Funds Ch 28 Respiratory Care

The nurse is caring for a patient with COPD. Which of the following does the nurse understands is the client's stimulus to breathe?

• Low levels of oxygen in the blood

• High levels of oxygen in the blood

• Low levels of CO2 in the blood

• High levels of CO2 in the blood

A nurse is caring for an African-American client with a long history of lung disease. Which finding will concern the nurse?

• The client's respiratory rate is 22

• The client's oxygen saturation is 96%

• The client's skin is warm and moist

• The client's mucous membranes are ashen

The nurse is providing care for a client who becomes short of breath when ambulating to the bathroom. Which documentation should nurse enter on the client's medical record?

• Cyanotic with ambulation

• Dyspnea on exertion

• Client states inability to walk to the bathroom

• Hypoxemia present after walking to the bathroom

The nurse is performing a reassessment of a patient's breath sounds. Which action by the nurse is correct during auscultation

• Listening to only the anterior chest wall

• Listening to the apex of the lungs before listening to the bases

• Listening to all the lobes on the left before listening to the lobes on the right.

• Listening for a full inhalation at each auscultation site.

While caring for a client with pneumonia, the nurse notes that the client is having difficulty expectorating thick, rust-colored sputum. Which nursing intervention is the priority?

• Encourage the use of the incentive spirometer

• Provide pain medication as ordered

• Provide a bedside commode

• Encourage increased fluid intake

A nurse is caring for a number of clients on a medical unit. Which client will the nurse identify as the highest priority?

• A young-adult client with pneumonia who is restless and confused

• A middle-age client with a chest tube who has noticeable tidaling

• Ad adult client with chronic obstructive pulmonary disease and nonproductive cough

• An older-adult client with pneumonia expectorating rust-colored sputum

The nurse notes a new order for collection of a sputum specimen for culture from an older adult client. Which is the most appropriate action by the nurse?

• Place a clean cup at the client's bedside with instructions to spit into it when available

• Contract respiratory therapy to provide a treatment that will induce sputum collection

• Explain the order to the client and plan sputum collection for the following morning

• Encourage the client to increase fluid intake so that sputum can be more readily collected

The nurse working in a pediatrician's office is preparing to do a throat culture for a preschool-aged client being seen for a sore throat. The patient asks, "Why is this test necessary?" Which reply will the nurse make to the parent?"

• "It is important to identify and treat a Streptococcus infection quickly to prevent major illness."

• "We are attempting to test every sick child for the possibility of whooping cough."

• "Doctors need to cut the number of antibiotics ordered because the insurance companies won't pay for them"

• "Throat cultures are always performed on clients with sore throats and intense coughing."

Which oxygen delivery system would be most appropriate for a patient who can eat normally but needs supplemental oxygen?

• Simple face mask

• Nasal cannula

• Venturi mask

• Nonrebreathing mask

Which oxygen delivery system allows the patient to receive a precise percentage of oxygen ordered by the physician?

• Face tent

• Nasal cannula

• Venturi mask

• Simple face mask