Respiratory review

Which of the following findings should the nurse report to the provider following a bronchoscopy?

• Blood tinged sputum

• Dry, nonproductive cough

• Sore throat

• Bronchospasms

The nurse notices that her patients chest tube has been accidentally removed. Which of the following is the first action you should take?

• Obtain a chest x-ray

• Apply a sterile gauze or occlusive dressing to insertion site

• Place tape around the insertion site

• Monitor respiratory status

A nurse is caring for a patient who has a new prescription for oxygen of 4L/min using a nasal cannula. Which of the following actions should the nurse take?

• Provide humidification

• Remove the cannula during meal time

• Establish an alternative means of communication

• Lubricate the nares with 0.9% sodium chloride

A nurse is caring for a client with respiratory distress. Which of the following early manifestations of hypoxemia should the nurse recognize?

• Confusion

• Pale skin

• Bradycardia

• Hypotension

• Elevated blood pressure

A nurse is reinforcing teaching to a group of clients about influenza. Which of the following statements indicates an understanding of the teaching?

• "I should wash my hands after blowing my nose to prevent spreading the virus"

• "I need to avoid drinking fluids if I develop symptoms"

• "I need a flu shot every 22 years because of the different flu strains"

• "I should cover my mouth with my hand when I sneeze"

You are caring for a patient who has asthma. Which lung sound would you expect to hear when auscultating this patient's lung fields?

• Fine crackles

• Stridor

• Pleural friction rub

• Wheezes

A nurse is reinforcing teaching to a client on how to perform pursed-lip breathing. Which of the following statements should the nurse include?

• "Take quick breaths upon inhalation."

• "Place your hand over your stomach."

• "Take a deep breath in through your nose."

• "Puff your cheeks upon exhalation."

A nurse is assisting with the care of a client who has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following medications should you expect to administer?

• Acyclovir

• Atenolol

• Albuterol

• Azithromycin

A nurse is preparing to administer a new prescription for rifampin to a patient who has tuberculosis. The nurse should instruct the patient to report which of the following findings as an adverse effect of the medication?

• Urine orange in color

• Difficulty sleeping

• Cough

• Yellowing of skin

A nurse is collecting data on a patient with a pulmonary embolism. Which of the following manifestations should the nurse expect to see?

• Bradypnea

• Diaphoresis

• Hypertension

• Cyanosis

• Tachycardia