CH 51 NCLEX Respiratory Problems of the Adult Client questions and answers 100% verified
The emergency department nurse is assessing a client who assisted a blunt injury to the chest
wall, which finding indicates the presence of a pneumothorax in this client?
1. A low respiratory rate.
2. Diminished breath sounds.
3. The presence of a barrel chest.
4. A sucking sound at the site injury. - -2. Diminished breath sounds.
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive
pulmonary disease which findings with the nurse expect know on the assessment of this client?
Select all that apply.
1. A low PCO2 level.
2. Hyperinflated chest noted on the chest x-ray.
3. Decreased oxygen saturation with mild exercise.
4. Oh wiring diaphragm noted on the chest x-ray.
5. Pulmonary function test that demonstrates increased vital capacity. - -2. Hyperinflated
chest noted on the chest x-ray
3. Decreased oxygen saturation with mild exercise.
Thinners is preparing a list of home care instructions for a client has been hospitalized and
treated for tuberculosis. Which instructions with the nurse include all the list? Select all that
apply.
1. Activities should be resumed gradually.
2. Avoid contact with other individuals except family members for at least six months.
, 3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4. Respiratory isolation is not necessary because family members have already been exposed.
5. Cover the mouth and nose and coughing or sneezing and put used tissues in plastic bags.
6. When one sputum culture is negative. The client is no longer considered infectious, and
usually can return to former employment. - -1. Activity should be resumed gradually.
3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4. Respiratory isolation is not necessary because family members have already been exposed.
5. Cover the mouth and nose and coughing or sneezing and put used tissues in plastic bags.
The nurse is caring for a client after a bronchoscopy and biopsy. Which finding, if noted in the
client, would the nurse immediately report to the primary healthcare provider?
1. Dry cough.
2. Hematuria.
3. Bronchospasm.
4. Blood streaked sputum. - -3. Bronchospasm.
The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The
nurse would expect to note which finding?
1. Slow, deep respirations.
2. Rapid, deep respirations.
3. Paradoxical respirations.
4. Pain especially with inspiration. - -4. Pain especially with inspiration.
A client with a chest injury has suffered flail chest the nurse assesses a client for which most
distinctive sign a flail chest?
The emergency department nurse is assessing a client who assisted a blunt injury to the chest
wall, which finding indicates the presence of a pneumothorax in this client?
1. A low respiratory rate.
2. Diminished breath sounds.
3. The presence of a barrel chest.
4. A sucking sound at the site injury. - -2. Diminished breath sounds.
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive
pulmonary disease which findings with the nurse expect know on the assessment of this client?
Select all that apply.
1. A low PCO2 level.
2. Hyperinflated chest noted on the chest x-ray.
3. Decreased oxygen saturation with mild exercise.
4. Oh wiring diaphragm noted on the chest x-ray.
5. Pulmonary function test that demonstrates increased vital capacity. - -2. Hyperinflated
chest noted on the chest x-ray
3. Decreased oxygen saturation with mild exercise.
Thinners is preparing a list of home care instructions for a client has been hospitalized and
treated for tuberculosis. Which instructions with the nurse include all the list? Select all that
apply.
1. Activities should be resumed gradually.
2. Avoid contact with other individuals except family members for at least six months.
, 3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4. Respiratory isolation is not necessary because family members have already been exposed.
5. Cover the mouth and nose and coughing or sneezing and put used tissues in plastic bags.
6. When one sputum culture is negative. The client is no longer considered infectious, and
usually can return to former employment. - -1. Activity should be resumed gradually.
3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
4. Respiratory isolation is not necessary because family members have already been exposed.
5. Cover the mouth and nose and coughing or sneezing and put used tissues in plastic bags.
The nurse is caring for a client after a bronchoscopy and biopsy. Which finding, if noted in the
client, would the nurse immediately report to the primary healthcare provider?
1. Dry cough.
2. Hematuria.
3. Bronchospasm.
4. Blood streaked sputum. - -3. Bronchospasm.
The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The
nurse would expect to note which finding?
1. Slow, deep respirations.
2. Rapid, deep respirations.
3. Paradoxical respirations.
4. Pain especially with inspiration. - -4. Pain especially with inspiration.
A client with a chest injury has suffered flail chest the nurse assesses a client for which most
distinctive sign a flail chest?
