ATI respiratory EXAM 1
Quiz by Brittany
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20 questions
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- Q1A nurse is preparing to care for a client following chest tube placement. Which of the following items should be available in the clients room? ( Select all that apply): A. Oxygen B. Sterile Water C. Enclosed Hemostat Clamps D. Indwelling Urinary catheter E. Occlusive dressingB,C,EA,B,C,EA,B,C,D,EB,C60s
- Q2A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. Which of the following actions should the nurse take first?obtain a chest x-rayplace tape around the insertion siteApply sterile gauze to the insertion siteassess respiratory status60s
- Q3A nurse is assessing a client who has a chest tube and drainage system in place. Which of the following are expected findings? (Select all that apply) : A. Continuous bubbling in the water chamber, B. Gentle content bubbling in the suction chamber C. Rise and fall in water seal chamber with inspiration and expiration D. Exposed sutures without dressing E. Drainage system upright at chest levelA,CB,CA,EB,C,E60s
- Q4A nurse is assisting a provider with the removal of a chest tube. Which of the following should the nurse instruct the client to do?lie on his left sidecough at regular intervalsuse the incentive spirometerPreform the Valsalva Maneuver60s
- Q5A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following should be included in the plan of care? ( Select all that apply): A. Encourage the patient to cough every 2 hours. B. Check for continuous bubbling in the suction chamber C. Strip the drainage tubing every four hours D. Clamp the tube once a day E. Obtain a chest X-RayA,B,C,EA,B,C,A,C,EA,B,E60s
- Q6A nurse is caring for a group if clients. Which of the following clients are at risk for pulmonary embolism? ( Select all that apply): A. A client who has a BMI of 30 B. A female client who is postmenopausal C. A client who has a fractured femur D. A client who is a marathon runner E. A client who has chronic atrial fibrillationA,C,EA,CA,C,DA,B,C60s
- Q7A nurse is assessing a client who has a pulmonary embolism. Which of the following manifestations should the nurse expect to find. ( Select all that apply): A, Bradycardia B. Plural friction rub C. Hypertension D. Petechiae E. TachycardiaA,B,CB,D,EA,B,D,EB,C,D,E60s
- Q8A nurse us assessing a client following a gunshot wound to the chest. For which of the following findings should the nurse monitor to detect a pneumothorax? ( Select all that apply): A. tachypnea B. Deviation of the trachea C. Bradycardia, D. Decreased use of accessory muscles E. Pleuritic painB,C,EA,B,EA,BA,B,C,E60s
- Q9A nurse in the emergency department is assessing a client who has a suspected flail chest. Which of the following findings should the nurse expect? ( Select all that apply): A. Bradycardia B. Cyanosis C. Hypotension D. Dyspnea E. Paradoxic chest movementC,D,EB,C,D,ED,EB,E60s
- Q10After assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis?Weak cough effortRespiratory rate of 28 breaths/minuteResting pulse oximetry (SpO2) of 85%Profuse green sputum60s
- Q11A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?Bronchial breath sounds are heard at the right base.The patient coughs up small amounts of green mucus.The patient’s white blood cell (WBC) count is 9000/µL.Increased tactile fremitus is palpable over the right chest.60s
- Q12Which information about prevention of lung disease should the nurse include for a patient with a 42 pack-year history of cigarette smoking?Resources for support in smoking cessationErlotinib (Tarceva) therapy to prevent tumor riskReasons for annual sputum cytology testingComputed tomography (CT) screening for cancer60s
- Q13The 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?400 mL of blood in the collection chamberA large air leak in the water-seal chamberComplaint of pain with each deep inspirationSubcutaneous emphysema at the insertion site60s
- Q14A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?Ciprofloxacin (Cipro) 400 mg IVChest x-ray via stretcherAcetaminophen (Tylenol) rectal suppositoryBlood cultures from two sites60s
- Q15The 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?Auscultate for crackles in the lungs.Monitor for elevated white blood cell count.Observe for distended neck veins.Palpate for heaves or thrills over the heart.60s