A patient's primary care provider has informed the nurse that the patient will require
thoracentesis. The nurse should suspect that the patient has developed which of the
following disorders of lung function? - answer Pleural effusion
A client is reporting slight shortness of breath and lung auscultation reveals the
presence of bilateral coarse crackles. The nurse has applied supplementary oxygen by
nasal cannula, recognizing that the flow rate by this method should not exceed: -
answer6 L/minute
A client with chronic obstructive pulmonary disease (COPD) reports severe shortness of
breath when it is raining. The nurse says to the client: - answer “The air is thicker or
more viscous with humidity, thus it is harder for you to breathe."
Which dietary guideline would be appropriate for the older adult homebound client with
advanced respiratory disease who informs the nurse that she has no energy to eat? -
answer Eat smaller meals that are high in protein.
A nurse assessing a patient's respiratory effort notes that the client's breaths are
shallow and 8 per minute. Shortly after, the client's respirations cease. Which of the
following should the nurse use for this patient? - answerAmbu bag
The nurse is caring for a client who has been prescribed humidified oxygen at 6
L/minute. Which type of liquid will the nurse gather to set up the humidifier? -
answerdistilled water
A client has been put on oxygen therapy because of low oxygen saturation levels in the
blood. What should the nurse use to regulate the amount of oxygen delivered to the
client? - answerFlow meter
The nurse educator is presenting a lecture on the respiratory and cardiovascular
systems. Which response given by the nursing staff would indicate to the educator that
they have an understanding of cardiac output? - answer"If the client's stroke volume is
50 mL and heart rate is 50 beats per minute, then the cardiac output is 2.5 L/minute."
When reviewing data collection on a client with a cardiac output of 2.5 L/minute, the
nurse inspects the client for which symptom? - answerRapid respirations
, The nurse assesses a client and detects the following findings: difficulty breathing,
increased respiratory and pulse rates, and pale skin with regions of cyanosis. What
condition would the nurse suspect as causing these respiratory alterations? -
answerHypoxia
A 24-year-old woman was admitted to the hospital for an exacerbation of symptoms
related to her cystic fibrosis. During a nurse's assessment of the client, the nurse
notices a bluish color around her lips. What is the client exhibiting in this scenario? -
answerCyanosis
A 55-year-old obese man reports excessive daytime sleepiness, morning headaches,
and sore throat. His wife states that he snores a lot. Which disease is this client most
likely suffering from? - answerSleep apnea
A client receiving home oxygen calls the telehealth nurse to report that her caretaker
removed her oxygen tank from the wheeled carrier. What is the appropriate telehealth
nurse response? - answer"The caregiver will need to place the oxygen tank back into
the secure carrier."
The nurse is demonstrating oxygen administration to a client. Which teaching will the
nurse include the humidifier? - answer"Small water droplets come from this, thus
preventing dry mucous membranes."
Which teaching about the oxygen analyzer is important for the nurse to provide to a
client using oxygen? - answerIt determines whether the client is getting enough oxygen.
A client returns to the telemetry unit after an operative procedure. Which diagnostic test
will the nurse perform to monitor the effectiveness of the oxygen therapy ordered for the
client? - answerPulse oximetry
What is the action of codeine when used to treat a cough? - answersuppressant
To determine the quality of oxygenation, the nurse performs the physical assessment,
the arterial blood gas test, and pulse oximetry. What is the purpose of the pulse
oximetry test? - answerMonitor the amount of oxygen saturation in the blood.
A nurse is delivering 3 L/min oxygen to a patient via nasal cannula. What percentage of
delivered oxygen is the patient receiving? - answer32%
The nurse is caring for a client who has a percutaneous tracheostomy (PCT) following a
skydiving accident. Which oxygen delivery device will the nurse select? -
answertracheostomy collar
A client with no prior history of respiratory illness has been admitted to a postoperative
unit following foot surgery. What intervention should the nurse prioritize in an effort to
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