ATI MED Surg Respiratory Exam Prep Questions With 100% Complete Solutions

ATI MED Surg Respiratory Exam Prep Questions With 100% Complete Solutions A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." which of the following statements should the nurse make? - ANSWER -"I will show you how to splint your incision while coughing." - the client who has a pneumonectomy must cough to clear secretions from the remaining lung. The nurse should show the client how to splint her incision to reduce pain when coughing - the client who had a pneumonectomy must cough to clear secretions from the remaining lung - pain medication reduces pain to a tolerable level. However, it does not necessarily keep the client pain-free. Additionally, telling the client not to worry is a barrier to communication and provides false reassurance A nurse is on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. The nurse collects additional data from the client. Which of the following findings is an indication of pulmonary embolism? - ANSWER -sudden onset of dyspnea - clinical manifestations of pulmonary embolism have a rapid onset. Dyspnea occurs due to reduced blood flow to the lungs - tracheal deviation is an indication of tension pneumothorax and is fatal if not promptly treated - tachycardia is a clinical manifestation of pulmonary embolism - difficulty swallowing is an indication of many conditions, including oral cancer A nurse is an urgent care clinic is collecting data from a client who reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of inhalation anthrax? - ANSWER dry cough - the client who has a dry cough has a clinical manifestation found in the prodromal stage of inhalation anthrax. During this stage, it is difficult to distinguish from influenza or pneumonia because there is no sore throat or rhinitis - the client who has rhinitis is not manifesting findings of anthrax, however, rhinitis is typically seen with colds and influenza - the client who has a sore throat is not manifesting findings of inhalation anthrax, however, a sore throat is typically seen with colds and influenza - swollen lymph nodes with a swollen edematous lesion can be a clinical manifestation of cutaneous anthrax A nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax and significant bruising on the left chest following a motor-vehicle crash. The client reports severe left chest pain on inspiration. The nurse should hear which of the following findings when auscultating the client's lung sounds? - ANSWER -absence of breath sounds - a client who has pneumothorax experiences severely diminished or absent breath sounds on the affected side - a client who has asthma experiences an expiratory wheezing during an acute asthma attack - a client who has an airway obstruction experiences inspiratory stridor, which is a loud crowing-like sound often heard without a stethoscope - a client who has thick sputum production or obstruction from a foreign body has rhonchi, which are dry, low-pitched, snore-like noises produced in the throat A nurse is caring for an older client who has COPD and pneumonia. The nurse should monitor the client for which of the following acid-base imbalances? - ANSWER -respiratory acidosis - respiratory acidosis is a common complication of COPD. This complication occurs because clients who have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the lungs - respiratory alkalosis occurs when a client exhales too much carbon dioxide. Client who hyperventilate often experiences this complication - metabolic alkalosis occurs when a client has an excess of bicarbonate. Clients who use bicarbonate of soda as an antacid are at risk for the development of metabolic alkalosis. Excessive vomiting also places a client at risk for development of metabolic alkalosis - metabolic acidosis occurs when a client has a decrease in bicarbonate. Clients who have severe diarrhea or kidney failure are at risk for the development of metabolic acidosis