would indicate a potential chronic lung disorder or barrel chest in a client?
Which of the following assessment findings would indicate a potential chronic lung disorder or barrel chest in a client?
In assessing a client for potential chronic lung disorders, which approach should the nurse prioritize?
In assessing a client for potential chronic lung disorders, which approach should the nurse prioritize?
Which of the following assessment findings would be considered a life-threatening complication after a lung biopsy procedure?
Which of the following assessment findings would be considered a life-threatening complication after a lung biopsy procedure?
In preparing a client for a thoracentesis procedure, which of the following interventions should the nurse prioritize?
In preparing a client for a thoracentesis procedure, which of the following interventions should the nurse prioritize?
Which statement is the most accurate regarding the nurse's collaboration with food services in this scenario?
Which statement is the most accurate regarding the nurse's collaboration with food services in this scenario?
Which statement regarding the nurse's communication with the respiratory therapist is INCORRECT?
Which statement regarding the nurse's communication with the respiratory therapist is INCORRECT?
What is the LEAST relevant information the nurse should communicate to the respiratory therapist prior to the pulmonary function tests?
What is the LEAST relevant information the nurse should communicate to the respiratory therapist prior to the pulmonary function tests?
Which statement best describes the nurse's role in collaborating with the respiratory therapist for the pulmonary function tests?
Which statement best describes the nurse's role in collaborating with the respiratory therapist for the pulmonary function tests?
What is the LEAST important piece of information the nurse should communicate to the respiratory therapist prior to the pulmonary function tests?
What is the LEAST important piece of information the nurse should communicate to the respiratory therapist prior to the pulmonary function tests?
Which statement best describes the purpose of the nurse's collaboration with the respiratory therapist prior to the pulmonary function tests?
Which statement best describes the purpose of the nurse's collaboration with the respiratory therapist prior to the pulmonary function tests?
Which of the following should NOT be included in the teaching for a client interested in smoking cessation?
Which of the following should NOT be included in the teaching for a client interested in smoking cessation?
According to the information provided, which of the following snacks would be appropriate for a client attempting smoking cessation?
According to the information provided, which of the following snacks would be appropriate for a client attempting smoking cessation?
Which of the following strategies is NOT recommended for a client interested in smoking cessation?
Which of the following strategies is NOT recommended for a client interested in smoking cessation?
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?
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?
Which of the following is the LEAST important reason for a client to create a list of motivations for quitting smoking?
Which of the following is the LEAST important reason for a client to create a list of motivations for quitting smoking?
According to the information provided, which of the following combinations of strategies would be MOST effective for a client attempting smoking cessation?
According to the information provided, which of the following combinations of strategies would be MOST effective for a client attempting smoking cessation?
Which assessment finding would indicate the nurse's primary intervention should be to administer an inhaled bronchodilator?
Which assessment finding would indicate the nurse's primary intervention should be to administer an inhaled bronchodilator?
What is the MOST important consideration for the nurse when providing care to a client with a pulmonary infection?
What is the MOST important consideration for the nurse when providing care to a client with a pulmonary infection?
Which statement regarding the nurse's collaboration with the respiratory therapist is MOST accurate?
Which statement regarding the nurse's collaboration with the respiratory therapist is MOST accurate?
Which nursing intervention is MOST appropriate for a client who has reduced breath sounds after an open lung biopsy?
Which nursing intervention is MOST appropriate for a client who has reduced breath sounds after an open lung biopsy?
What is the MAIN purpose of obtaining informed consent from a client before a thoracentesis procedure?
What is the MAIN purpose of obtaining informed consent from a client before a thoracentesis procedure?
Which assessment finding would require the nurse's IMMEDIATE attention after a thoracentesis procedure?
Which assessment finding would require the nurse's IMMEDIATE attention after a thoracentesis procedure?
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?
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?
A client is recovering from a thoracentesis procedure. Which of the following assessment findings would require the nurse's IMMEDIATE attention?
A client is recovering from a thoracentesis procedure. Which of the following assessment findings would require the nurse's IMMEDIATE attention?
A client is recovering from an open lung biopsy. Which of the following assessment findings would be considered a LIFE-THREATENING complication?
A client is recovering from an open lung biopsy. Which of the following assessment findings would be considered a LIFE-THREATENING complication?
A client is interested in smoking cessation. Which of the following strategies would be LEAST effective for this client?
A client is interested in smoking cessation. Which of the following strategies would be LEAST effective for this client?
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?
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?
In assessing a client's smoking history, what is the significance of calculating pack-years?
In assessing a client's smoking history, what is the significance of calculating pack-years?
When interviewing a client with a significant smoking history, which approach should the nurse prioritize?
When interviewing a client with a significant smoking history, which approach should the nurse prioritize?
Which of the following substances should be included in a comprehensive smoking history?
Which of the following substances should be included in a comprehensive smoking history?
In addition to assessing active smoking, what other factor should the nurse consider when evaluating a client's respiratory health?
In addition to assessing active smoking, what other factor should the nurse consider when evaluating a client's respiratory health?
If a client discloses a history of smoking but expresses denial or guilt, what is the most appropriate nursing intervention?
If a client discloses a history of smoking but expresses denial or guilt, what is the most appropriate nursing intervention?
What is the primary purpose of documenting a client's smoking history in pack-years?
What is the primary purpose of documenting a client's smoking history in pack-years?
Which assessment finding would indicate a potential barrel chest in the client described?
Which assessment finding would indicate a potential barrel chest in the client described?
What is the most likely underlying cause of the described chest finding?
What is the most likely underlying cause of the described chest finding?
If the nurse rechecks the client's chest measurements and finds the anteroposterior diameter exceeds the lateral diameter, what should be the next step?
If the nurse rechecks the client's chest measurements and finds the anteroposterior diameter exceeds the lateral diameter, what should be the next step?
Which additional assessment would be most relevant for a client with a potential barrel chest?
Which additional assessment would be most relevant for a client with a potential barrel chest?
If the client confirms having a chronic breathing problem, which intervention should the nurse prioritize?
If the client confirms having a chronic breathing problem, which intervention should the nurse prioritize?
Which statement about the described chest finding is most accurate?
Which statement about the described chest finding is most accurate?
What should a nurse emphasize to a client interested in smoking cessation regarding keeping snacks on hand?
What should a nurse emphasize to a client interested in smoking cessation regarding keeping snacks on hand?
Which approach should a nurse take when teaching a client interested in smoking cessation about managing setbacks?
Which approach should a nurse take when teaching a client interested in smoking cessation about managing setbacks?
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?
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?
Why should a nurse recommend a client interested in smoking cessation to find an activity that keeps their hands busy?
Why should a nurse recommend a client interested in smoking cessation to find an activity that keeps their hands busy?
Which behavior should a nurse discourage in a client interested in smoking cessation related to reasons for quitting smoking?
Which behavior should a nurse discourage in a client interested in smoking cessation related to reasons for quitting smoking?
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?
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?
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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Description
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.
