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NUR2243 Respiratory EAQs Questions With 100% Correct Answers.

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NUR2243 Respiratory EAQs

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NUR2243 Respiratory EAQs

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 A client is brought to the emergency department after a bee sting. The client has a history of allergies to bees an...

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Course NUR2243 Respiratory EAQs

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NUR2243 Respiratory EAQs
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

A client is brought to the emergency department after a bee sting. The client has a
history of allergies to bees and is having difficulty breathing. What client reaction should
cause a nurse the most concern? - ✔️✔️Asphyxia

A client has an endotracheal tube and is receiving mechanical ventilation. Periodic
suctioning is necessary, and the nurse follows a specific protocol when performing this
procedure. Select in order of priority the nursing actions that should be taken when
suctioning. - ✔️✔️Assess client's vital signs and lung sounds
Activate the ventilator suction hyperoxygenation setting
Insert the catheter without applying suction
Rotate the catheter while suction is applied

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.

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

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

, During admission a client appears anxious and says to the nurse, "The doctor told me I
have lung cancer. My father died from cancer. I wish I had never smoked." What is the
nurse's best response? - ✔️✔️"You seem concerned about your diagnosis."

After surgery, a client reports sudden severe chest pain and begins coughing. The
nurse suspects the client has a thromboembolism. What characteristic of the sputum
supports the nurse's suspicion that the client has a pulmonary embolus? - ✔️✔️pink

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 experiencing severe respiratory distress. Which response should the nurse
expect the client to exhibit? - ✔️✔️tachycardia

What is the normal value of inspiratory reserve volume? - ✔️✔️3.0 L

A nurse administers oxygen at 2 L/min via nasal cannula to a client with chronic
obstructive pulmonary disease (COPD). By administering a low concentration of oxygen
to this client, the nurse is preventing which physiologic response? - ✔️✔️Depression in
the respiratory center

A client is admitted to the postanesthesia care unit after a segmental resection of the
right lower lobe of the lung. A chest tube drainage system is in place. When caring for
this tube, what should the nurse do? - ✔️✔️Mark the time and fluid level on the side of
the drainage chamber

A nurse is notified that a victim of a gunshot wound to the right side of the chest is being
transported to the emergency department. To prepare for the client, what is the priority
nursing intervention? - ✔️✔️Obtaining equipment for chest tube insertion

The nurse is caring for a client who has a lesion in the right upper lobe. A diagnosis of
tuberculosis (TB) has been made. What are the clinical manifestations of tuberculosis? -
✔️✔️Night sweats and blood-tinged sputum

The nurse's physical assessment of a client with heart failure reveals tachypnea and
bilateral crackles. Which is the priority nursing intervention? - ✔️✔️Place client in a
high-Fowler position

In addition to treatment of the underlying cause, which medical intervention should the
nurse anticipate will be included in the management of a client with acute respiratory
distress syndrome (ARDS)? - ✔️✔️Positive end-expiratory pressure (PEEP)

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