Medical-Surgical: Respiratory
A nurse is reinforcing preoperative teaching with a client who is to undergo a
pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery."
Which of the following statements should the nurse make? –
"I will show you how to splint your incision while coughing."
A nurse is caring for a client who has a tracheostomy with an inflated cuff in place.
Which of the following findings indicates that the nurse should suction the clients airway
secretions? –
The client has coarse crackles in the lung fields.
A nurse is assisting with discharge teaching for a client who is postoperative following a
rhinoplasty. Which of the following instructions should the nurse include? –
"Lie on your back with your head elevated 30* when resting"
A nurse in an urgent care clinic is collecting data from a client who reports exposure to
anthrax. Which of the following findings is an indication of the prodromal stage of
inhalation of anthrax? –
Dry cough
A nurse is assisting with the plan of care for a client following placement of a chest tube
1 hr ago. Which of the following actions should the nurse include in the plan of care? –
Tape all connections between the chest tube and drainage system
A nurse in a clinic is reinforcing teaching with a client who is to have a tuberculin skin
test. Which of the following information should the nurse include? –
"You must return to the clinic to have the test read in 2 or 3 days."
A nurse is preparing to assist a provider to withdraw arterial blood from a clients radial
artery for measurement of ABG. Which of the following actions should the nurse plan to
take? –
Check the circulation in the client's ulnar artery prior to obtaining the specimen.
A nurse is caring for an older adult client who has chronic obstructive pulmonary
disease and pneumonia. The nurse should monitor the client for which of the following
acid-base imbalances? –
Respiratory acidosis
A nurse on a medical unit is assisting with the care of a client who has a possible closed
pneumothorax and significant bruising of the left chest following a motor-vehicle crash.
The client reports severe left chest pain on inspiration. The nurse should hear which of
the following findings when auscultating the client's lung sounds? –
Absence of breath sounds
A nurse is reinforcing preoperative teaching with a client who is to undergo a
pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery."
Which of the following statements should the nurse make? –
"I will show you how to splint your incision while coughing."
A nurse is caring for a client who has a tracheostomy with an inflated cuff in place.
Which of the following findings indicates that the nurse should suction the clients airway
secretions? –
The client has coarse crackles in the lung fields.
A nurse is assisting with discharge teaching for a client who is postoperative following a
rhinoplasty. Which of the following instructions should the nurse include? –
"Lie on your back with your head elevated 30* when resting"
A nurse in an urgent care clinic is collecting data from a client who reports exposure to
anthrax. Which of the following findings is an indication of the prodromal stage of
inhalation of anthrax? –
Dry cough
A nurse is assisting with the plan of care for a client following placement of a chest tube
1 hr ago. Which of the following actions should the nurse include in the plan of care? –
Tape all connections between the chest tube and drainage system
A nurse in a clinic is reinforcing teaching with a client who is to have a tuberculin skin
test. Which of the following information should the nurse include? –
"You must return to the clinic to have the test read in 2 or 3 days."
A nurse is preparing to assist a provider to withdraw arterial blood from a clients radial
artery for measurement of ABG. Which of the following actions should the nurse plan to
take? –
Check the circulation in the client's ulnar artery prior to obtaining the specimen.
A nurse is caring for an older adult client who has chronic obstructive pulmonary
disease and pneumonia. The nurse should monitor the client for which of the following
acid-base imbalances? –
Respiratory acidosis
A nurse on a medical unit is assisting with the care of a client who has a possible closed
pneumothorax and significant bruising of the left chest following a motor-vehicle crash.
The client reports severe left chest pain on inspiration. The nurse should hear which of
the following findings when auscultating the client's lung sounds? –
Absence of breath sounds
