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A nurse is performing a respiratory assessment on a client with pneumonia. She
asks the client to say "ninety-nine" several times. Through her stethoscope, she
hears the words clearly over his left lower lobe. What term should the nurse use
to document this finding? ---------CORRECT ANSWER-----------------Bronchophony
A client arrives at the physician's office stating dyspnea; a productive cough for
thick, green sputum; respirations of 28 breaths/minute, and a temperature of
102.8° F. The nurse auscultates the lung fields, which reveal poor air exchange in
the right middle lobe. The nurse suspects a right middle lobe pneumonia. To be
consistent with this anticipated diagnosis, which sound, heard over the chest wall
when percussing, is anticipated? ---------CORRECT ANSWER-----------------Dull
The nurse is interviewing a patient who says he has a dry, irritating cough that is
not "bringing anything up." What medication should the nurse question the
patient about taking? ---------CORRECT ANSWER-----------------Angiotensin
converting enzyme (ACE) inhibitors
A client arrives at the physician's office stating 2 days of febrile illness, dyspnea,
and cough. Upon assisting the client into a gown, the nurse notes that the client's
,sternum is depressed, especially on inspiration. Crackles are noted in the bases of
the lung fields. Based on inspection, which will the nurse document? ---------
CORRECT ANSWER-----------------The client has a funnel chest.
The nurse is caring for a client reporting chest discomfort. The client's diagnosis at
admission is left lower lobe pneumonia. Which strategy will the nurse instruct the
client to use to help alleviate the discomfort? ---------CORRECT ANSWER--------------
---Assume a left side-lying position while in bed
Why is it important for a nurse to provide required information and appropriate
explanations of diagnostic procedures to patients with respiratory disorders? ------
---CORRECT ANSWER-----------------Manage decreased energy levels
A client has just undergone bronchoscopy. Which nursing assessment is most
important at this time? ---------CORRECT ANSWER-----------------LOC
A nurse is obtaining a health history from a client who reports hemoptysis for the
past 2 months. The client reports occasional dyspnea. Which imaging study,
ordered by the physician, will view the thoracic cavity while in motion? ---------
CORRECT ANSWER-----------------Fluoroscopy
, The nurse is reviewing the blood gas results for a patient with pneumonia. What
arterial blood gas measurement best reflects the adequacy of alveolar
ventilation? ---------CORRECT ANSWER-----------------PaCO2
What is the reason for chest tubes after thoracic surgery? ---------CORRECT
ANSWER-----------------Draining secretions, air, and blood from the thoracic cavity
is necessary.
A client who is diagnosed with chronic respiratory failure will have which
symptom? ---------CORRECT ANSWER-----------------dyspnea
A nurse should include what instruction for the client during postural drainage? ---
------CORRECT ANSWER-----------------Change positions frequently and cough up
secretions.
A client who has just had a triple-lumen catheter placed in his right subclavian
vein complains of chest pain and shortness of breath. His blood pressure is
decreased from baseline and, on auscultation of his chest, the nurse notes
unequal breath sounds. A chest X-ray is immediately ordered by the physician.
What diagnosis should the nurse suspect? ---------CORRECT ANSWER-----------------
Pneumothorax