Respiratory ATI Correct 100%(GRADED A+)

Client taking albuterol- which adverse effect should nurse monitor for? -ANSWER Tachycardia Client with emphysema- report which assessment finding? a. digital clubbing b. elevated temp c. barrel-shaped chest d. diminished breath sounds -ANSWER B. at risk for pneumonia and other resp infections. Insertion of chest tube- plan to have what in room? a. extra drainage system b. suture removal c. container of sterile water d. non-adherent pads -ANSWER c. nurse should plan to place the open end of the tubing in it if it becomes disconnected to prevent pneumothorax Nurse assessing client with chest tube after thoracic surgery- which indicates need for intervention? -ANSWER Continuous bubbling in the water seal container. Suggests air leak Preparing for discharge- pt who had bronchoscopy w/ use of mild sedation- which following assessment is priority? -ANSWER Gag reflex b/c risk for aspiration Rx from provider to perform nasopharyngeal suctioning for each of the following clients. Nurse should clarify which? a. closed-head injury b. fractured femur w/ severe pain c. ruptured appendix and temp of 102 d. emphysema and respiration of 36 -ANSWER a. b/c suction can increase intracranial pressure Acute resp failure receiving mechanical ventilation. Which assessment is priority to eval the effectiveness of the ventilation? a. blood pressure b. cap refill c. ABGs d. Heart rate -ANSWER C. to det serum oxygen sat and acid-base balance