Chapter 27: Acute Lower Respiratory Disorders

17問 • 1年前

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A patient with acute bronchitis is being discharged with a prescription for an antimicrobial medication to be taken for the next 14 days. Which information should the nurse stress when providing discharge teaching?

Complete the entire course as prescribed.

Which group of patients should a nurse advise to have a vaccination with conjugated pneumococcal?

Parents of children younger than 24 months

Which action should a nurse implement to reduce the risk of aspiration in a patient receiving continuous enteral feedings at a rate of 70 mL/hr?

Notify the charge nurse or physician about a residual volume of 20 mL.

Which symptoms should a nurse expect to see in a patient with hypoxemia?

Restlessness, tachycardia, and tachypnea

A patient comes to the emergency department with a sucking chest wound. Which type of dressing should the nurse apply to begin the process of lung reinflation?

Air-occlusive dressing taped on three sides (vented dressing)

Which procedure should a nurse prepare for when assessing paradoxical movement in a patient with a flail chest who has significant dyspnea?

Intubation

Which intervention would be inappropriate for decreasing the risk of further emboli in a patient with a pulmonary embolism?

Placing pillows under the knees to elevate the legs

Assessment of 24-year-old driver after an automobile accident, who is complaining of right-sided chest pain and is dyspneic, reveals the following: • Respirations: 26 breaths/min • Significant pain on inspiration • Hand is pressed to the rib area; large bruise is forming on the right chest • Blood pressure: 182/98 mm Hg Based on these assessments, the nurse suspects ________ ribs.

fractured

A nurse assesses several clients who have a history of asthma. Which client should the nurse assess first?

A 27-year-old client with a heart rate of 120 beats/min

A nurse cares for a client with arthritis who reports frequent asthma attacks. Which action should the nurse take first?

Ask about medications the client is currently taking.

After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse assesses the clients understanding. Which statement indicates the client comprehends the teaching?

"I will take this medication every morning to help prevent an acute attack."

After teaching a client how to perform diaphragmatic breathing, the nurse assesses the clients understanding. Which action demonstrates that the client correctly understands the teaching?

The client places his or her hands on his or her abdomen.

A nurse cares for a client who has developed esophagitis after undergoing radiation therapy for lung cancer. Which diet selection should the nurse provide for this client?

Omelet, soft whole-wheat bread

The nurse is caring for a client with lung cancer who states, I dont want any pain medication because I am afraid Ill become addicted. How should the nurse respond?

It is unlikely you will become addicted when taking medicine for pain.

After teaching a client who is prescribed salmeterol (Serevent), the nurse assesses the clients understanding. Which statement by the client indicates a need for additional teaching?

"I will use the drug when I have an asthma attack."

A nurse cares for a client with chronic obstructive pulmonary disease (COPD). The client states that he no longer enjoys going out with his friends. How should the nurse respond?

"Share any thoughts and feelings that cause you to limit social activities."

A nurse is teaching a client who has cystic fibrosis (CF). Which statement should the nurse include in this clients teaching?

Eat a well-balanced, nutritious diet.

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