NUR 3225 Test 2 Questions All Answered Correct 2026 Edition.

What intervention should the nurse identify as the priority for the patient with a nursing diagnosis of Ineffective Airway Clearance secondary to Pneumonia? 1. Provide supplemental oxygen 2. Keep the head of the bed elevated. 3. Coughing, deep breathing, and hydration maintenance. 4. Preparation for insertion of a tracheostomy tube - Answer 3 A patient is hospitalized with a diagnosis of pneumonia. Which findings, based on the nurse's knowledge, are indicative of a deteriorating clinical state? Select all that apply. 1. Increased respiratory rate. 2. Tachycardia 3. Agitation 4. Cyanosis 5. Increased urinary output - Answer A patient has a chest tube inserted to treat a pneumothorax. Which of the following indicates that the chest tube is no longer needed? a. the drainage from the chest tube is minimal b. ABG results indicated proper O2 c. no fluctuations in the water seal chamber without suction d. chest tube is removed and patient assessed for adequate breathing. - Answer A A patient with a chest tube has accidentally removed it. What should the nurse do first? a. lie the patient down on his left side b. lie the patient down on his right side. c. apply an occlusive dressing over the site d. reinsert the chest tube - Answer C A nurse assists the physician with the removal of a chest tube. During the removal, the nurse instructs the client to: a. breath out forcefully b. breathe in deeply c. exhale and bear down