ATI MEDSURG – RESPIRATORY EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

ATI MEDSURG – RESPIRATORY EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (20) a nurse is reinforcing teaching about pursed-lip breathing for a client who has COPD and emphysema. the nurse should explain that this breathing technique does which of the following? keeps the airways open on exhalation - the client who has COPD with emphysema should use pursed-lip breathing when experiencing dyspnea. this is one of the simplest ways to control dyspnea. it slows the client's pace of breathing and keeps the airway open on exhalation, making each breath more effective. pursed-lip breathing releases trapped air in the lungs and prolongs exhalation to slow the breathing rate. this improved breathing pattern moves carbon dioxide out of the lungs more efficiently - the client who uses pursed-lip breathing prolongs exhalation, rather than increasing oxygen intake on inhalation. increase oxygen cautiously because the client depends on low oxygen to stimulate breathing - the client should use pursed-lip breathing breathes in through the nares and out through pursed lips, rather than concentrating on using chest-wall muscles - the client who uses pursed-lip breathing breathes in through the nares and out through the pursed lips, rather than concentrating on using the diaphragm 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 - the nurse should tape all connections to ensure that the system is airtight and prevent the chest tubing from accidentally disconnecting the nurse should expect bubbling in the water seal chamber on forced expiration or coughing, which is an indication that the system is working properly. additionally, the nurse should avoid clamping the chest tube unless it becomes necessary to replace the drainage unit or locate an air leak - the nurse should ensure the chest tube drainage system is below the level of the chest at all times to facilitate proper drainage by gravity - the nurse should not empty the collection chamber or change the system unless it is almost full 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." - the client who has a pneumonectomy must cough to clear secretions from the remaining lung. the nurse should show the client how to splint her incision to reduce pain when coughing - the client who had a pneumonectomy must cough to clear secretions from the remaining lung - pain medication reduces pain to a tolerable level. however, it does not necessarily keep the client pain-free. additionally, telling the client not to worry is a barrier to communication and provides false reassurance a nurse is on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. the client reports feeling apprehensive and restless. the nurse collects additional data from the client. which of the following findings is an indication of pulmonary embolism? sudden onset of dyspnea - clinical manifestations of pulmonary embolism have a rapid onset. dyspnea occurs due to reduced blood flow to the lungs - tracheal deviation is an indication of tension pneumothorax and is fatal if not promptly treated - tachycardia is a clinical manifestation of pulmonary embolism - difficulty swallowing is an indication of many conditions, including oral cancer a nurse is 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 anthrax? dry cough - the client who has a dry cough has a clinical manifestation found in the prodromal stage of inhalation anthrax. during this stage, it is difficult to distinguish from influenza or pneumonia because there is no sore throat or rhinitis - the client who has rhinitis is not manifesting findings of anthrax, however, rhinitis is typically seen with colds and influenza - the client who has a sore throat is not manifesting findings of inhalation anthrax, however, a sore throat is typically seen with colds and influenza - swollen lymph nodes with a swollen edematous lesion can be a clinical manifestation of cutaneous anthrax