A 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 dressing

A 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?

A 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 level

A nurse is assisting a provider with the removal of a chest tube. Which of the following should the nurse instruct the client to do?

A 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-Ray

A 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 fibrillation

A 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. Tachycardia

A 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 pain

A 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 movement

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

A 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?

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

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?

The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?

A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing. The nurse finds a heart rate of 142 beats/min, blood pressure of 100/60 mm Hg, and respirations of 42 breaths/min. Which action should the nurse take first?

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?

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

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