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ATI MedSurg – Respiratory Exam/20 Complete Questions and Answers
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ATI MedSurg – Respiratory Exam/20 CompleteQuestions and Answers
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
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