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MED-SURG CH 23: MANAGEMENT OF PATIENTS WITH CHEST AND LOWER RESPIRATORY TRACT DISORDERS QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES COMPLETE AND WELL EXPLAINED 100% CORRECT ALREADY PASSED AND GRADED A+ LATEST UPDATE 2024 100%GUARANTEED SUCCESS AFTER$7.99
MED-SURG CH 23: MANAGEMENT OF PATIENTS WITH CHEST AND LOWER RESPIRATORY TRACT DISORDERS QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES COMPLETE AND WELL EXPLAINED 100% CORRECT ALREADY PASSED AND GRADED A+ LATEST UPDATE 2024 100%GUARANTEED SUCCESS AFTER
MED-SURG CH 23: MANAGEMENT OF PATIENTS WITH CHEST AND LOWER RESPIRATORY TRACT DISORDERS QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES COMPLETE AND WELL EXPLAINED 100% CORRECT ALREADY PASSED AND GRADED A+ LATEST UPDATE 2024 100%GUARANTEED SUCCESS AFTER DOWNLOAD (ALL YOU NEED TO PASS YOUR EXAMS}
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MED-SURG CH 23: MANAGEMENT OF
PATIENTS WITH CHEST AND LOWER
RESPIRATORY TRACT DISORDERS
QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALES COMPLETE AND
WELL EXPLAINED 100% CORRECT
ALREADY PASSED AND GRADED A+
LATEST UPDATE 2024
100%GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO PASS
YOUR EXAMS}
,
, The nurse is caring for a patient who has been in a motor vehicle accident and the care team suspects
that the patient has developed pleurisy. Which of the nurses assessment findings would best
corroborate this diagnosis?
A) The patient is experiencing painless hemoptysis.
B) The patients arterial blood gases (ABGs) are normal, but he demonstrates increased work of
breathing.
C) The patients oxygen saturation level is below 88%, but he denies shortness of breath.
D) The patients pain intensifies when he coughs or takes a deep breath. Ans: D
Feedback: The key characteristic of pleuritic pain is its relationship to respiratory movement. Taking a
deep breath, coughing, or sneezing worsens the pain. The patients ABGs would most likely be abnormal
and shortness of breath would be expected.
The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to
smoke. What is the primary rationale behind this nursing action?
A) Smoking decreases the amount of mucus production.
B) Smoke particles compete for binding sites on hemoglobin.
C) Smoking causes atrophy of the alveoli.
D) Smoking damages the ciliary cleansing mechanism. Ans: D
Feedback: In addition to irritating the mucous cells of the bronchi and inhibiting the function of alveolar
macrophage (scavenger) cells, smoking damages the ciliary cleansing mechanism of the respiratory
tract. Smoking also increases the amount of mucus production and distends the alveoli in the lungs. It
reduces the oxygen-carrying capacity of hemoglobin, but not by directly competing for binding sites.
A patient has been brought to the ED by the paramedics. The patient is suspected of having ARDS. What
intervention should the nurse first anticipate?
A) Preparing to assist with intubating the patient
B) Setting up oxygen at 5 L/minute by nasal cannula
C) Performing deep suctioning
D) Setting up a nebulizer to administer corticosteroids Ans: A
Feedback: A patient who has ARDS usually requires intubation and mechanical ventilation. Oxygen by
nasal cannula would likely be insufficient. Deep suctioning and nebulizers may be indicated, but the
priority is to secure the airway.
A perioperative nurse is caring for a postoperative patient. The patient has a shallow respiratory pattern
and is reluctant to cough or to begin mobilizing. The nurse should address the patients increased risk for
what complication?
A) Acute respiratory distress syndrome (ARDS)
, B) Atelectasis
C) Aspiration
D) Pulmonary embolism Ans: B
Feedback: A shallow, monotonous respiratory pattern coupled with immobility places the patient at an
increased risk of developing atelectasis. These specific factors are less likely to result in pulmonary
embolism or aspiration. ARDS involves an exaggerated inflammatory response and does not normally
result from factors such as immobility and shallow breathing.
A critical-care nurse is caring for a patient diagnosed with pneumonia as a surgical complication. The
nurses assessment reveals that the patient has an increased work of breathing due to copious
tracheobronchial secretions. What should the nurse encourage the patient to do?
A) Increase oral fluids unless contraindicated.
B) Call the nurse for oral suctioning, as needed.
C) Lie in a low Fowlers or supine position.
D) Increase activity. Ans: A
Feedback: The nurse should encourage hydration because adequate hydration thins and loosens
pulmonary secretions. Oral suctioning is not sufficiently deep to remove tracheobronchial secretions.
The patient should have the head of the bed raised, and rest should be promoted to avoid exacerbation
of symptoms.
The public health nurse is administering Mantoux tests to children who are being registered for
kindergarten in the community. How should the nurse administer this test?
A) Administer intradermal injections into the childrens inner forearms.
B) Administer intramuscular injections into each childs vastus lateralis.
C) Administer a subcutaneous injection into each childs umbilical area.
D) Administer a subcutaneous injection at a 45-degree angle into each childs deltoid. Ans: A
Feedback: The purified protein derivative (PPD) is always injected into the intradermal layer of the inner
aspect of the forearm. The subcutaneous and intramuscular routes are not utilized.
The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. While
assisting with a subclavian vein central line insertion, the nurse notes the clients oxygen saturation
rapidly dropping. The patient complains of shortness of breath and becomes tachypnic. The nurse
suspects a pneumothorax has developed. Further assessment findings supporting the presence of a
pneumothorax include what?
A) Diminished or absent breath sounds on the affected side
B) Paradoxical chest wall movement with respirations
C) Sudden loss of consciousness
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