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NUR2243 Respiratory EAQs
Questions and Answers (100% Pass)
A client arrives in the emergency department with multiple crushing wounds
of the chest, abdomen, and legs. Which are the priority nursing assessments?
✓ Quality of respirations and presence of pulses
A client is extubated in the postanesthesia care unit after surgery. For which
common response should the nurse be alert when monitoring the client for
acute respiratory distress?
✓ Restlessness
What order would the nurse follow for the assessment of the pharynx in a
client with a respiratory disorder?
✓ 1.
✓ Inspect the mouth.
✓ Observe the rise and fall of the soft palate.
✓ Assess the symmetry of enlarged tonsils, if present.
✓ Inspect the neck symmetry.
✓ Palpate the lymph nodes.
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The nurse is providing postoperative care to a client with lung cancer who
had a partial pneumonectomy. When inspecting the client's dressing, the
nurse notes puffiness of the tissue around the surgical site. When the nurse
palpates the site, the tissue feels spongy and crackles can be felt. How does
the nurse describe this assessment finding?
✓ Subcutaneous emphysema
A nurse is caring for a group of clients on a medical-surgical unit. Which
client has the highest risk for developing a pulmonary embolism?
✓ An obese client with leg trauma
Besides providing reassurance, what should nursing interventions for a client
who is hyperventilating be focused on?
✓ Having the client breathe into a paper bag
When providing discharge teaching for a young female client who had a
pneumothorax, it is important that the nurse include the signs and symptoms
of a recurring pneumothorax. What is the most important symptom that the
nurse should teach the client to report to the healthcare provider?
✓ Severe shortness of breath
Master01 |Excellent Study Material| Latest update
NUR2243 Respiratory EAQs
Questions and Answers (100% Pass)
A client arrives in the emergency department with multiple crushing wounds
of the chest, abdomen, and legs. Which are the priority nursing assessments?
✓ Quality of respirations and presence of pulses
A client is extubated in the postanesthesia care unit after surgery. For which
common response should the nurse be alert when monitoring the client for
acute respiratory distress?
✓ Restlessness
What order would the nurse follow for the assessment of the pharynx in a
client with a respiratory disorder?
✓ 1.
✓ Inspect the mouth.
✓ Observe the rise and fall of the soft palate.
✓ Assess the symmetry of enlarged tonsils, if present.
✓ Inspect the neck symmetry.
✓ Palpate the lymph nodes.
Master01 |Excellent Study Material| Latest update
, 1|Page | © copyright Master01| Grade A+
The nurse is providing postoperative care to a client with lung cancer who
had a partial pneumonectomy. When inspecting the client's dressing, the
nurse notes puffiness of the tissue around the surgical site. When the nurse
palpates the site, the tissue feels spongy and crackles can be felt. How does
the nurse describe this assessment finding?
✓ Subcutaneous emphysema
A nurse is caring for a group of clients on a medical-surgical unit. Which
client has the highest risk for developing a pulmonary embolism?
✓ An obese client with leg trauma
Besides providing reassurance, what should nursing interventions for a client
who is hyperventilating be focused on?
✓ Having the client breathe into a paper bag
When providing discharge teaching for a young female client who had a
pneumothorax, it is important that the nurse include the signs and symptoms
of a recurring pneumothorax. What is the most important symptom that the
nurse should teach the client to report to the healthcare provider?
✓ Severe shortness of breath
Master01 |Excellent Study Material| Latest update
