Adult Health II Final Exam Questions and Answers
100% Verified
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:
A patient who has a right sided chest tube following a thoracotomy has a continuous
bubbling in the suction- control chamber of the collection device. Which action by the nurse
is most appropriate?
Answer:
take no further action with the collection device
100% Verified
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:
A patient who has a right sided chest tube following a thoracotomy has a continuous
bubbling in the suction- control chamber of the collection device. Which action by the nurse
is most appropriate?
Answer:
take no further action with the collection device
