Exam 27: Lower Respiratory Problems

A patient with pneumonia has a fever of 101.4° F (38.6° C),a nonproductive cough,and an O? saturation of 88%. The patient complains of weakness,fatigue,and needs assistance to get out of bed. Which nursing diagnosis should the nurse assign as the priority?

A patient who was admitted the previous day with pneumonia complains of a sharp pain of 7 (on 0 to 10 scale)"whenever I take a deep breath." Which action will the nurse take next?

The nurse notes that a patient has incisional pain,a poor cough effort,and scattered coarse crackles after a thoracotomy. Which action should the nurse take first?

A patient experiences a chest wall contusion as a result of being struck in the chest with a baseball bat. The emergency department nurse would be most concerned if which finding is observed during the initial assessment?

An occupational health nurse works at a manufacturing plant where there is potential exposure to inhaled dust. Which action recommended by the nurse is intended to prevent lung disease?

An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?

After change-of-shift report,which patient should the nurse assess first?

After assessment of a patient with pneumonia,the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis?

The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient's postoperative care?

A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?

A patient who is taking rifampin (Rifadin)for tuberculosis calls the clinic and reports having orange discolored urine and tears. Which response by the nurse reflects accurate knowledge about the medication and the patient's illness?

The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB). Which statement,if made by the patient,indicates that teaching was effective?

A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?

A lobectomy is scheduled for a patient with stage I non-small cell lung cancer. The patient tells the nurse,"I would rather have chemotherapy than surgery." Which response by the nurse is most appropriate?

The nurse administers prescribed therapies for a patient with cor pulmonale and right-sided heart failure. Which assessment could be used to evaluate the effectiveness of the therapies?

A patient with newly diagnosed lung cancer tells the nurse,"I don't think I'm going to live to see my next birthday." Which is the best initial response by the nurse?

Which factors will the nurse consider when calculating the CURB-65 score for a patient with pneumonia ?

A patient diagnosed with active tuberculosis (TB)is homeless and has a history of alcohol abuse. Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?

The nurse is performing tuberculosis (TB)skin tests in a clinic that has many patients who have immigrated to the United States. Which question is most important for the nurse to ask before the skin test?

The nurse notes new onset confusion in an older patient who is normally alert and oriented. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)