ATI respiratory – Flashcards

A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions? a. the client is unable to speak b. the client's airway secretions were last suctioned 2 hrs ago c. the client coughs and expectorates a large mucous plug d. the nurse auscultates coarse crackles in the lung fields

A nurse in a provider's office is assessing a client who states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis? a. pericardial friction rub b. weight gain c. night sweats d. cyanosis of the fingertips

A nurse in the emergency department is assessing a client for a closed pneumothorax and significant bruising of the left chest following a motor-vehicle crash. The client reports severe left chest pain on inspiration. The nurse should assess the client for Which of the following manifestations of pneumothorax? a. absence of breath sounds b. expiratory wheezing c. inspiratory stridor d. rhonchi

A nurse in an urgent care clinical is collecting data from a client who reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of anthrax? a. dry cough b. rhinitis c. sore throat d. swollen lymph nodes

A nurse is teaching about daily chest physiotherapy with a client who has cystic fibrosis. The nurse should instruct the client that Which of the following is the purpose of the treatments? a. to encourage deep breaths b. to mobilize secretions in the airways c. to dilate the bronchioles d. to stimulate the cough reflex

A nurse on a medical unit is caring for a client who aspirated gastric contents prior to admission. The nurse administers 100% oxygen by nonrebreather mask after the client reports severe dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress syndrome? a. tympanic temp 38 C (100.4 F) b. PaO2 50 mmHg c. rhonchi d. hypopnea

A nurse is preparing to assist a provider to withdraw arterial blood from a client's radial artery for measurement of ABG. Which of the following actions should the nurse plan to take? a. hyperventilate the client to 100% O2 prior to obtaining the specimen b. apply ice to the site after obtaining the specimen c. perform an Allen's test prior to obtaining the specimen d. Release pressure applied to the puncture site 1 min after the needle is withdrawn.

A nurse is providing a preoperative teaching to a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements by the nurse is appropriate? a. after the surgeon removes the lung, you will not need to cough b. I'll make sure you get a cough suppressant to keep you from straining the incision when you cough c. don't worry, you will have a pump that delivers pain medication as you need it, so you will have very little pain d. I will show you how to splint your incision while coughing.

A nurse is providing instructions about pursed-lip breathing for a client who has chronic obstructive pulmonary disease with emphysema. The nurse should explain that this breathing techniques accomplishes Which of the following? a. increases O2 intake b. promotes carbon dioxide elimination c. uses the intercostal muscles d. strengthens the diaphragm

A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following actions should the nurse include in the plan of care? a. clamp the chest tube if there is continuous bubbling in the water seal chamber b. keep the chest tube drainage system at the level of the right atrium c. tape all connections between the chest tube and drainage system d. empty the collection chamber and record the amount of drainage every 8 hrs.

A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should identify that Which of the following findings is an adverse effect of this medication? a. hallucinations b. pruritis c. hand and foot syndrome d. tinnitus

A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place the client? a. lying flat on the affected side b. prone with the arms raised over the head c. supine with the head of the bed elevated d. sitting while leaning forward over the bedside table

A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of pulmonary embolism a. sudden onset of dyspnea b. tracheal deviation c. bradycardia d. difficulty swallowing

A nurse in a clinic is providing teaching for a client who is to have a tuberculin skin test. Which of the following information should the nurse include? a. if the test is positive, it means you have an active case of TB b. if the test is positive, you should have another TB skin test in 3 weeks c. you must return to the clinic to have the test read in 2 or 3 days d. a nurse will use a small lancet to scratch the skin of your forearm before applying the tuberculin substance.

A nurse is providing discharge teaching to a client who is postoperative following a rhinopasty. Which of the following instructions should the nurse include? a. apply warm compresses to the face b. take aspirin 650 mg by mouth for mild pain c. close your mouth when sneezing d. lie on your back with your head elevated 30 degrees when resting

A nurse is planning care for a client who has COPD and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan? a. eat high-calorie foods first b. increase intake of water at meals c. perform active rang-of-motion exercises before meals d. keep saltine crackers nearby for snacking