Use of accessory muscles C. Learning this technique helps the client control respiration during periods of excitement, anxiety, exercise, and respiratory distress. For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway? When suctioning, the nurse must limit the suctioning time to a maximum of: A. A male client with pneumococcal is admitted to an acute care facility. A change in the oxygen concentration without resetting the oxygen level alarm 54. Affected side in a tension pneumothorax D.
The nurse tells the group that one of the first symptoms associated with tuberculosis is: A. Develop an alternative communication method C. A sucking sound at the site of injury would be noted with an open chest injury. In pulmonary edema, pulmonary congestion occurs secondary to. Eating a high-protein snack at bedtime. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of? Because of the long-standing hypercapnia that occurs in emphysema, the respiratory drive is triggered by low oxygen levels rather than increased carbon dioxide levels, as is the case in a normal.
Encourage coughing and deep breathing D. A nurse instructs a female client to use the pursed-lip method of breathing and the client asks the nurse about the purpose of this type of breathing. The client in the next room is being treated for mycoplasmal. A sucking sound at the site of injury would be noted with an open chest injury. When percussing the chest wall, the nurse expects to elicit resonant sounds — low-pitched, hollow sounds heard over normal lung tissue. An endotracheal cuff leak D. Exhalation should be longer than inhalation to prevent collapse of the bronchioles.
Develop an alternative communication method A patient with a laryngectomy cannot speak, yet still needs to communicate. Which mode of oxygen delivery would most likely reverse the manifestations? In pursed-lip breathing, the client mimics a normal inspiratory-expiratory I:E ratio of 1:2. It assists mechanical ventilation by promoting endotracheal intubation and paralyzing the patient so that the mechanical ventilator can do its work. The client is currently receiving 0. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for: A. Check for an air leak because the bubbling should be intermittent D. If the tube is obstructed, the nurse should notice that the fluid has stopped fluctuating in the water-seal chamber.
Arterial blood gas analysis reveals increasing hypoxemia, with a PaO2 lower than 60 mm Hg. Other adverse effects of albuterol include tremor, dizziness, headache, tachycardia, palpitations, hypertension, heartburn, nausea, vomiting and muscle cramps. Although most types of pneumonia have a sudden onset, a few such as anaerobic bacterial pneumonia and mycoplasmal pneumonia have an insidious onset. Make inhalation longer than exhalation. When caring for a male patient who has just had a total laryngectomy, the nurse should plan to: A. Before therapy begins, the nurse should instruct the client to notify the physician if which health concern occurs? Inflamed lung tissue The common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or agent. The nurse reports which of the following signs immediately if experienced by the client? Option d is incorrect because bubbling should be gentle.
The presence of a barrel chest D. Options A and C will delay treatment in this emergency situation. Anginal pain results from a reduced myocardial oxygen supply. The nurse assesses the oxygen flow rate to ensure that it does not exceed: A. The inhaled form of the drug may cause dryness and irritation of the nose and throat, not nasal congestion; insomnia, not lethargy; and hypokalemia with high doses , not hyperkalemia. Which is most important for this patient? The pH value reflects the acid-base balance in arterial blood. A male adult patient on mechanical ventilation is receiving bromide Pavulon , 0.
Sa02 indicates arterial oxygen saturation. Pancuronium, a nondepolarizing blocking agent, is used for muscle relaxation and paralysis. Tidal volume Tidal volume refers to the volume of air inspired and expired with a normal breath. It helps prevent early airway collapse. The initial nursing action is to: A. Bilateral crackles may result from pulmonary congestion, inspiratory wheezes may signal asthma, and a pleural friction rub may indicate pleural inflammation.
If a positive reaction occurs, a sputum smear and culture as well as a chest X-ray are necessary to provide more information. Anginal pain results from a reduced myocardial oxygen supply. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Despite the different causes of the various types of pneumonia, all of them share which feature? Sputum culture Tuberculosis is definitively diagnosed through culture and isolation of Mycobacterium tuberculosis. None of the other options are associated with pneumothorax. After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. Bronchospasm If a biopsy was performed during a bronchoscopy, blood-streaked sputum is expected for several hours.
On auscultation, which finding suggests a right? If side effects develop, especially cardiac irregularities, the procedure is stopped and the client is reoxygenated. A male client suffers adult respiratory distress syndrome as a consequence of shock. Therefore, the combination of a pH value of 7. Therefore, the nurse should plan to develop an alternative communication method. A patient with a laryngectomy cannot speak, yet still needs to communicate. You can also copy this exam and make a printout.
A slightly obese female client with a history of -induced asthma, , and mitral valve prolapse is admitted to an acute care facility for elective. A nurse is preparing to obtain a sputum specimen from a male client. Options A and C will delay treatment in this emergency situation. An alternative instruction is to ask the client to take a deep breath and hold the breath while the tube is removed. Nausea, vomiting, abdominal pain, and diarrhea may accompany respiratory acidosis. Place the tube in bottle of sterile water If the chest drainage system is disconnected, the end of the tube is placed in a bottle of sterile water held below the level of the chest. The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis.