Chapter 27 Book - Lower Respiratory Problems Flashcards
When caring for a patient with acute bronchitis, the nurse will prioritize:
A. Auscultation lung sounds
B. Encouraging fluid restriction
C. Administering antibiotic therapy
D. Teaching the paint to avoid cough suppressants
A. Auscultation lung sounds
For which patients with pneumonia would the nurse suspect aspiration as the likely cause pneumonia (Select all that apply)
A. Patient with seizures
B. Patient with head injury
C. Patient who has thoracic surgery
D. Patient who has a myocardial infraction
E. Patient who is receiving nasogastric tube feeding
A. Patient with seizures
B. Patient with head injury
E. Patient who is receiving nasogastric tube feeding
An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of ineffective airway clearance related to thick secretions and fatigue would be to:
A. Perform postural drainage every hour
B. Provide Ana;gesticulating as ordered to promote patient comfort
C. Administer O2 as prescribed to maintain optimal O2 levels
D. Teach the patent how to cough effectively to bring secretions to the mouth
D. Teach the patent how to cough effectively to bring secretions to the mouth
A patient with TB has been admitted to the hospital and is placed in an airborne infection isolation room. What should the patient be taught (Select all that apply)
A. Expect routine TST to evaluate infection
B. Visitors will not be allowed while in airborne isolation
C. Take all medications for full length of time to prevent multi drug-resistant TB
D. Wear a standard isolation mask if leaving the airborne infection isolation room
E. Maintain precautions in airborne infection room by coughing into a paper tissue
C. Take all medications for full length of time to prevent multi drug-resistant TB
D. Wear a standard isolation mask if leaving the airborne infection isolation room
E. Maintain precautions in airborne infection room by coughing into a paper tissue
A patient has been receiving high-dose corticosteroids and broad-spectrum antibiotics for treatment secondary to a traumatic injury and infection. The nurse plans care for the patient knowing that the patient is most susceptible to L A. Candidiasis B. Aspergillosis C. Histoplasmosis D. Coccidioidomycosis
A. Candidiasis
When caring for a patient with a lung abscess, what is the nurse’s priority intervention? A. Postural drainage B. Antibiotic administration C. Obtaining a sputum specimen E. Patient teaching regarding home care
B. Antibiotic administration
The ED nurse is caring for patients exposed to a chlorine leak from a local factory. The nurse would closely monitor these patients for: A. Pulmonary edema B. Anaphylactic shock C. Respiratory alkalosis D. Acute tubular necrosis
A. Pulmonary edema
The nurse receives an order for a patient with lung cancer to receive influenza vaccine and pneumococcal vaccines. The nurse will:
A. Call the health care provider and question the order
B. Administer both vaccines at the same time in different arms
C. Administer the flu shot and tell the patient to come back 1 week later to receive the pneumococcal vaccine
D. Administer the pneumococcal vaccine and suggest FluMist (nasal vaccine) instead of the the influenza injection
B. Administer both vaccines at the same time in different arms
The nurse identifies a flail chest in a trauma patient when:
A. Multiple rib fractures are determined by x-ray
B. A tracheal deviation to the unaffected side is present
C. Paradoxical chest movement occurs during respiration
D. There is decreased movement of the involved chest wall
C. Paradoxical chest movement occurs during respiration
The nurse notes tidaling of the water level in the tube submerged in the water-seal chamber in a patient with closed chest tube drainage. The nurse should:
A. Continue to monitor patient
B. Check all connections for a leak in the system
C. Lower the drainage collector further from the chest
D. Clamp the tubing at progressively distal points away from the patient until the tidaling stops
A. Continue to monitor patient
Following a pnemonectomy, an appropriate nursing intervention is:
A. Monitoring chest tube drainage and functioning
B. Positioning the patient on the unaffected side or back
C. Doing range -of-motion exercised on the affected upper limb
D. Auscultation frequently for lung sounds on the affected side
C. Doing range -of-motion exercised on the affected upper limb
A priority nursing intervention for a patient who has just undergone a chemical pleurodesis for recurrent pleural effusion is:
A. Administering ordered analgesia
B. Monitoring chest tube drainage
C. Sending pleural fluid for laboratory analysis
D. Monitoring the patients level of consciousness
A. Administering ordered analgesia
When planning care for a patient at risk for pulmonary embolism, the nurse prioritizes:
A. Maintaining the patient on bed rest
B. using sequential compression devices
C. Encouraging the patient o cough and deep breathe
D. Teaching the patient how to use the incentive spirometer
B. using sequential compression devices
Which statement(s) describe(s) the management of a patient following lung transplantation (select all that apply)
A. High doses of O2 are administered around the clock
B. The use of a home spirometer will help to monitor lung function
C. Immunosuppressant therapy usually involves a three-drug regimen
D. Mose patients experience an acute rejection episode in the first 2 days
E. The lung biopsied using a transtracheal method if rejection is suspected
C. Immunosuppressant therapy usually involves a three-drug regimen
D. Mose patients experience an acute rejection episode in the first 2 days
E. The lung biopsied using a transtracheal method if rejection is suspected
