The home health nurse is assigned to visit these Client with emphysema who has been on home oxygen for a month
clients when a change in agency staffing requires and has SpO2 levels of 91% to 93%
that one of the clients be rescheduled for a visit
on the following day. Which client will be best to
reschedule?
A client is admitted to the medical floor with a Encourage the client to ask questions and verbalize concerns.
new diagnosis of lung cancer. How will the nurse
initially assist the client in managing the anxiety
associated with the new diagnosis?
Encourage the client to ask questions and
verbalize concerns.
When caring for a client who has just undergone Schedule an immediate chest x-ray.
thoracentesis, which of these interventions does
the nurse perform first?
A client has returned to the medical surgical unit Monitor blood pressure and pulse.
after a bronchoscopy. Which nursing task is best
for the charge nurse to delegate to the
experienced unlicensed assistive personnel
(UAP)?
,The nurse is preparing the client for a diagnostic Ensure the client has had nothing by mouth.
bronchoscopy. Which nursing intervention is
essential for the nurse to perform prior to the
procedure?
The RN has received report about four clients. Client with acute asthma who has an oxygen saturation of 89% by pulse
Which client needs the most immediate oximetry
assessment?
Which assessment finding in the client with Bronchial breath sounds heard at the bases
exacerbation of emphysema requires intervention
by the nurse?
A client with asthma reports shortness of breath. Expiratory wheezing not cleared by coughing
Which of these findings does the nurse anticipate
when assessing this client's chest?
The RN and the LPN/LVN are working together to Plan client and family teaching regarding upcoming pulmonary
provide care for a group of clients on a medical function testing.
surgical unit. Which of these actions is most
appropriate for the RN to perform?
,The nurse is assessing a client with chronic Client has a 96 pack-year history
bronchitis who smoked 3 packs of cigarettes daily
for 32 years. How does the nurse document pack-
year history of smoking in the medical record?
The nurse is caring for a client with heart failure Crackles
and acute kidney injury. For which of these breath
sounds will the nurse assess?
The nurse in the outpatient clinic is scheduling a Ensure the client does not smoke for 6 hours before the test.
client for pulmonary function tests. When teaching
the client about pulmonary function testing (PFT),
which point is essential for the nurse to
emphasize?
The nurse in a life care community for geriatric Walk as tolerated each day.
clients is providing education to a group of
residents on expected changes during aging.
Which of these activities does the nurse
encourage the older adult to perform to maintain
respiratory function?
, A client is admitted to the surgical floor with chest "Are you allergic to iodine or shellfish?"
pain, shortness of breath, and hypoxemia after
having a knee replacement. What primary
assessment will the nurse make while preparing
the client for a computed tomography (CT) scan?
The nurse is caring for four clients who came to The client with pink, frothy sputum
the emergency department with a productive
cough. Which of these clients requires immediate
intervention by the nurse?
Which client does the charge nurse on the Client who had 1200 mL of pleural fluid removed by thoracentesis
medical-surgical unit assign to an RN who has
floated from the postanesthesia care unit (PACU)?
The nurse is providing education on preventing Bakers
pulmonary disorders at a community health fair. Coal miners
Which of these groups does the nurse target? Furniture refinishers
Potters
The emergency department nurse is assessing a Sensation of air hunger
client who believes he has sustained a Tracheal deviation
pneumothorax after an outpatient thoracentesis Blue discoloration of the lips
earlier today. For which of these symptoms will the
nurse assess?
clients when a change in agency staffing requires and has SpO2 levels of 91% to 93%
that one of the clients be rescheduled for a visit
on the following day. Which client will be best to
reschedule?
A client is admitted to the medical floor with a Encourage the client to ask questions and verbalize concerns.
new diagnosis of lung cancer. How will the nurse
initially assist the client in managing the anxiety
associated with the new diagnosis?
Encourage the client to ask questions and
verbalize concerns.
When caring for a client who has just undergone Schedule an immediate chest x-ray.
thoracentesis, which of these interventions does
the nurse perform first?
A client has returned to the medical surgical unit Monitor blood pressure and pulse.
after a bronchoscopy. Which nursing task is best
for the charge nurse to delegate to the
experienced unlicensed assistive personnel
(UAP)?
,The nurse is preparing the client for a diagnostic Ensure the client has had nothing by mouth.
bronchoscopy. Which nursing intervention is
essential for the nurse to perform prior to the
procedure?
The RN has received report about four clients. Client with acute asthma who has an oxygen saturation of 89% by pulse
Which client needs the most immediate oximetry
assessment?
Which assessment finding in the client with Bronchial breath sounds heard at the bases
exacerbation of emphysema requires intervention
by the nurse?
A client with asthma reports shortness of breath. Expiratory wheezing not cleared by coughing
Which of these findings does the nurse anticipate
when assessing this client's chest?
The RN and the LPN/LVN are working together to Plan client and family teaching regarding upcoming pulmonary
provide care for a group of clients on a medical function testing.
surgical unit. Which of these actions is most
appropriate for the RN to perform?
,The nurse is assessing a client with chronic Client has a 96 pack-year history
bronchitis who smoked 3 packs of cigarettes daily
for 32 years. How does the nurse document pack-
year history of smoking in the medical record?
The nurse is caring for a client with heart failure Crackles
and acute kidney injury. For which of these breath
sounds will the nurse assess?
The nurse in the outpatient clinic is scheduling a Ensure the client does not smoke for 6 hours before the test.
client for pulmonary function tests. When teaching
the client about pulmonary function testing (PFT),
which point is essential for the nurse to
emphasize?
The nurse in a life care community for geriatric Walk as tolerated each day.
clients is providing education to a group of
residents on expected changes during aging.
Which of these activities does the nurse
encourage the older adult to perform to maintain
respiratory function?
, A client is admitted to the surgical floor with chest "Are you allergic to iodine or shellfish?"
pain, shortness of breath, and hypoxemia after
having a knee replacement. What primary
assessment will the nurse make while preparing
the client for a computed tomography (CT) scan?
The nurse is caring for four clients who came to The client with pink, frothy sputum
the emergency department with a productive
cough. Which of these clients requires immediate
intervention by the nurse?
Which client does the charge nurse on the Client who had 1200 mL of pleural fluid removed by thoracentesis
medical-surgical unit assign to an RN who has
floated from the postanesthesia care unit (PACU)?
The nurse is providing education on preventing Bakers
pulmonary disorders at a community health fair. Coal miners
Which of these groups does the nurse target? Furniture refinishers
Potters
The emergency department nurse is assessing a Sensation of air hunger
client who believes he has sustained a Tracheal deviation
pneumothorax after an outpatient thoracentesis Blue discoloration of the lips
earlier today. For which of these symptoms will the
nurse assess?
