Respiratory Care: Post-Op & Emergencies

A nurse is caring for a client who has a chest tube following a lobectomy. Which of the following items should the nurse keep easily accessible for the client?

A nurse in the emergency department is caring for a client who is experiencing acute respiratory failure. Which of the following laboratory findings should the nurse expect?

A nurse is assessing a client who has a chest tube in place following thoracic surgery. For which of the following findings should the nurse notify the provider?

A nurse is caring for a client who is in respiratory distress and requires endotracheal suctioning. Which of the following actions should the nurse take?

A nurse is caring for a newly-admitted client who has emphysema. The nurse should place the client in which of the following positions to promote effective breathing?

A nurse is caring for a client who is postoperative and has a respiratory rate of 9/min secondary to general anesthesia effects and incisional pain. Which of the following ABG values indicates the client is experiencing respiratory acidosis?

A nurse is caring for a client who is in respiratory distress. Which of the following low-flow delivery devices should the nurse use to provide the client with the highest level of oxygen?

A nurse is admitting a client who has active tuberculosis. Which of the following isolation precautions should the nurse implement?

A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. Which of the following findings is the priority for the nurse to report to the provider?

A nurse is creating a plan of care for a client who has COPD. Which of the following interventions should the nurse include?

A nurse is assessing a client who has bacterial pneumonia. Which of the following clinical manifestations should the nurse expect?

A nurse working in the emergency department is caring for a client following an acute chest trauma. Which of the following findings indicates to the nurse the client is possibly experiencing a tension pneumothorax?

A nurse is caring for four clients. Which of the following clients is at greatest risk for pulmonary embolism?

A nurse is caring for a client who has asthma and is receiving albuterol. For which of the following adverse effects should the nurse monitor the client?

A nurse is providing discharge teaching to a client who has a temporary tracheostomy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing a client for discharge following a bronchoscopy with the use of moderate sedation. The nurse should place the priority on which of the following assessments?

A nurse is providing teaching to a client who has chronic asthma and a new prescription for montelukast. Which of the following client statements indicates an understanding of the teaching?

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following instructions should the nurse include?

A nurse in the emergency department is caring for a client who is experiencing a pulmonary embolism. Which of the following actions should the nurse take first?

A nurse is assisting the provider who is performing a thoracentesis at the bedside of a client. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is planning care for a client who has asthma. Which of the following medications should the nurse plan to administer during an acute asthma attack?

A nurse receives prescriptions from the provider for performing nasopharyngeal suctioning on four clients. For which of the following clients should the nurse clarify the provider's prescription?

A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds. Which of the following situations should the nurse recognize as a possible cause of the alarm?

A nurse is caring for a client in acute respiratory failure who is receiving mechanical ventilation. Which of the following assessments is the best method for the nurse to use to determine the effectiveness of the current treatment regimen?

A nurse is assessing a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse report to the provider?

A nurse is caring for a client who has a pulmonary embolism. Which of the following interventions is the priority?

A nurse is caring for a client who is 1 hr postoperative following a thoracentesis. Which of the following is the priority assessment finding?

A nurse is assessing a client who has emphysema. Which of the following findings should the nurse report to the provider?

A nurse in a provider's office is assessing a client who has COPD. Which of the following findings is the priority for the nurse to report to the provider?

A nurse is assessing a client who has lung cancer. Which of the following clinical manifestations should the nurse expect?

To promote airway clearance in a patient with pneumonia, what should the nurse instruct the patient to do (select all that apply)?

The nurse is caring for a patient admitted to the hospital with pneumonia. Upon assessment, the nurse notes a temperature of 101.4° F, a productive cough with yellow sputum, and a respiratory rate of 20. Which nursing diagnosis is most appropriate based upon this assessment?

Which physical assessment finding in a patient with a lower respiratory problem best supports the nursing diagnosis of ineffective airway clearance?

Which clinical manifestation should the nurse expect to find during assessment of a patient admitted with pneumonia?

What is the priority nursing intervention in helping a patient expectorate thick lung secretions?

During discharge teaching for a 65-year-old patient with chronic obstructive pulmonary disease (COPD) and pneumonia, which vaccine should the nurse recommend that this patient receive?

The nurse evaluates that discharge teaching for a patient hospitalized with pneumonia has been effective when the patient makes which statement about measures to prevent a relapse?

After admitting a patient from home to the medical unit with a diagnosis of pneumonia, which physician orders will the nurse verify have been completed before administering a dose of cefuroxime (Ceftin) to the patient?

When the patient with a persisting cough is diagnosed with pertussis (instead of acute bronchitis), the nurse knows that treatment will include which type of medication?

The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?

The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement, if made by the patient, indicates a good understanding of the instructions?

The nurse develops a plan of care to prevent aspiration in a high-risk patient. Which nursing action will be most effective?

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment has been effective?

A patient is admitted with active tuberculosis (TB). The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?

The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB). Which statement, if made by the patient, indicates that teaching was effective?

A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic and reports having orange discolored urine and tears. Which is the best response by the nurse?

An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?

An alcoholic and homeless patient is diagnosed with active tuberculosis (TB). Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?

After 2 months of tuberculosis (TB) treatment with isoniazid (INH), rifampin (Rifadin), pyrazinamide (PZA), and ethambutol, a patient continues to have positive sputum smears for acid-fast bacilli (AFB). Which action should the nurse take next?

Employee health test results reveal a tuberculosis (TB) skin test of 16-mm induration and a negative chest x-ray for a staff nurse working on the pulmonary unit. The nurse has no symptoms of TB. Which information should the occupational health nurse plan to teach the staff nurse?

When caring for a patient who is hospitalized with active tuberculosis (TB), the nurse observes a student nurse who is assigned to take care of a patient. Which action, if performed by the student nurse, would require an intervention by the nurse?

Which intervention is MOST effective in preventing aspiration in a patient with a decreased level of consciousness?

A patient with pneumonia is being treated with intravenous antibiotics. Which assessment finding BEST indicates that the treatment is effective?

A patient with active tuberculosis (TB) is on airborne precautions. Under which condition can these precautions be discontinued?

A nurse is teaching a patient about the transmission of pulmonary tuberculosis. Which statement by the patient indicates a correct understanding of how to prevent spreading the infection?

A patient is taking rifampin for tuberculosis. Which instruction is MOST important for the nurse to provide regarding the side effects of this medication?

An older adult is receiving multidrug therapy for tuberculosis. Which assessment finding requires the MOST immediate notification of the healthcare provider?

A homeless patient with a history of alcohol abuse is diagnosed with active tuberculosis. Which strategy is MOST important for the nurse to implement to promote adherence to the prescribed treatment regimen?

A nurse is caring for a patient with pneumonia. What nursing intervention is the MOST effective in mobilizing thick lung secretions?

While changing the tapes on a tracheostomy tube, a client coughs, and the tube is dislodged. What is the initial nursing action?

A nurse is caring for a client immediately after removal of an endotracheal tube. Which of the following signs should the nurse immediately report?

An emergency room nurse assesses a client with a blunt chest injury. Which finding is most indicative of a pneumothorax?

A nurse assesses a client with an acute exacerbation of COPD. Which finding would the nurse expect to observe?

A client with a chest tube suddenly develops marked respiratory distress. What is the priority nursing intervention?

A client is being discharged after hospitalization for pneumonia. Which statement indicates the best understanding of preventing a relapse?

A client with active tuberculosis (TB) is prescribed rifampin. What information is most important for the nurse to include in the client's teaching?

A nurse is caring for a client receiving mechanical ventilation. The high-pressure alarm is sounding frequently. Which situation is the most likely cause?

A patient with HIV and tuberculosis (TB) has a cough productive of blood-tinged mucus. What is the most likely reason for this presentation?

Unlicensed assistive personnel (UAP) are caring for a patient with right lower lobe pneumonia. Which action by the UAP requires the supervising nurse to intervene?

The nurse receives a change-of-shift report for four patients. Which patient should the nurse assess FIRST?

A clinic nurse is preparing to administer tuberculosis (TB) skin tests to several patients, many of whom are immigrants. What question is MOST important to ask before administering the skin test?

A patient on antitubercular medications reports yellow-tinged skin. What is the nurse's BEST action?

A patient with a history of frequent pneumonias is being discharged. Which statement indicates the need for FURTHER teaching?

A nurse is caring for a patient with pneumonia who is having difficulty expectorating thick secretions. Which intervention is MOST effective in promoting secretion removal?

A nurse is teaching a patient about potential side effects of anti-TB medications. Which of the following indicates the patient needs FURTHER education?

A patient who has been undergoing tuberculosis treatment for 2 months with a standard four-drug regimen still has positive sputum smears for AFB. What is the FIRST action the nurse should take?

A patient is diagnosed with pertussis instead of acute bronchitis. What medication will the nurse anticipate being prescribed?

A patient is receiving standard multidrug therapy for tuberculosis (TB). Which finding should prompt the nurse to immediately notify the healthcare provider?

After two months of TB treatment, the patient still has a positive acid-fast bacilli (AFB) sputum smear. Assuming non-adherence has been ruled out and the patient has been compliant with the medication regimen, what is the MOST appropriate next step?

A staff nurse has a TB skin test with a 16-mm induration, but a negative chest x-ray and no symptoms. What education should the occupational health nurse prioritize?

The occupational health nurse is planning to teach the staff nurse about Isoniazid (INH). Which statement by the staff nurse indicates a need for further clarification?

Which finding would the nurse expect to see in a patient experiencing hepatotoxicity secondary to anti-tubercular drug therapy?

What is the MOST important instruction the nurse should give to a patient with active TB who has been started on a four-drug anti-TB regimen to prevent the development of drug resistance?

A patient with burns covering 30% of their body surface is admitted. Which observation indicates the patient has transitioned from the emergent to the acute phase of burn injury?

A post-operative patient is experiencing persistent vomiting. Arterial blood gas results show a pH of 7.47, pCO2 of 40 mm Hg, HCO3 of 33 mEq/L, and pO2 of 84 mm Hg. Which intervention is most appropriate to address the patient's acid-base imbalance?

An elderly patient has a three-day history of persistent vomiting and significant ileostomy output. Which serum potassium level would the nurse most likely anticipate?

The nurse is developing a care plan for a patient diagnosed with hyperkalemia. Which intervention should be included in the plan?

A patient with 50% total body surface area burns is receiving fluid resuscitation. After 16 hours, the patient's blood pressure is 82/58 mm Hg, pulse is 130 bpm, and urine output is 25 mL/hr. What order should the nurse anticipate?

A nurse is caring for a patient with a nasogastric tube attached to low intermittent suction. The patient reports muscle weakness, tetany, and dysrhythmias. Which electrolyte imbalance should the nurse suspect?

A patient with a history of heart failure is admitted with shortness of breath and edema. The physician orders furosemide (Lasix). Which nursing intervention is most important when administering this medication?

A nurse is assessing a patient with severe dehydration. Which finding would the nurse expect to observe?

A client with a new diagnosis of tuberculosis (TB) expresses concern about feeling isolated. Which intervention is most important for the nurse to include in the plan of care?

A client is being discharged after hospitalization for an acute asthma exacerbation. What is the priority for the nurse to discuss first during discharge teaching?

A nurse is administering a purified protein derivative (PPD) test. What information should the nurse include when educating the client?

A client with active tuberculosis (TB) is being treated as an outpatient. Which statement indicates the best understanding of necessary precautions to prevent the spread of infection?

A nurse is providing discharge instructions to a client with asthma who is prescribed a metered-dose inhaler (MDI). Which statement by the client indicates a correct understanding of how to use the inhaler?

A client with chronic obstructive pulmonary disease (COPD) is being taught pursed-lip breathing. Which explanation should the nurse provide about the primary benefit of this technique?

A nurse is caring for a client with pneumonia who has thick, tenacious secretions. Which intervention is most effective in promoting airway clearance?

A nurse is assessing a client with a history of asthma who is experiencing dyspnea, wheezing, and coughing. Peak flow meter readings are significantly below the client's personal best. Which action is the priority?