front 1 A nurse assesses several clients who have a history of respiratory disorders which client would the nurse assess first | back 1 A 27 yr old client with a heart rate of 120b beats/ min |
front 2 A nurse cares for a client with arthritis who reports frequent asthma attacks what action would the nurse take first | back 2 Ask about medications the client is currently taking |
front 3 After teaching a client who is prescribed a long-acting beta 2 agonist medication a nurse assesses the client's understanding which statement indicates that the client comprehends the teaching | back 3 I will take this medication every morning to help prevent an acute attack |
front 4 After teaching a client how to perform diaphragmatic breathing the nurse assesses the clients understanding which action demonstrates that the client correctly understands the teaching | back 4 The client places his or her hands on the abdomen |
front 5 A nurse cares for a client who has developed esophagitis after undergoing radiation therapy for lung cancer which diet selection would the nurse provide for this client | back 5 Omelet soft whole wheat bread |
front 6 After teaching a client who is prescribed salmeterol the nurse assesses the clients understanding which statement by the client indicates a need for additional teaching | back 6 I will use the drug when I have an asthma attack |
front 7 A nurse cares for a client with chronic obstructive pulmonary disease (COPD) the client states that going out with friends is no longer enjoyable how would the nurse respond | back 7 I'd like to hear about thoughts and feelings causing you to limit social activities |
front 8 A nurse is teaching a client who has cystic fibrosis(CF) which statement would the nurse include in this clients teaching | back 8 Eat a well balanced nutritious diet |
front 9 While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer a nurse notices that the chest tube is dislodged which action by the nurse is best | back 9 Cover the insertion site with sterile gauze |
front 10 A nurse assesses a client who is prescribed fluticasone and notes oral lesions what action would the nurse take | back 10 Encourage oral rinsing after fluticasone administration |
front 11 A nurse cares for a client who is infected with Burkholderia cepacia what action would the nurse take first when admitting this client to a pulmonary care unit | back 11 Keep the client separated from other clients with cystic fibrosis |
front 12 A nurse cares for a client who had a chest tube placed 6 hours ago and refuses to take deep breaths because of the pain what action would the nurse take | back 12 Administer pain medication and encourage the client to take deep breaths |
front 13 The nurse is caring for a client who has cystic fibrosis (CF) the client asks for information about gene therapy what response by the nurse is best | back 13 There is good treatment for the most common genetic defect in CF |
front 14 A nurse cares for a client with a 40 year smoking history who is experiencing distended neck veins and dependent edema which physiologic process would the nurse correlate with this clients history and clinical signs and symptoms | back 14 Increased pulmonary pressure creating a higher workload on the right side of the heart |
front 15 A nurse cares for a client with chronic obstructive pulmonary disease (COPD) who appears thin and disheveled which question would the nurse ask first | back 15 Do you experience shortness of breath with basic activities |
front 16 A clinic nurse is reviewing care measures with a client who has asthma step 3 what statement by the client indicates the need to review the information | back 16 I will always use the spacer with my dry powder inhaler |
front 17 A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD) which client would the nurse assess first | back 17 A 52 year old in a tripod position using accessory muscles to breathe |
front 18 A nurse cares for a client who has a pleural chest tube what action would the nurse take to ensure safe use of this equipment | back 18 Keep padded clamps at the bedside for use if the drainage system is interrupted |
front 19 A nurse cares for a client who tests positive for alpha 1 antitrypsin (AAT) deficiency the client asks what does this mean how would the nurse respond | back 19 Your risk for chronic obstructive pulmonary disease is higher especially if you smoke |
front 20 A nurse cares for a client who has a family history of cystic fibrosis the client asks will my children have cystic fibrosis how would the nurse respond | back 20 Since you have a family history of cystic fibrosis I would encourage you and your partner to be tested |
front 21 A nurse administers medications to a client who has asthma which medication classification is paired correctly with its physiologic action | back 21 Cholinergic antagonist cause bronchodilation by inhibiting the parasympathetic nervous system |
front 22 A nurse evaluates the following arterial blood gas and vital sign results for a client with chronic obstructive pulmonary disease (COPD) Arterial Blood gas results PH= 7.32 PaCo2 = 62 mmHg Pa02= 46mmHg HC03=28 mEq/L Vital signs heart rate = 110/beats/min respiratory rate = 12 breaths/min Blood pressure 145/65 mmHg Oxygen Saturation= 76% what action will the nurse take first | back 22 Initiate oxygenation therapy to increase saturation to 88% to 92% |
front 23 A nurse assesses a client with asthma and notes liberal wheezing decreased pulse oxygen saturation and suprasternal retraction on inhalation what actions by the nurse are best(SATA) | back 23 Administer oxygen and place client on oximeter Administer prescribed albuterol inhaler Assess the clients lung sounds after administering the inhaler |
front 24 A nurse assesses a client who has a mediastinal chest tube which symptoms require the nurses immediate intervention(SATA) | back 24 Tracheal deviation Sudden onset of shortness of breath Drainage greater than 70ml/hr Disconnection at Y site |
front 25 A nurse teaches a client who has chronic obstructive disease pulmonary disease which statements related to nutrition would the nurse include in this clients teaching (SATA) | back 25 Avoid drinking fluids just before and during meals Rest before meals if you have dyspnea Have about six small meals a day Use pursed lip breathing during meals Choose soft high calorie high protein foods |
front 26 A nurse assesses a client with chronic obstructive pulmonary disease which questions would the nurse ask to determine the clients activity tolerance(SATA) | back 26 Do you have any difficulty sleeping How long does it take to perform your morning routine Have you lost any weight lately How does your activity compare to this time last year |
front 27 A client who has become increasingly dyspneic over a year has been diagnosed with pulmonary fibrosis what information would the nurse plan to include in the teaching this client (SATA) | back 27 The need to avoid large crowds and people who are ill Safety measures to take if home oxygen is needed Information about appropriate use of the drug nintedanib Measures to avoid fatigue during the day |
front 28 A nurse plans care for a client who has chronic obstructive pulmonary disease and thick tenacious secretions which interventions would the nurse include in this clients plan of care(SATA) | back 28 Ask the client to drink 2L of fluids daily Add humidity to the prescribed oxygen Use a vibrating chest physiotherapy device Administer the ordered mucolytic agent |
front 29 A nurse cares for a client who is prescribed an intravenous prostacyclin agent for pulmonary artery hypertension what actions would the nurse take to ensure the clients safety while on this medication (SATA) | back 29 Keep an intravenous line dedicated strictly to the infusion Ensure that there is always a backup drug cassette available Use strict aseptic technique when using the drug delivery system |
front 30 A home health nurse evaluates a client who has chronic obstructive pulmonary disease which assessments would the nurse include in this clients evaluation (SATA) | back 30 Examination of mucous membranes and nail beds Measurement of rate depth and rhythm of respiration Determine the clients need and use of oxygen Ability to perform activities of daily living |
front 31 A nurse is teaching a client how to perform pursed lip breathing which instructions would the nurse include in this teaching(SATA) | back 31 Use your abdominal muscles to squeeze air out of your lungs Breath out slowly without puffing your cheeks Exhale at least twice the amount of time it took to breathe in |
front 32 A nurse is assessing a client with lung cancer what nonpulmonary signs and symptoms would the nurse be aware of(SATA) | back 32 Gynecomastia in male patients Frequent shaking and sweating relieved by eating Moon face and buffalo hump General edema |
front 33 The nurse is preparing to teach a community group about warning signs of lung cancer what information does the nurse include(SATA) | back 33 Persistent coughing Rusty or blood tinged sputum Dyspnea Hoarseness |