NUR 2243 Respiratory EAQs
- A client arrives in the emergency department with multiple crushing wounds of the chest,
abdomen, and legs. Which are the priority nursing assessments?-
Answer
Quality of respirations and presence of pulses
- A client is extubated in the postanesthesia care unit after surgery. For which common response
should the nurse be alert when monitoring the client for acute respiratory distress?
Answer
Restlessness
- What order would the nurse follow for the assessment of the pharynx in a client with a
respiratory disorder?
Answer
1.
Inspect the mouth.Observe the rise and fall of the soft palate.Assess the symmetry of enlarged tonsils, if present. Inspect the neck symmetry.Palpate the lymph nodes.
- The nurse is providing postoperative care to a client with lung cancer
who had a partial pneumonectomy. When inspecting the client's dressing, the nurse notes puffiness of the tissue around the surgical site. When the nurse palpates the site, the tissue feels spongy and crackles can be felt. How does the nurse describe this assessment finding?
Answer 1 / 2
Subcutaneous emphysema
- A nurse is caring for a group of clients on a medical-surgical unit. Which client has the
highest risk for developing a pulmonary embolism?
Answer
An obese client with leg trauma
- Besides providing reassurance, what should nursing interventions for a client who is
hyperventilating be focused on?
Answer
Having the client breathe into a paper bag
- When providing discharge teaching for a young female client who had a pneumothorax, it is
important that the nurse include the signs and symptoms of a recurring pneumothorax. What is the most important symptom that the nurse should teach the client to report to the healthcare provider?
Answer
Severe shortness of breath
- During admission a client appears anxious and says to the nurse, "The doctor told me I have
lung cancer. My father died from cancer. I wish I had never smoked." What is the nurse's best response?
Answer
"You seem concerned about your diagnosis."
- After surgery, a client reports sudden severe chest pain and begins coughing. The nurse
- / 2
suspects the client has a thromboembolism. What characteristic of the sputum supports the nurse's suspicion that the client has a pulmonary embolus?