Adult Health 2 Questions with CORRECT Answers
Question:
The clinic nurse teaches a patient with a 42 pack a year history of | cigarette smoking
about lung disease. Which informaion will be most important for the nurse to | include?
Answer:
Options for smoking cessation
Question:
The nurse is caring for a client | diagnosed with a Hemothorax who has had a chest tube
for 3 days. The nurse notes there is no tidaling in the water-seal chamber. Which initial
action should be taken by the nurse?
Answer:
Check the tubing for any dependent loops
Question:
In the ICU, the critical care nurse assesses a client diagnosed with an asthma attack
who has a rate of 28 respirations and an oxygen | saturation of 88%. Which intervention
should the nurse implement first?
Answer:
Place the client on oxygen
Question:
A nurse is assessing the respiratory status of a male client who has suffered a fractured
rib. What is the nursing priority is to first:
Answer:
treat the clients pain to allow for effective deep breaths
Question:
The nurse identifies a flail chest in a trauma patient when:
Answer:
Paradoxic chest movement occurs during respiration
, Question:
A patient experiences a chest wall confusion as a result of being struck in the chest with
a baseball bat. The ER nurse would be most concerned is which finding is observed
during the initial assessment?
Answer:
Paradoxic chest movement
Question:
Which of the following nursing | diagnoses does the nurse identify as of highest priority
for a client with tension pneumothorax?
Answer:
ineffective breathing pattern
Question:
The client with right right-sided pneumothorax had chest tubes | inserted 2 hours ago.
There is no | fluctuation in the water-seal chamber of the Pleurovac. Which intervention
should the nurse implement first?
Answer:
Assess the client's lung sounds
Question:
A nurse is assisting a provider with the removal of a chest tube. Which of the following
should the nurse | instruct the client to do?
Answer:
perform valsalva maneuver
Question:
The nurse assists with the insertion of a chest tube in a client diagnosed with a
spontaneous pneumothorax. | Which data indicates that the treatment has been
effective?
Answer:
the client has bilateral breath sounds
Question:
The clinic nurse teaches a patient with a 42 pack a year history of | cigarette smoking
about lung disease. Which informaion will be most important for the nurse to | include?
Answer:
Options for smoking cessation
Question:
The nurse is caring for a client | diagnosed with a Hemothorax who has had a chest tube
for 3 days. The nurse notes there is no tidaling in the water-seal chamber. Which initial
action should be taken by the nurse?
Answer:
Check the tubing for any dependent loops
Question:
In the ICU, the critical care nurse assesses a client diagnosed with an asthma attack
who has a rate of 28 respirations and an oxygen | saturation of 88%. Which intervention
should the nurse implement first?
Answer:
Place the client on oxygen
Question:
A nurse is assessing the respiratory status of a male client who has suffered a fractured
rib. What is the nursing priority is to first:
Answer:
treat the clients pain to allow for effective deep breaths
Question:
The nurse identifies a flail chest in a trauma patient when:
Answer:
Paradoxic chest movement occurs during respiration
, Question:
A patient experiences a chest wall confusion as a result of being struck in the chest with
a baseball bat. The ER nurse would be most concerned is which finding is observed
during the initial assessment?
Answer:
Paradoxic chest movement
Question:
Which of the following nursing | diagnoses does the nurse identify as of highest priority
for a client with tension pneumothorax?
Answer:
ineffective breathing pattern
Question:
The client with right right-sided pneumothorax had chest tubes | inserted 2 hours ago.
There is no | fluctuation in the water-seal chamber of the Pleurovac. Which intervention
should the nurse implement first?
Answer:
Assess the client's lung sounds
Question:
A nurse is assisting a provider with the removal of a chest tube. Which of the following
should the nurse | instruct the client to do?
Answer:
perform valsalva maneuver
Question:
The nurse assists with the insertion of a chest tube in a client diagnosed with a
spontaneous pneumothorax. | Which data indicates that the treatment has been
effective?
Answer:
the client has bilateral breath sounds
