ATI Respiratory Questions & Answer(RATED A)

A nurse is assessing a patient who has a chest tube in place following a thoracic surgery. Which of the following findings indicates a need for intervention: 1. Fluctuation of drainage in the tubing with inspiration. 2. Continuous bubbling in the water seal chamber. 3. Drainage of 75 mL in the first hour after surgery. 4. Several small, dark-red blood clots in the tubing. -ANSWER 2. Continuous bubbling in the water seal chamber. Continuous bubbling in the water seal chamber suggests an air leak. A nurse is caring for an elderly patient who suffers from COPD with pneumonia. The nurse should monitor the patient for which of the following acid-base imbalances? 1. Respiratory alkalosis 2. Respiratory acidosis 3. Metabolic alkalosis 4. Metabolic acidosis -ANSWER 2. Respiratory acidosis Respiratory acidosis is a common complication of COPD. This complication occurs because patients who have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the lungs. A nurse is preparing to administer cisplatin IV to a patient with lung cancer. The nurse should identify that which of the following findings is an adverse effect of this medication? 1. Hallucinations 2. Pruritis 3. Hand and foot syndrome 4. Tinnitis -ANSWER 4. Tinnitis An adverse effect of cisplatin is ototoxicity, which can cause tinnitis. A nurse is preparing to assist a provider to withdraw arterial blood from a patient's radial artery for measurement of ABG. Which of the following actions should the nurse plan to take? 1. Hyperventilate the patient with 100% oxygen prior to obtaining the specimen. 2. Apply ice to the site after obtaining the specimen. 3. Perf