Exam 6 Ch24 | 暗記メーカー

暗記メーカー

Exam 6 Ch24

12問 • 2年前

問題一覧

1

1. A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60–pack-year smoking history. Which action is most important for the nurse to take when interviewing this client?

c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty.

2

2. A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention?

c. Client has reduced breath sounds—nurse calls primary health care provider immediately.

3

3. A nurse assesses a client’s respiratory status. Which information is most important for the nurse to obtain?

d. Occupation and hobbies.

4

4. A nurse observes that a client’s anteroposterior (AP) chest diameter is the same as the lateral chest diameter. Which question would the nurse ask the client in response to this finding?

b. “Do you have any chronic breathing problems?”

5

5. A nurse is assessing a client who is recovering from a lung biopsy. The client’s breath sounds are absent. While another nurse calls the Rapid Response Team, what action by the nurse takes is most important?

b. Obtain pulse oximetry reading.

6

6. A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which intervention would the nurse complete prior to the procedure?

d. Validate that informed consent has been given by the client.

7

7. A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action?

d. The trachea is shifted toward the opposite side of the neck.

8

8. A nurse cares for a client who had a bronchoscopy 2 hours ago. The client asks for a drink of water. What action would the nurse take next?

c. Assess the client’s gag reflex before giving any food or water.

9

9. A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention would the nurse include in this client’s plan of care?

a. Assistance with activities of daily living

10

10. A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement would the nurse include in this client’s teaching?

c. “Smoking while taking this medication will increase your risk of a stroke.”

11

11. A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy. The client presents with continuous cyanosis even with oxygen therapy. What action would the nurse take next?

b. Notify the Rapid Response Team.

12

12. A nurse auscultates a harsh hollow sound over a client’s trachea and larynx. What action would the nurse take first?

a. Document the findings.

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19問 • 3年前

問題一覧

1

1. A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60–pack-year smoking history. Which action is most important for the nurse to take when interviewing this client?

c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty.

2

2. A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention?

c. Client has reduced breath sounds—nurse calls primary health care provider immediately.

3

3. A nurse assesses a client’s respiratory status. Which information is most important for the nurse to obtain?

d. Occupation and hobbies.

4

4. A nurse observes that a client’s anteroposterior (AP) chest diameter is the same as the lateral chest diameter. Which question would the nurse ask the client in response to this finding?

b. “Do you have any chronic breathing problems?”

5

5. A nurse is assessing a client who is recovering from a lung biopsy. The client’s breath sounds are absent. While another nurse calls the Rapid Response Team, what action by the nurse takes is most important?

b. Obtain pulse oximetry reading.

6

6. A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which intervention would the nurse complete prior to the procedure?

d. Validate that informed consent has been given by the client.

7

7. A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action?

d. The trachea is shifted toward the opposite side of the neck.

8

8. A nurse cares for a client who had a bronchoscopy 2 hours ago. The client asks for a drink of water. What action would the nurse take next?

c. Assess the client’s gag reflex before giving any food or water.

9

9. A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention would the nurse include in this client’s plan of care?

a. Assistance with activities of daily living

10

10. A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement would the nurse include in this client’s teaching?

c. “Smoking while taking this medication will increase your risk of a stroke.”

11

11. A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy. The client presents with continuous cyanosis even with oxygen therapy. What action would the nurse take next?

b. Notify the Rapid Response Team.

12

12. A nurse auscultates a harsh hollow sound over a client’s trachea and larynx. What action would the nurse take first?

a. Document the findings.