A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention should the nurse include in this client's plan of care?
a. Assistance with activities of daily living
b. Physical therapy activities every day
c. Oxygen therapy at 2 liters per nasal cannula
d. Complete bedrest with frequent repositioning
Question 2A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?
a. Make a list of reasons why smoking is a bad habit.
b. Rise slowly when getting out of bed in the morning.
c. Smoking while taking this medication will increase your risk of a stroke.
d. Stopping this medication suddenly increases your risk for a heart attack.
Question 3A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which intervention should the nurse complete prior to the procedure?
a. Measure oxygen saturation before and after a 12-minute walk.
b. Verify that the client understands all possible complications.
c. Explain the procedure in detail to the client and the family.
d. Validate that informed consent has been given by the client.
Question 4A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action?
a. The client rates pain as a 5/10 at the site of the procedure.
b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93 on 2 liters of oxygen.
d. The trachea is deviated toward the opposite side of the neck.
Question 5A nurse is assessing a client who is recovering from a lung biopsy. Which assessment finding requires immediate action?
a. Increased temperature
b. Absent breath sounds
c. Productive cough
d. Incisional discomfort
Question 6A nurse observes that a client's anteroposterior (AP) chest diameter is the same as the lateral chest diameter. Which question should the nurse ask the client in response to this finding?
a. Are you taking any medications or herbal supplements?
b. Do you have any chronic breathing problems?
c. How often do you perform aerobic exercise?
d. What is your occupation and what are your hobbies?
Question 7A nurse is providing care after auscultating clients' breath sounds. Which assessment finding is correctly matched to the nurse's primary intervention?
a. Hollow sounds are heard over the trachea. - The nurse increases the oxygen flow rate.
b. Crackles are heard in bases. - The nurse encourages the client to cough forcefully.
c. Wheezes are heard in central areas. - The nurse administers an inhaled bronchodilator.
d. Vesicular sounds are heard over the periphery. - The nurse has the client breathe deeply.
Question 8A nurse is caring for an older adult client who has a pulmonary infection. Which action should the nurse take first?
a. Encourage the client to increase fluid intake.
b. Assess the client's level of consciousness.
c. Raise the head of the bed to at least 45 degrees.
d. Provide the client with humidified oxygen.
Question 9A nurse assesses a client's respiratory status. Which information is of highest priority for the nurse to obtain?
a. Average daily fluid intake
b. Neck circumference
c. Height and weight
d. Occupation and hobbies
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