Exam 27: Lower Respiratory Problems

A patient with a pleural effusion is scheduled for a thoracentesis. Which action should the nurse take to prepare the patient for the procedure?

The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy. Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?

Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?

An hour after a thoracotomy,a patient complains of incisional pain at a level 7 (based on 0 to 10 scale)and has decreased left-sided breath sounds. The pleural drainage system has 100 mL of bloody drainage and a large air leak. Which action should the nurse take?

The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Which action should the nurse take?

The nurse completes discharge teaching for a patient who has had a lung transplant. Which patient statement indicates to the nurse that the teaching has been effective?

A patient is diagnosed with both human immunodeficiency virus (HIV)and active tuberculosis (TB)disease. Which information obtained by the nurse is most important to communicate to the health care provider?

A patient is admitted to the emergency department with an open stab wound to the left chest. What action should the nurse take?

Which information about prevention of lung disease should the nurse include for a patient with a 42 pack-year history of cigarette smoking?

The nurse supervises a student nurse who is assigned to take care of a patient with active tuberculosis (TB). Which action,if performed by the student nurse,would require an intervention by the nurse?

The nurse receives change-of-shift report on the following four patients. Which patient should the nurse assess first?

A patient with idiopathic pulmonary arterial hypertension (IPAH)is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?

The nurse monitors a patient in the emergency department after chest tube placement for a hemopneumothorax. The nurse is most concerned if which assessment finding is observed?

A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should the nurse plan to promote airway clearance?

When assessing a patient who has just arrived after an automobile accident,the emergency department nurse notes tachycardia and absent breath sounds over the right lung. For which intervention will the nurse prepare the patient?

The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement,if made by the patient,indicates a good understanding of the instructions?

An experienced nurse instructs a new nurse about how to care for a patient with dyspnea caused by a pulmonary fungal infection. Which action by the new nurse indicates a need for further teaching?

The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?

The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?

A patient who has just been admitted with community-acquired pneumococcal pneumonia has a temperature of 101.6° F with a frequent cough and is complaining of severe pleuritic chest pain. Which prescribed medication should the nurse give first?