ATI Med Surg Respiratory

ATI Med Surg Respiratory   ATI MED SURG RESPIRATORY A nurse caring for a client who is 1 hr postoperative following acute thoracentesis. Which of the following is the priority assessment finding? Tracheal deviation to the unaffected side A nurse in the emergency department is caring for a client who is experiencing a pulmonary embolism. Which of the following actions should the nurse take first? Apply supplemental oxygen A nurse is assessing a client who has a chest tube in place following thoracic surgery. Which of the following findings indicates a need for intervention? Continuous bubbling in the water seal chamber. Continuous bubbling in the water seal chamber suggests an air leak and requires notification of the provider. The nurse should check the system for external, correctable leaks while she is waiting for instructions from the provider. A nurse is assessing a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse report to the provider? Intercostal retractions A nurse is assessing a client who has emphysema. The nurse should report which of the following assessment findings? Elevated temperature A nurse is assisting with a thoracentesis. Which of the following actions is appropriate for the nurse to take when assisting with this procedure. SATA • Wear goggles and mask during the procedure • Cleanse the area with an antiseptic solution • Apply pressure to the site after the needle is withdrawn A nurse is caring for a client following the insertion of a chest tube following a lobectomy. The nurse should plan to have which of the following items in the clients room? Container of sterile water The nurse should plan to place the open end of the tubing into the sterile water if the tubing becomes disconnected in order to prevent a pneumothorax. A nurse is caring for a client in acute respiratory failure who is receiving mechanical ventilation. Which of the following assessments is the priority for the nurse to use to evaluate the effectiveness of the mechanical ventilation? Arterial blood gases A nurse is caring for a client receiving mechanical ventilation. The low pressure alarm sounds. Which of the following should the nurse recognize as a cause of the alarm? Artificial airway cuff leak A nurse is caring for a client who has acute respiratory failure. Which of the following laboratory findings should the nurse expect? PaO2 58 mm Hg A nurse is caring for a client who has a pulmonary embolism. Which of the following interventions is the priority? Administer heparin via continuous IV infusion A nurse is caring for a client who has bacterial pneumonia. The nurse should expect which of the following assessment findings? Temperature 38.8 C (101.8 F) A nurse is caring for a client who has COPD. Which of the following findings should the nurse report to the provider? Productive cough with green sputum A nurse is caring for a client who has lung cancer. Which of the following assessment findings should the nurse expect? Blood-tinged sputum