Respiratory ATI
A nurse is reinforcing teaching with a client who has pleaurisy. Which of the following
statements by the client indicates an understanding of the teaching? - Answer I should
lie on the affected side
A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the
following positions should the nurse place the client for the procedure? - Answer sitting,
leaning forward over the bedside table
A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports
dyspnea with minimal excretion. Which of the following acid-base imbalances should
the nurse suspect? - Answer respiratory acidosis
A nurse is caring for a client who has a femur fracture and 8 hr after the injury reports a
sudden onset of dyspnea and a severe headache. Which action should the nurse take
first? - Answer administer oxygen
A nurse is reinforcing teaching for a client who has COPD. Which of the following
statements by the client indicates a need for further teaching? - Answer I will drink
plenty of beverages with my meals
A nurse is assisting with the care of a client who has adult respiratory distress syndrome
(ARDS). Which of the following actions should the nurse take? - Answer position the
client in supine for ventilatory support
A nurse is caring for a client who has heart failure and respiratory arrest. Which of the
following actions should the nurse take first? - Answer feel a carotid pulse
A nurse is contributing to the care plan of an older adult who has pneumonia. Which of
the following interventions should the nurse include in the plan? - Answer encourage
fluid intake of 2.5 L per day
A nurse is caring for a client following an open reduction and internal flexion of a
fractured femur. Which of the following findings is the nurses priority? - Answer altered
level of consciousness
A nurse in a clinic is collecting data from a client who reports nausea, headache,
weakness, and vertigo after turning on his furnace. The clients oral mucous membranes
are cherry red. Then nurse should associate the clients manifestations with which of the
following conditions? - Answer carbon monoxide poisoning
The nurse is assisting with the care of a client who is postoperative following a bowel
resection and just a arrived to the unit from PACU. Which of the following actions should
the nurse take? - Answer remove the anti embolic stocking for 20 min every 8 hr
A nurse is reinforcing teaching about use of metered-dose inhaler (MD) with a client
who has a new diagnosis of asthma. Identify the sequence the client should follow. -
, Respiratory ATI
Answer shake the canister 3 to 5 seconds vigorously, place her lips firmly around the
mouthpiece, inhale slowly over 3 to 5 seconds while pushing down on the canister, hold
her breath for 10 seconds, and exhale slowly through pursed lips
A nurse is caring for a client who has a three-chamber closed chest tube system. Which
of the following should the nurse do after noticing a rise in the water seal with client
inspiration? - Answer continue to monitor the client
A nurse is collecting data from a client who has a right hemothorax and a water-seal
chest tube drainage system to closed suction. For which of the following findings should
the nurse contact the charge nurse? - Answer subcutaneous emphysema is present on
the clients right chest wall
A nurse is caring for a client who has a chest tube connected to a water-seal drainage
system. Which of the following actions should the nurse take? - Answer replace the
water-seal unit when the collection chamber is full
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a
client diagnosed with emphysema. Which of the following instructions should be
included in the teaching? - Answer breathe in through her nose and out through pursed
lips
A nurse is assisting with the plan of care for a client who has a chest tube connected to
a closed chest drainage system. Which of the following interventions should the nurse
include in the plan of care? - Answer keep the collection device below the level of the
clients chest
A nurse is collecting data from a client following removal of the clients endotracheal
tube. Which of the following findings should the nurse report to the provider? - Answer
stridor
A nurse is collecting data from a client who has a respiratory disorder and displays
manifestations of hypoxia. Which of the following findings should the nurse expect? -
Answer cyanosis
A nurse is assisting with the care of a client who is 2 days postoperative following the
creation of a tracheostomy. Which of the following actions should the nurse plan to
take? - Answer provide humidified air
A nurse is preparing a young adult client who has a hearing impairment for surgery.
Which of the following actions should the nurse take first? - Answer allow the client to
keep her hearing aids in
A nurse is reviewing the laboratory results of a client who is postoperative and has a
respiratory rate of 7/min. The arterial gas (ABG) values include:
A nurse is reinforcing teaching with a client who has pleaurisy. Which of the following
statements by the client indicates an understanding of the teaching? - Answer I should
lie on the affected side
A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the
following positions should the nurse place the client for the procedure? - Answer sitting,
leaning forward over the bedside table
A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports
dyspnea with minimal excretion. Which of the following acid-base imbalances should
the nurse suspect? - Answer respiratory acidosis
A nurse is caring for a client who has a femur fracture and 8 hr after the injury reports a
sudden onset of dyspnea and a severe headache. Which action should the nurse take
first? - Answer administer oxygen
A nurse is reinforcing teaching for a client who has COPD. Which of the following
statements by the client indicates a need for further teaching? - Answer I will drink
plenty of beverages with my meals
A nurse is assisting with the care of a client who has adult respiratory distress syndrome
(ARDS). Which of the following actions should the nurse take? - Answer position the
client in supine for ventilatory support
A nurse is caring for a client who has heart failure and respiratory arrest. Which of the
following actions should the nurse take first? - Answer feel a carotid pulse
A nurse is contributing to the care plan of an older adult who has pneumonia. Which of
the following interventions should the nurse include in the plan? - Answer encourage
fluid intake of 2.5 L per day
A nurse is caring for a client following an open reduction and internal flexion of a
fractured femur. Which of the following findings is the nurses priority? - Answer altered
level of consciousness
A nurse in a clinic is collecting data from a client who reports nausea, headache,
weakness, and vertigo after turning on his furnace. The clients oral mucous membranes
are cherry red. Then nurse should associate the clients manifestations with which of the
following conditions? - Answer carbon monoxide poisoning
The nurse is assisting with the care of a client who is postoperative following a bowel
resection and just a arrived to the unit from PACU. Which of the following actions should
the nurse take? - Answer remove the anti embolic stocking for 20 min every 8 hr
A nurse is reinforcing teaching about use of metered-dose inhaler (MD) with a client
who has a new diagnosis of asthma. Identify the sequence the client should follow. -
, Respiratory ATI
Answer shake the canister 3 to 5 seconds vigorously, place her lips firmly around the
mouthpiece, inhale slowly over 3 to 5 seconds while pushing down on the canister, hold
her breath for 10 seconds, and exhale slowly through pursed lips
A nurse is caring for a client who has a three-chamber closed chest tube system. Which
of the following should the nurse do after noticing a rise in the water seal with client
inspiration? - Answer continue to monitor the client
A nurse is collecting data from a client who has a right hemothorax and a water-seal
chest tube drainage system to closed suction. For which of the following findings should
the nurse contact the charge nurse? - Answer subcutaneous emphysema is present on
the clients right chest wall
A nurse is caring for a client who has a chest tube connected to a water-seal drainage
system. Which of the following actions should the nurse take? - Answer replace the
water-seal unit when the collection chamber is full
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a
client diagnosed with emphysema. Which of the following instructions should be
included in the teaching? - Answer breathe in through her nose and out through pursed
lips
A nurse is assisting with the plan of care for a client who has a chest tube connected to
a closed chest drainage system. Which of the following interventions should the nurse
include in the plan of care? - Answer keep the collection device below the level of the
clients chest
A nurse is collecting data from a client following removal of the clients endotracheal
tube. Which of the following findings should the nurse report to the provider? - Answer
stridor
A nurse is collecting data from a client who has a respiratory disorder and displays
manifestations of hypoxia. Which of the following findings should the nurse expect? -
Answer cyanosis
A nurse is assisting with the care of a client who is 2 days postoperative following the
creation of a tracheostomy. Which of the following actions should the nurse plan to
take? - Answer provide humidified air
A nurse is preparing a young adult client who has a hearing impairment for surgery.
Which of the following actions should the nurse take first? - Answer allow the client to
keep her hearing aids in
A nurse is reviewing the laboratory results of a client who is postoperative and has a
respiratory rate of 7/min. The arterial gas (ABG) values include:
