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, 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
a nurse on a medical unit is assisting with the care of a client who has a possible closed
pneumothorax and significant bruising on 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 client who has pneumothorax experiences severely diminished
or absent breath sounds on the affected side
- a client who has asthma experiences an expiratory wheezing during an acute asthma attack
- a client who has an airway obstruction experiences inspiratory stridor, which is a loud
crowing-like sound often heard without a stethoscope
- a client who has thick sputum production or obstruction from a foreign body has rhonchi,
which are dry, low-pitched, snore-like noises produced in the throat
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